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CC BY-NC-ND 4.0 · Sleep Sci 2022; 15(S 01): 293-299
DOI: 10.5935/1984-0063.20220026
CASE REPORTS

Rapid maxillary expansion in patient with obstructive sleep apnea: case report

Authors

  • Rita Catia Bariani

    1   Universidade Federal de São Paulo, Department of Otorhinolaryngology and Head and Neck Surgery - São Paulo - SP - Brazil.

  • Fauze Ramez Badreddine

    1   Universidade Federal de São Paulo, Department of Otorhinolaryngology and Head and Neck Surgery - São Paulo - SP - Brazil.

  • Lucia Hatsue Yamamoto

    1   Universidade Federal de São Paulo, Department of Otorhinolaryngology and Head and Neck Surgery - São Paulo - SP - Brazil.

  • Flavio Toshiki Shido

    1   Universidade Federal de São Paulo, Department of Otorhinolaryngology and Head and Neck Surgery - São Paulo - SP - Brazil.

  • Daniela Pimentel Machado Renofio Hoppe

    1   Universidade Federal de São Paulo, Department of Otorhinolaryngology and Head and Neck Surgery - São Paulo - SP - Brazil.

  • Sergio Tufik

    2   Universidade Federal de São Paulo, Department of Psychobiology - São Paulo - SP - Brazil.

  • Gustavo A. Moreira

    2   Universidade Federal de São Paulo, Department of Psychobiology - São Paulo - SP - Brazil.

  • Mario Cappellette

    1   Universidade Federal de São Paulo, Department of Otorhinolaryngology and Head and Neck Surgery - São Paulo - SP - Brazil.

  • Reginaldo Raimundo Fujita

    1   Universidade Federal de São Paulo, Department of Otorhinolaryngology and Head and Neck Surgery - São Paulo - SP - Brazil.
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The aim of this case report was to evaluate the polysomnography indices, air space in the oropharyngeal region and quality of life scores using the OSA-18 questionnaire in a patient diagnosed with obstructive sleep apnea before and after rapid maxillary expansion (RME). It is a case report with a male patient, seven years old, with maxillary hypoplasia, who underwent adenotonsillectomy surgery two years ago, had restless sleep, snore more than five times a week. Pre- and post-treatment diagnostic tests were performed, including nasofibroscopy, polysomnography, computed tomography, orthodontic records and the OSA-18 quality of life questionnaire. The treatment consisted of RME with Hyrax maxillary expander. After six months, the exams were redone. The polysomnographic record before treatment: IAH 2.8/h, after treatment 0.5/h. We concluded that rapid maxillary expansion (RME) in children with OSA appears to be an effective treatment.

Sleep Apnea - Obstructive - Palatal Expansion Technique - Sleep Apnea Syndromes - Craniofacial Abnormalities - Snoring. Child

FUNDING SOURCE

The authors gratefully acknowledge financial support from the Associação de Incentivo à Pesquisa (AFIP) for collaboration with polysomnography. Clinical Trials RBR- 463byn. Ethics committee number: 0698011806/2017




Publication History

Received: 15 January 2021

Accepted: 13 September 2021

Article published online:
01 December 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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