Adenotonsillectomy and orthodontic therapy in pediatric obstructive sleep apnea

Abstract

Our data demonstrate that both treatments help to improve OSA, and a multidisciplinary approach to treatment is suggested.

Three-dimensional analysis of craniofacial bones and soft tissues in obstructive sleep apnea using cone beam computed tomography

“…Ethmoid growth stops by the age of 2 years. It is known that maxillary narrowness is a factor of OSA in children [15,16], which may be treated by orthodontic maxillary expansion combined or not with adenotonsillectomy [17]. The present study explicitly highlighted maxillo-palatine narrowness after height [14].…”

“…5 show the smallest transverse UA section. For the patient on the left, a ou pas, à l'adenotonsillectomie [17]. L'etude presente a souligne explicitement l'etroitesse maxillopalatine apres ajustement pour la taille chez les adultes souffrant d'AOS, comme cela a dejà ete suggere dans des etudes cephalometriques anterieures.…”

Long-Term Improvements in Sleep and Respiratory Parameters in Preschool Children Following Treatment of Sleep Disordered Breathing

“…11,12,14,15 Similarly, the studies that have investigated the converse, i.e. the effect of no treatment, have also included a wide age range, 14,[16][17][18] were only conducted in older children, 12,17,[19][20][21] had short or variable follow-up periods, 19 or did not use the gold standard of overnight polysomnography but relied on parental questionnaires to assess SDB severity.…”

Pediatric Obstructive Sleep Apnea Syndrome - Mini Review

“…Villa MP [31] observed that rapid maxillary expansion can be used to treat apnea in children with malocclusion and its effects persist until 24 months after the end of the intervention [31]. Barreto and collaborators (2014) selected 52 children with OSAS and divided them into 3 groups [32]. Those with a milder disease were referred for MRA and those with a more severe disease were referred for amygdala and adenoid surgery.…”