国际口腔医学杂志 ›› 2017, Vol. 44 ›› Issue (2): 218-221.doi: 10.7518/gjkq.2017.02.021
黄振贤1, 王巧静2
Huang Zhenxian, Wang Qiaojing
摘要: 阻塞性睡眠呼吸暂停综合征(OSAS)是一种儿童常见的气道梗阻性疾病,对生长发育及全身健康有巨大的影响。上颌骨狭窄可能导致儿童睡眠呼吸紊乱,上颌快速扩弓(RME)是临床上常用于治疗儿童上颌骨狭窄的方法。近年来,研究显示:RME在矫正上颌狭窄的同时还能有效改善鼻通气,治疗儿童OSAS。本文的目的是探究RME治疗儿童OSAS的效果及现状。
中图分类号:
[1] Schwengel DA, Dalesio NM, Stierer TL. Pediatric obstructive sleep apnea[J]. Anesthesiol Clin, 2014, 32(1):237-261. [2] Tauman R, Gozal D. Obstructive sleep apnea syn-drome in children[J]. Expert Rev Respir Med, 2011, 5(3):425-440. [3] Flores-Mir C, Korayem M, Heo G, et al. Craniofacial morphological characteristics in children with ob-structive sleep apnea syndrome: a systematic review and meta-analysis[J]. J Am Dent Assoc, 2013, 144 (3):269-277. [4] Pirelli P, Saponara M, De Rosa C, et al. Orthodontics and obstructive sleep apnea in children[J]. Med Clin North Am, 2010, 94(3):517-529. [5] Villa MP, Castaldo R, Miano S, et al. Adenotonsille-ctomy and orthodontic therapy in pediatric obstruc-tive sleep apnea[J]. Sleep Breath, 2014, 18(3):533- 539. [6] 刘玺诚, 马渝燕, 王一卓, 等. 全国8城市2~12岁儿童睡眠状况流行病学调查[J]. 睡眠医学, 2004, 1(1):4-7. Liu XC, Ma YY, Wang YZ, et al. An epidemiologic survey of the prevalence of sleep disorders among children 2 to 12 years old in 8 cities in China[J]. Sleep Med, 2004, 1(1):4-7. [7] Schuster T, Rustemeyer J, Bremerich A, et al. A- nalysis of patients with a cleft of the soft palate with special consideration to the problem of velopharyn-geal insufficiency[J]. J Craniomaxillofac Surg, 2013, 41(3):245-248. [8] Huang YS, Guilleminault C, Lee LA, et al. Treat-ment outcomes of adenotonsillectomy for children with obstructive sleep apnea: a prospective longitu-dinal study[J]. Sleep, 2014, 37(1):71-76. [9] Bhattacharjee R, Kheirandish-Gozal L, Spruyt K, et al. Adenotonsillectomy outcomes in treatment of obstructive sleep apnea in children: a multicenter retrospective study[J]. Am J Respir Crit Care Med, 2010, 182(5):676-683. [10] Tsuda H, Almeida FR, Tsuda T, et al. Craniofacial changes after 2 years of nasal continuous positive airway pressure use in patients with obstructive sleep apnea[J]. Chest, 2010, 138(4):870-874. [11] Iwasaki T, Saitoh I, Takemoto Y, et al. Tongue pos-ture improvement and pharyngeal airway enlarge-ment as secondary effects of rapid maxillary ex-pansion: a cone-beam computed tomography study [J]. Am J Orthod Dentofacial Orthop, 2013, 143 (2):235-245. [12] Pirelli P, Saponara M, Guilleminault C. Rapid maxil-lary expansion(RME) for pediatric obstructive sleep apnea: a 12-year follow-up[J]. Sleep Med, 2015, 16 (8):933-935. [13] Tehranchi A, Ameli N, Najirad Z, et al. Comparison of the skeletal and dental changes of tooth-borne vs. bone-borne expansion devices in surgically assisted rapid palatal expansion: A finite element study[J]. Dent Res J(Isfahan), 2013, 10(6):777-783. [14] Timms DJ. Rapid maxillary expansion in the treat-ment of nocturnal enuresis[J]. Angle Orthod, 1990, 60(3):229-234. [15] Villa MP, Malagola C, Pagani J, et al. Rapid maxil-lary expansion in children with obstructive sleep apnea syndrome: 12-month follow-up[J]. Sleep Med, 2007, 8(2):128-134. [16] Villa MP, Rizzoli A, Miano S, et al. Efficacy of rapid maxillary expansion in children with obstruc-tive sleep apnea syndrome: 36 months of follow-up [J]. Sleep Breath, 2011, 15(2):179-184. [17] Baratieri C, Alves M Jr, de Souza MM, et al. Does rapid maxillary expansion have long-term effects on airway dimensions and breathing[J]. Am J Orthod Dentofacial Orthop, 2011, 140(2):146-156. [18] Guilleminault C, Huang YS, Monteyrol PJ, et al. Critical role of myofascial reeducation in pediatric sleep-disordered breathing[J]. Sleep Med, 2013, 14 (6):518-525. [19] Guilleminault C, Monteyrol PJ, Huynh NT, et al. Adeno-tonsillectomy and rapid maxillary distraction in pre-pubertal children, a pilot study[J]. Sleep Breath, 2011, 15(2):173-177. [20] Guilleminault C, Huang YS, Quo S, et al. Teenage sleep-disordered breathing: recurrence of syndrome [J]. Sleep Med, 2013, 14(1):37-44. [21] De Felippe NL, Bhushan N, Da Silveira AC, et al. Long-term effects of orthodontic therapy on the maxillary dental arch and nasal cavity[J]. Am J Orthod Dentofacial Orthop, 2009, 136(4):490.e1- 490.e8. [22] El H, Palomo JM. Three-dimensional evaluation of upper airway following rapid maxillary expansion: a CBCT study[J]. Angle Orthod, 2014, 84(2):265-273. [23] Iwasaki T, Takemoto Y, Inada E, et al. The effect of rapid maxillary expansion on pharyngeal airway pressure during inspiration evaluated using computa-tional fluid dynamics[J]. Int J Pediatr Otorhinolaryn-gol, 2014, 78(8):1258-1264. [24] Halicioğlu K, Kiliç N, Yavuz İ, et al. Effects of rapid maxillary expansion with a memory palatal split screw on the morphology of the maxillary dental arch and nasal airway resistance[J]. Eur J Orthod, 2010, 32(6): 716-720. [25] Monini S, Malagola C, Villa MP, et al. Rapid maxil-lary expansion for the treatment of nasal obstruction in children younger than 12 years[J]. Arch Otolaryn-gol Head Neck Surg, 2009, 135(1):22-27. |
[1] | 吴礼安. 部分断冠粘接术在儿童恒前牙复杂冠根折中的初步应用[J]. 国际口腔医学杂志, 2023, 50(6): 623-631. |
[2] | 高若凡,夏斌. 基于慢性疾病管理理念的重度低龄儿童龋管理方法[J]. 国际口腔医学杂志, 2023, 50(3): 341-346. |
[3] | 任海霞,刘颍凤,梁慧敏,李家勇,温春琴,王春梅. 虚拟现实技术在儿童深龋治疗中对牙科畏惧的干预效果研究[J]. 国际口腔医学杂志, 2022, 49(5): 529-536. |
[4] | 贺红. 伴扁桃体肥大Ⅲ类错𬌗畸形儿童早期矫治的临床诊疗策略[J]. 国际口腔医学杂志, 2022, 49(3): 249-254. |
[5] | 朱锦怡,樊琪,周媛,邹静,黄睿洁. 唾液蛋白作为低龄儿童龋预测标志物的研究进展[J]. 国际口腔医学杂志, 2022, 49(2): 212-219. |
[6] | 邓晓宇,张蕴涵,邹静. 低龄儿童龋的早期生物学管理[J]. 国际口腔医学杂志, 2020, 47(5): 581-588. |
[7] | 邓晓宇,仁青色格,霍媛媛,崔晨,亓文婷,韩轩,黄睿洁,周媛,朱林,邹静,旦增念扎. 西藏自治区城区和牧区儿童患龋情况与相关因素分析[J]. 国际口腔医学杂志, 2020, 47(4): 383-390. |
[8] | 于林彤,宋光泰. 铒激光在儿童口腔医学中的应用[J]. 国际口腔医学杂志, 2020, 47(3): 351-355. |
[9] | 王晓波,林世耀,李霞. 母亲与儿童龋病关系的研究进展[J]. 国际口腔医学杂志, 2019, 46(4): 469-474. |
[10] | 赵金,赖光云,汪俊. 全身麻醉下儿童口腔疾病治疗家长接受度现况的研究进展[J]. 国际口腔医学杂志, 2018, 45(6): 739-744. |
[11] | 丁杰, 宋光泰. 微创技术在儿童龋病治疗中的应用[J]. 国际口腔医学杂志, 2018, 45(4): 473-479. |
[12] | 游文喆, 夏斌. 精神/智力残疾儿童的口腔健康促进和维护[J]. 国际口腔医学杂志, 2018, 45(4): 492-496. |
[13] | 刘晓华, 王恩博. 儿童埋伏多生牙拔除术锥形束计算机断层扫描影像学定位的应用进展[J]. 国际口腔医学杂志, 2018, 45(3): 295-300. |
[14] | 蔡东霖, 卢锐. 儿童复发性阿弗他溃疡病因学的研究进展[J]. 国际口腔医学杂志, 2018, 45(2): 145-149. |
[15] | 高雪彬, 张琦, 李晶, 毕也, 杨华, 黄洋. 低龄儿童行窝沟封闭术时酸蚀剂选择的临床研究[J]. 国际口腔医学杂志, 2017, 44(4): 433-436. |
|