Open AccessRapid maxillary expansion in patient with obstructive sleep apnea: case report
Author(s) -
Rita Catia Brás Bariani,
Fauze Ramez Badreddine,
Lúcia Hatsue Yamamoto,
Flávio Toshiki Shido,
Daniela Pimentel Machado Renófio Hoppe,
Sérgio Tufik,
Gustavo Antônio Moreira,
Mario Cappellette,
Reginaldo Raimundo Fujita
Publication year - 2022
Publication title -
sleep science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.582
H-Index - 17
eISSN - 1984-0659
pISSN - 1984-0063
DOI - 10.5935/1984-0063.20220026
Subject(s) - polysomnography , medicine , obstructive sleep apnea , maxillary hypoplasia , hyrax , hypoplasia , quality of life (healthcare) , pediatrics , sleep apnea , apnea , dentistry , anesthesia , surgery , psychology , nursing , neuroscience , distraction osteogenesis , distraction
The aim of this case report was to evaluate the polysomnography indices, air space in the oropharyngeal region and quality of life scores using the OSA-18 questionnaire in a patient diagnosed with obstructive sleep apnea before and after rapid maxillary expansion (RME). It is a case report with a male patient, seven years old, with maxillary hypoplasia, who underwent adenotonsillectomy surgery two years ago, had restless sleep, snore more than five times a week. Pre- and post-treatment diagnostic tests were performed, including nasofibroscopy, polysomnography, computed tomography, orthodontic records and the OSA-18 quality of life questionnaire. The treatment consisted of RME with Hyrax maxillary expander. After six months, the exams were redone. The polysomnographic record before treatment: IAH 2.8/h, after treatment 0.5/h. We concluded that rapid maxillary expansion (RME) in children with OSA appears to be an effective treatment.