sleep apnoea
Conditions
Interventions
Interventions performed: adenotonsillectomy and rapid maxillary expansion. 30 children were selected, between 5 and 1 day left to complete 12 years of age, of both genders. They presented an atresia m
Treated group: 15 (intervention performed = rapid maxillary expansion)
To analyze both sleep structure and microstructure at three different times: (1) basal PSG
(2) post-final PSG of the first proposed treatment
(3) PSG after second proposed treatment.All polysomnographic record was obtained at the same place. OSA was defined if obstructive apnea index was 1 event/hour. Subsequently, the patients were referre
Device
Procedure/surgery
J35.0
A04.623.557.500
Sponsors
Faculdade de Odontologia da Universidade Federal de Uberlândia
Faculdade de Odontologia da Universidade Federal de Uberlândia
Eligibility
Age
5 Years to 12 Years
Inclusion criteria
Inclusion criteria: The inclusion criteria included: (1) clinical symptoms of breathing disorder, such as snoring, and mouth breathing; (2) palatine tonsil hypertrophy classified by means of mouth examination according to the grading criteria of Brodsky; (3) adenoid hypertrophy assessed by means of flexible nasoendoscopy; (4) diagnosis of OSA with the aid of PSG examination revealing an obstructive AHI bigger then 1 event/hour, according to the criteria of the American Academy of Sleep Medicine (AASM);(5) constricted maxillary arch, high palate, unilateral or bilateral posterior crossbite, and/or some degree of mandibular retrusion; (6) children between 5 and 12 years old incomplete.
Exclusion criteria
Exclusion criteria: Exclusion criteria included: (1) obese children (BMI bigger then 95 kg/m2); (2) genetic syndrome; (3) craniofacial anomalies; (4) systemic diseases.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The upper airway volume would not change after adenotonsillectomy and rapid maxillary expansion; and 2) the adenotonsillectomy and rapid maxillary expansion would produce similar airway volume change in children diagnosed with apneia;The volumetric gain in the upper airways, assessed by the computational method of volumetric analysis, was greater in the group of patients who received adenotonsillectomy as the first treatment option. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are not expected | — |
Countries
Brazil
Contacts
Public ContactPaulo Simamoto
Faculdade de Odontologia da Universidade Federal de Uberlândia
Outcome results
None listed