Efecto de expansión rápida del maxilar en el tratamiento de trastornos respiratorios del sueño en niños, revisión bibliográfica

Antonieta Pérez Flores; Ricardo Alarcón; Lorena Bravo; Claudia Fierro Monti; Romina Novoa

doi:10.16925/2357-4607.2021.01.09

Effect of rapid expansion of the maxilla in the treatment of sleep breathing disorders in children, bibliographic review

Thematic Review

https://doi.org/10.16925/2357-4607.2021.01.09

Antonieta Pérez Flores Ver Biografía

Universidad de Concepción

Ricardo Alarcón Ver Biografía

Universidad de Concepción

Lorena Bravo Ver Biografía

Universidad de Concepción

Claudia Fierro Monti Ver Biografía

Universidad de Concepción

Romina Novoa Ver Biografía

Universidad de Concepción

Sleep and breathing are intrinsically related functions. The spectrum of Sleep Respiratory Disorders (SRD) includes: Obstructive Sleep Apnea Syndrome (OSAS), Upper Airway Resistance Syndrome (UARS) and Primary Snoring (PS). Although snoring is a very frequent manifestation, its presence shows some degree of partial obstruction of the upper airway. Surgical treatment, adenotonsilectomy, has been recommended as a first line by foreign clinical guidelines. The anatomical susceptibility to develop sleep apnea is determined by the relationship between the fixed dimensions of the craniofacial skeleton, volume and distribution of soft tissue structures and adipose tissue that reside in the skeletal compartment. The rapid expansion of the maxilla is currently used in children with maxillary constriction and as an alternative treatment for SRD in children. The bibliographic evidence of the last 15 years is presented for orthopedic treatment of maxillary expansion as an adjunctive treatment of SRD in childhood.

Keywords: rapid maxillar expansion, sleep breathing disorders in children

Urquhart D, Tan H. Sleep disordered breathing at the extremes of age: infancy. Breathe. 2016; 12 (1): 1-11.

Brockmann P, Urschitz M, Schlaud M, Poets C. Primary snoring in school children: prevalence and neurocognitive impairments. Sleep Breath. 2012; 16: 23–9.

Santamaria A, Astudillo D. Roncopatía primaria y sus implicancias clínicas: fin al paradigma de entidad inocua. Rev Otorrinolaringol Cir Cabeza Cuello. 2014; 74: 181-90.

Liu, C., Kang, W., Zhang, S. et al. Mandibular Advancement Devices Prevent the Adverse Cardiac Effects of Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS). Sci Rep 2020; 10, 3394.

Katyal V, Pamula Y, Martin AJ, Daynes CN, Kennedy JD, Sampson WJ. Craniofacial and upper airway morphology in pediatric sleep-disordered breathing: Systematic review and meta-analysis. Am J Orthod Dentofacial Orthop. 2013; 143 (1):20-30.

Prades-Morera E, Esteller E. Clinica de los trastornos respiratorios del sueño en niños. Acta Otorrinolaringol Esp. 2010; 61: 22-5.

DelRosso L. Epidemiology and Diagnosis of Pediatric Obstructive Sleep Apnea, Current Problems in Pediatric and Adolescent Health Care. 2016; 46 (1): 2-6.

Sang-Youp L, Jeong-Whun K. Nasopharyngeal Width and Its Association With Sleep-Disordered Breathing Symptoms in Children. Clinical and Experimental Otorhinolaryngology 2019; 12(4): 399-404.

Yunxiao Wu, Guoshuang Feng, Zhifei Xu, Xiaodan Li, Li Zheng, Wentong Ge, Xin Ni. Identification of different clinical faces of obstructive sleep apnea in children, International Journal of Pediatric Otorhinolaryngology, 2019; 127: 109621.

Marcus CL, Brooks LJ, Draper KA, Gozal D, Halbower AC, Jones J. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics. 2012; 130 (3): 714-55.

Lee CH, Kim YJ, Lee SB, Yoo CK, Kim HM. Psychological screening for the children with habitual snoring. Int J Pediatr Otorhinolaryngol. 2014; 78 (12): 2145-50.

Brockmann P, Schlaud M, Poets C, Urschitz M. Predicting poor school performance in children suspected for sleep-disordered breathing. Sleep Med. 2015; 16 (9): 1077-83.

Kun-Tai K, Shuenn-Nan C , Wen-Chin W, Pei-Lin L, Wei-Chung H, Comparisons of Office and 24-Hour Ambulatory Blood Pressure Monitoring in Children with Obstructive Sleep Apnea. The Journal of Pediatrics. 2017;182:177-83.

Tan H, Alonso Alvarez MTsaoussoglou M, Weber S, Kaditis A.When and why to treat the child who snores?Pediatr Pulmonol. 2017;52:399–412.

Brockmann P. Consecuencias neurocognitivas de los trastornos respiratorios del sueño. Neumol Pediatr. 2012; 7 (2): 44-7.

Kim, D., Rhee, C.S., Yun, P. et al. Adenotonsillar hypertrophy as a risk factor of dentofacial abnormality in Korean children. Eur Arch Otorhinolaryngol. 2015;272, 3311-6.

Uma B, Raghavendra S. Comparison of soft-tissue, dental, and skeletal characteristics in children with and without tongue thrusting habit. Contemp Clin Dent. 2013; 4 (1): 2–6.

Huynh N, Morton PD, Rompre PH, Papadakis A, Remise C. Associations between sleep-disordered breathing symptoms and facial and dental morphometry, assessed with screening examinations. Am J Orthod Dentofacial Orthop. 2011; 140: 762–70.

Löfstrand-Tideström B, Hultcrantz E. The development of snoring and sleep related breathing distress from 4 to 6 years in a cohort of Swedish children. International Journal of Pediatric Otorhinolaryngology. 2007; 71(7):1025-33.

Giannasi LC, Santos IR, Alfaya TA, Bussadori SK, Leitão-Filho FS, de Oliveira LV. Effect of a rapid maxillary expansion onsnoring and sleep in children: a pilot study. Cranio. 2015; 33 (3): 169-73.

Graf I, Schumann U, Neuschulz J, Höfer K, Ritter L, Braumann B. Sleep-disordered breathing in orthodontic practice: Prevalence of snoring in children and morphological findings. J Orofac Orthop. 2016; 77 (2): 129-37.

Kuhle S, Urschitz MS, Eitner S, Poets CF. Interventions for obstructive sleep apnea in children: A systematic review. Sleep Med Rev. 2009; 13: 123-31

Bhattacharjee R, Kheirandish-Gozal L, Spruyt K, Mitchell RB, Promchiarak J, Simakajornboon N, et al. Adenotonsillectomy outcomes in treatment of obstructive sleep apnea in children: a multicenter retrospective study. Am J Respir Crit Care Med. 2010; 182: 676-83.

Brockmann P, Salinas P, Holmgren N, Prado F. Utilidad de la clínica para el diagnóstico de trastornos respiratorios del sueño en niños con enfermedades neuromusculares. Rev Chil Pediatr. 2011; 4: 319-28.

Beebe DW, Ris MD, Kramer ME, Long E, Amin R. The association between sleep disordered breathing, academic arades, and cognitive and behavioral functioning among overweight subjects during middle to late childhood. Sleep. 2010; 33 (11): 1447-56.

Sánchez-Súcar AM, Sánchez-Súcar FB, Almerich-Silla JM, et al. Effect of rapid maxillary expansion on sleep apnea-hypopnea syndrome in growing patients. A meta-analysis. J Clin Exp Dent. 2019;11(8):e759–e67.

Villa MP, Malagola C, Pagani J, et al. Rapid maxillary expansion in children with obstructive sleep apnea syndrome: 12-month follow-up. Sleep Med. 2007; 8 (2): 128–34.

Guilleminault C, Huang YS, Quo S, Monteyrol PJ, Lin CH. Teenage sleep-disordered breathing: recurrence of syndrome. Sleep Med. 2013; 14 (1): 37–44.

Bouserhal J, Bassil-Nassif N, Tauk A, Will L, Limm M. Three-dimensional changes of the naso-maxillary complex following rapid maxillary expansion. Angle Orthodontist. 2014; 84 (1): 88-95.

Alrejaye N, Gao J, Hatcher D, Oberoi S. Effect of maxillary expansion and protraction on the oropharyngeal airway in individuals with non-syndromic cleft palate with or without cleft lip. PLoS One. 2019;14(7):e0213328.

Angelieri F, Cevidanes L, Franchi L, Gonçalves J , Benavides E, McNamara J. Midpalatal suture maturation: Classification method for individual assessment before rapid maxillary expansion. Am J Orthod Dentofacial Orthop. 2013; 144 (5): 759–69.

Guilleminault C, Monteyrol PJ, Huynh NT, Pirelli P, Quo S,Li K. Adeno-tonsillectomy and rapid maxillary distraction in pre-pubertal children, a pilot study. Sleep Breath. 2011;15 (2): 173–7.

Effect of rapid expansion of the maxilla in the treatment of sleep breathing disorders in children, bibliographic review. (2021). Revista Nacional De Odontología, 17(1), 1-11. https://doi.org/10.16925/2357-4607.2021.01.09

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Vol. 17 No. 1 (2021)

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2021-06-04

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