Patient age 6 to 12 years old who are diagnosed with pediatric obstructive sleep apnea (POSA) with AHI is greater than or equal to 5 confirmed by type III polysomnography Medication Rapid Palatal Expansion (RPE) Pediatric Obtructive Sleep Apnea
Conditions
Interventions
Patients will be referred to the Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, where otolaryngologists will evaluate each patient and prescribe the appropriate medical trea
Sponsors
Faculty of Dentistry Chiang Mai University
Eligibility
Sex/Gender
All
Age
6 Years to 12 Years
Inclusion criteria
Inclusion criteria: 1. Male and female volunteers 2. Aged between 6 to 12 years 3. Cervical vertebral maturation stage at CVMS 2 or CVMS 3 as assessed on the lateral cephalometric radiograph 4. Signs and symptoms of pediatric obstructive sleep apnea (POSA) with an apnea-hypopnea index (AHI) is greater than or equal to 5 confirmed by type III polysomnography 5. Adenoid hypertrophy as determined by an adenoidal-nasopharyngeal (A/N) ratio is greater than or equal to 60 (indicating significant adenoidal hypertrophy ) 6. Maxillary constriction with or without posterior crossbite, as assessed by cone-beam computed tomography (maxillomandibular width difference less than -4.1 mm ) 7. No prior treatment for adenoid hypertrophy
Exclusion criteria
Exclusion criteria: 1. Patients with craniofacial syndrome 2. Patients without maxillary constriction 3. Patients who do not consent to participate in the study 4. Patients with a history of prior orthodontic treatment 5. Patients with a history of prior adenoid surgery 6. Patients with claustrophobia who refused in process of CBCT 7. Patients deemed unable to cooperate with study procedures, as assessed by the treating clinician at the time of screening
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sleep quality: objective symptoms 6 months after end of treatment The apnea-hypopnea index | — |
Secondary
| Measure | Time frame |
|---|---|
| 3D Anatomical outcome 6 months after end of treatment Adenoid volume,Clinical decision outcome 6 months after end of treatment Need for adenoid surgery,Sleep quality: subjective symptoms 6 months after end of the treatment Pediatric Sleep Questionnaire (PSQ score),Quality of life 6 months after end of the treatment OSA-18 questionnaire | — |
Countries
Thailand
Contacts
Public ContactDr.Puttipong Sripinun
Faculty of Dentistry, Chiang Mai University
Outcome results
None listed