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Efficacy of rapid maxillary expansion in the treatment of Obstructive Sleep Apnea Syndrome: a systematic review with meta-analysis

Vale, Francisco ; Albergaria, Mariana ; Carrilho, Eunice ; Francisco, Inês ; Guimarães, Adriana ; Caramelo, Francisco ; Maló, Luísa

The journal of evidence-based dental practice, 2017-09, Vol.17 (3), p.159-168 [Periódico revisado por pares]

United States: Elsevier Inc

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  • Título:
    Efficacy of rapid maxillary expansion in the treatment of Obstructive Sleep Apnea Syndrome: a systematic review with meta-analysis
  • Autor: Vale, Francisco ; Albergaria, Mariana ; Carrilho, Eunice ; Francisco, Inês ; Guimarães, Adriana ; Caramelo, Francisco ; Maló, Luísa
  • Assuntos: Dentistry ; Obstructive ; Palatal Expansion Technique ; Sleep Apnea
  • É parte de: The journal of evidence-based dental practice, 2017-09, Vol.17 (3), p.159-168
  • Notas: ObjectType-Article-2
    SourceType-Scholarly Journals-1
    ObjectType-Feature-1
    content type line 23
    ObjectType-Undefined-3
  • Descrição: Abstract Background OSAS (Obstructive Sleep Apnea Syndrome) is a sleep-related breathing disorder with a peak of prevalence in pre-school age children. There are several factors that determine its origin, among which are anatomic alterations such as maxillary constriction. Objective To conduct a systematic review with meta-analysis to assess the efficacy of RME (Rapid Maxillary Expansion) in treatment of OSAS in children and adolescents. Search methods A literature search was performed using the electronic databases PubMed, Web of Science, LILACS, EMBASE and Cochrane Library. Selection criteria Randomized controlled trials, nonrandomized controlled trials, cohort studies, and systematic reviews published in English, Spanish, or Portuguese between January 2000 and December 2016, performed on children and adolescents under 18 years old with OSAS who underwent RME and assessing RME efficacy in AHI (Apnea-Hypopnea Index) normalization were included. The qualitative assessment of the selected studies was performed using CASP (Critical Appraisal Skills Programme) checklists. Statistic evaluation included two meta-analysis based on a random effect model and Cochran’s Q test and I2 statistic to assess heterogeneity across publications. Data collection Electronic searches identified 84 publications. Five publications were considered valid and included in this systematic review. Results Results from the meta-analysis show an overall reduction in AHI (apnea-hypopnea index) after RME therapy. Conclusions There is increasing evidence that RME devices reduce AHI in children with OSAS. RME therapy can help in the treatment of children with OSAS.
  • Editor: United States: Elsevier Inc
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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