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Craniofacial Morphologic Predictors for Passive Myofunctional Therapy of Pediatric Obstructive Sleep Apnea Using an Oral Appliance with a Tongue Bead.
Hwang, Yi-Jing; Huang, Yu-Shu; Lian, Yun-Chia; Lee, Yu-Hsuan; Hervy-Auboiron, Michele; Li, Chung-Hsing; Lin, Cheng-Hui; Chuang, Li-Chuan.
Afiliación
  • Hwang YJ; Department of Pediatric Dentistry, Chang Gung Memorial Hospital at Linkou, Taoyuan City 333, Taiwan.
  • Huang YS; Department of Child Psychiatry and Sleep Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan City 333, Taiwan.
  • Lian YC; Department of Pediatric Dentistry, Chang Gung Memorial Hospital at Linkou, Taoyuan City 333, Taiwan.
  • Lee YH; Graduate Institute of Craniofacial and Dental Science, College of Medicine, Chang Gung University, Taoyuan City 333, Taiwan.
  • Hervy-Auboiron M; Department of Pediatric Dentistry, Chang Gung Memorial Hospital at Linkou, Taoyuan City 333, Taiwan.
  • Li CH; Orthodontic Institute, 93130 Noisy-Lesec, France.
  • Lin CH; Division of Orthodontics and Dentofacial Orthopedics and Pediatric Dentistry, Department of Dentistry, Tri-Service General Hospital, Taipei City 100, Taiwan.
  • Chuang LC; Craniofacial Center and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan City 333, Taiwan.
Children (Basel) ; 9(7)2022 Jul 18.
Article en En | MEDLINE | ID: mdl-35884057
We conducted this retrospective study to identify potential clinical, polysomnographic, and cephalometric predictors for the treatment outcomes of a tongue-beaded oral appliance (OA) in children with obstructive sleep apnea syndrome (OSAS). In total, 63 patients­50 boys and 13 girls ranging in age from 4 to 16 years­underwent OA treatment nightly for at least 6 months. A baseline digital lateral cephalometric radiograph was obtained for each patient. Multivariate logistic regression analysis was performed to examine predictors for the treatment outcome based on the clinical and cephalometric measurements. Overall, 28 patients responded to the treatment (post-treatment improvement > 50% or apnea−hypopnea index (AHI) < 1/h), and 35 did not (post-treatment improvement < 50% and AHI ≥ 1/h). Significantly larger cranial base angle (SNBa), smaller lower gonial angle (LGo Angle), and shorter length of anterior cranial base (SN) were found in responders. Smaller lower gonial angle (LGo Angle) and smaller anterior cranial base (SN) predict a favorable outcome for pediatric OSAS using a tongue-beaded OA. This finding will equip practitioners with additional insights when selecting suitable candidates for OA therapy in pediatric patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Children (Basel) Año: 2022 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Children (Basel) Año: 2022 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Suiza