Efeito da expansão rápida palatina na via aérea superior em pacientes pediátricos diagnosticados com apneia obstrutiva do sono

: an umbrella review

Abstract

INTRODUCTION: Obstructive sleep apnea is a respiratory disorder characterized by episodes of total or partial respiratory obstruction. Its diagnosis is performed through a polysomnography, which is the gold standard test for this. This disorder can have serious impact on an individual’s life and its classification is performed based on the Apnea and Hypopnea Index. The anatomy of the upper airways conditions the respiratory flow, therefore when there are craniofacial changes in the skeleton the size of the upper airways is conditioned. Thus, this study aims to evaluate an intervention called rapid expansion of the jaws in the upper airway and thus determine its effect on OSA. MATERIALS AND METHODS: Four databases were used: Pubmed, ScienceDirect, Web of Science and Scopus. From these databases articles with a high scientific content were selected in order to ensure the quality of the study. RESULTS: After screening based on the PRISMA platform, 7 relevant articles
were selected and used being that most argue that there is a clear benefit of using combined rapid jaw expansion or not. DISCUSSION: According to the studies included, RME has a positive effect on VAS, reducing the severity of AHI. However, sometimes it is useful to perform a combined treatment, such as using ERM and AAT. CONCLUSION: There are benefits to using rapid palatal expansion. In the meanwhile, it should only be used when craniofacial abnormality is present in the skeleton since it is not yet an integral part of the treatments recommended for obstructive sleep apnea.

Date of Award	19 Jul 2024
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Susana Falardo (Supervisor) & Patrícia Nunes Correia (Co-Supervisor)