Management of the pediatric OSAS: what about simultaneously expand the maxilla and advance the mandible? A retrospective non-randomized controlled cohort study

Autor: Floriane Remy, Emile Boyer, Caroline Daniel, Emeline Rousval, Philippe Moisdon, Philippe Burgart, Pierre Bonnaure, Yves Godio-Raboutet, Laurent Guyot, Vincent Meuric, Lionel Thollon
Přispěvatelé: Laboratoire de Biomécanique Appliquée (LBA UMR T24), Aix Marseille Université (AMU)-Université Gustave Eiffel, CHU Pontchaillou [Rennes], Nutrition, Métabolismes et Cancer (NuMeCan), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Centre du sommeil [Rennes], YooMed, This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Sleep Medicine
Sleep Medicine, 2022, 90, pp.135-141. ⟨10.1016/j.sleep.2022.01.007⟩
ISSN: 1389-9457
DOI: 10.1016/j.sleep.2022.01.007⟩
Popis: International audience; OBJECTIVE/BACKGROUND: This retrospective non-randomized controlled cohort study aimed to evaluate the efficiency of simultaneous maxillary expansion and mandibular advancement for the management of pediatric OSAS. PATIENTS/METHODS: The sample was composed of 94 children treated with an innovative orthopedic device to correct a Class II malocclusion associated with an OSAS. Polysomnographic recordings were performed before and after the treatment. We also included a group of 113 age-matched control patients who had the same pathologies, but who did not receive the orthopedic treatment at the time they undergone polysomnographic exams. Statistical tests evaluated the significance of the evolution of these data, both in treated and untreated control patients. RESULTS: After nine months (±3 months) of treatment, respiratory OSAS symptoms significantly improved: the AHI significantly decreased as it became inferior to the pathological threshold (
Databáze: OpenAIRE
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