Patient age 4 to 1- years old who are diagnosed with Pediatric Obtructive Sleep Apnea by Type1 polysomnography. Adenotonsillectomy Rapid Palatal Expansion (RPE) Pediatric Obtructive Sleep Apne
Conditions
Interventions
For adenotonsillectomy, the surgery will be performed according to the most
recent clinical practice guidelines by American Academy of Otolaryngology-Head and Neck Surgery.,For a rapid maxillary expan
Active Comparator Procedure/Surgery,Experimental Procedure/Surgery
Sponsors
Faculaty of Dentistry, Mahidol University
Eligibility
Sex/Gender
All
Age
4 Years to 10 Years
Inclusion criteria
Inclusion criteria: 1. Patients age between 4 to 10 years old, displaying clinical signs and symptoms, and confirmed a diagnosis of pediatric obstructive sleep apnea by Type I polysomnography. 2. Patients present with Adrenotonsillar enlargement (Adenotonsillar hypertrophy) Grade 2 or 3 and had persistence of clinical sign and symptoms of POSA at T1 after undergoing adenotonsillectomy, or Type I polysomnography displays residual AHI more than or equal to 2 3. Patients present narrowed and constricted maxilla with or without crossbite of posterior teeth, who have undergone treatment for POSA with rapid maxillary expansion (RME), and had persistence of clinical sign and symptoms at T1, or Type I polysomnography displays residual AHI more than or equal to 2
Exclusion criteria
Exclusion criteria: 1. Presence other significant pathologies include all craniofacial syndromes that could affect upper airway patency such as cleft lip and palate, a significant sagittal relationship (severe maxilla or mandible hypoplasia 2. Extreme obesity, a medical history limits adenotonsillectomy (severe heart disease, diabetes mellitus, etc.) 3. patient whose parents disallow them to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Polysomnography study 6 months after end of treatment AHI (Apnea-hypopnea Index), Mean Blood Oxygen Saturation, Lowest Blood Oxygen Saturation, Sleep architecture,Clinical examination 6 months after end of the treatment Tonsillar scoring, Intercanine width and intermolar width, dental occlusion, Presence/Absence of posterior crossbite, palatal architecture,Radiographic Evaluation 6 months after end of the treatment Md-Hyoid, Anterior Facial Height, Adenoid scoring | — |
Secondary
| Measure | Time frame |
|---|---|
| Pediatric Sleep Questionaires 6 months after end of the treatment scoring ,Ouality of life 6 months after end of the treatment Opstructive sleep apnea -18 Ouality of life questionnaires | — |
Countries
Thailand
Contacts
Public ContactAssociate Professor Supakit Peanchitlertkajorn
Faculty of Dentistry, Mahidol University
Outcome results
None listed