Children with Nocturnal Upper Airway Obstruction: Postoperative Orthodontic and Respiratory Improvement
| Autor: | Eva Svanborg, Britt Nordlander, Karin Ågren, Linder-Aronsson S, Zettergren-Wijk L |
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| Rok vydání: | 1998 |
| Předmět: |
Male
medicine.medical_specialty Polysomnography medicine.medical_treatment Mandible Nocturnal Adenoidectomy Sleep Apnea Syndromes medicine Dentition Humans Prospective Studies Respiratory system Child Maxillofacial Development Tonsillectomy medicine.diagnostic_test business.industry General Medicine Airway obstruction medicine.disease respiratory tract diseases Surgery Treatment Outcome Otorhinolaryngology El Niño Child Preschool Anesthesia Breathing Female business |
| Zdroj: | Acta Oto-Laryngologica. 118:581-587 |
| ISSN: | 1651-2251 0001-6489 |
| Popis: | Twenty children, aged 4-9 years, underwent adeno/tonsillectomy because of unequivocal anamnestic nocturnal obstructive breathing. Preoperatively, apnea-hypopnea index was5 in 10 cases only, AI1 in 17. Nineteen children had signs of increased respiratory labour in movement recordings and inspiratory EMG-activity. Oxygen desaturation index was 0 in 7 children, and nadir SaO2 wasor = 90% in 10. Cephalometry and dentition study models initially revealed significant changes, chiefly lateral cross-bite (n = 11) and vertical growth direction of the mandible. Tonsillar size or duration of disease was not correlated with the severity of polysomnographic findings, nor were orthodontic variables. Symptoms disappeared promptly postoperatively. After one year, respiratory recordings were normalized or improved in the majority of children, and orthodontic variables normalized or improved in all children.Oximetry and airflow recordings may be normal in children who benefit from treatment of anamnestic nocturnal obstruction. Craniofacial deformities are common and improve significantly with surgical treatment of the airway obstruction. |
| Databáze: | OpenAIRE |
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