Polysomnographic study in children with apnea syndrome residual obstructive sleep treated with rapid maxillary expansion or myofunctional therapy or orthopedic mandibular advancement.

• Grant number: 24/08147-5
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• Start date: November 01, 2024
• End date: October 31, 2025
• Field of knowledge: Health Sciences - Medicine - Surgery
• Principal Investigator: Almiro José Machado Júnior
• Grantee: Giulia Bianchi Matos
• Host Institution: Instituto de Ciência e Tecnologia (ICT). Universidade Estadual Paulista (UNESP). Campus de São José dos Campos. São José dos Campos , SP, Brazil

Abstract

The treatment of choice for OSA in childhood has beenadenotonsillectomies that represent 15% of total pediatric surgeriescarried out in the United States. Recent studies observe a high rateresidual OSAS even after this surgery. Recent meta-analysis studyobserved heterogeneous results in the short term and found no study withlong-term results. The second method of treating children's OSAShas been CPAP (continuous positive airway pressure) devices. Youreffectiveness has already been observed, as well as its side effects andconsequently the low adherence rate in the medium and long term. AlsoFacial changes associated with the use of CPAP in children have been described.Minimally invasive and adjuvant treatments have been proposed morerecently: rapid maxillary expansion, oral appliance and myofunctional therapy.Recent meta-analysis studies found that there were no studiesrandomized trials on the use of these methods in pediatric OSAS. Therefore theThe objective of this study is to evaluate the rapid expansion of the maxilla, oral apparatus andmyofunctional therapy for the treatment of residual OSAS in children.