国际口腔医学杂志

国际口腔医学杂志 ›› 2017, Vol. 44 ›› Issue (2): 218-221.doi: 10.7518/gjkq.2017.02.021

• 综述 • 上一篇    下一篇

上颌快速扩弓治疗儿童阻塞性睡眠呼吸暂停综合征的研究进展

黄振贤1, 王巧静2   

  1. 1.厦门大学附属中山医院口腔科 厦门 361000;
    2.厦门新开元医院口腔科 厦门 361000
  • 收稿日期:2016-05-06 出版日期:2017-03-01 发布日期:2017-03-01
  • 通讯作者: 黄振贤,硕士,Email：37815734@qq.com
  • 作者简介:黄振贤,硕士,Email：37815734@qq.com

Progress of rapid maxillary expansion for managing pediatric obstructive apnea sleep syndrome

Huang Zhenxian, Wang Qiaojing   

  1. 1. Dept. of Stomatology, Zhongshan Hospital, Xiamen University, Xiamen 361000, China;
    2. Dept. of Stomatology, Xinkaiyuan Hospital in Xiamen, Xiamen 361000, China
  • Received:2016-05-06 Online:2017-03-01 Published:2017-03-01

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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。

关键词: 阻塞性睡眠呼吸暂停综合征, 儿童, 上颌快速扩弓

Abstract: Obstructive sleep apnea syndrome(OSAS) is a common chronic disorder in children and adolescents, dramatically affecting systemic health and development. A small maxilla may cause sleep-disordered breathing in children. Rapid maxillary expansion(RME) is widely used by orthodontists to increase the maxillary transverse dimensions of young patients. Recent studies suggested that RME can effectively manage pediatric snoring and significantly improve OSAS. This study aims to investigate the efficacy of orthopedic RME in treating pediatric OSAS.

Key words: obstructive sleep apnea syndrome, children, rapid maxillary expansion

中图分类号: 

  • R783.5
[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.
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