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17.10.2022 | Sleep Breathing Physiology and Disorders • Review

The effects of rapid maxillary expansion on persistent pediatric snoring post-tonsillectomy

verfasst von: Rita Catia Brás Bariani, Renato Bigliazzi, Thais de Moura Guimarães, Sergio Tufik, Gustavo Antônio Moreira, Reginaldo Raimundo Fujita

Erschienen in: Sleep and Breathing | Ausgabe 4/2023

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Abstract

Purpose

To investigate the short-term effects of rapid maxillary expansion (RME) on the quality of life of children who had persistent snoring post-adenotonsillectomy (AT).

Methods

The study included children with maxillary constriction aged 5 to 12 years, two or more years after AT whose parents/guardians reported that they still snored ≥ 5 nights per week. We enrolled children with sleep-disordered breathing, including children with primary snoring and children with obstructive sleep apnea (OSA). All patients underwent laryngeal nasofibroscopy and complete polysomnography. Quality of Life (QOL) Questionnaire (OSA-18), the Pediatric Sleep Questionnaire (PSQ), Conners Abbreviated Scale (CAS), and the Epworth Sleepiness Scale (ESS) were administered before and after RME.

Results

Of 24 children enrolled, 13 had primary snoring and 11 had OSA. Overall OSA-18 scores were reduced in both groups (intragroup difference, p < 0.001). The PSQ total score, CAS, and ESS were significantly reduced in both groups (p < 0.001) In the evaluation of snoring, there was a reduction due to the treatment effect in both groups (p < 0.001). Daytime sleepiness and attention deficit hyperactivity disorders were also positively affected in both groups.

Conclusions

Our study demonstrated the potential benefit of RME in treating children with persistent snoring and transverse maxillary deficiency (TMD). RME can improve snoring and the QOL of children with refractory SDB after AT.

Trial registration

ClinicalTrials.gov Identifier: RBR-463byn.

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Titel: The effects of rapid maxillary expansion on persistent pediatric snoring post-tonsillectomy
verfasst von: Rita Catia Brás Bariani
Renato Bigliazzi
Thais de Moura Guimarães
Sergio Tufik
Gustavo Antônio Moreira
Reginaldo Raimundo Fujita
Publikationsdatum: 17.10.2022
Verlag: Springer International Publishing
Erschienen in: Sleep and Breathing / Ausgabe 4/2023
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-022-02724-w

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The effects of rapid maxillary expansion on persistent pediatric snoring post-tonsillectomy