دورية أكاديمية

Effectiveness of functional orthopedic appliances as an alternative treatment among children and adolescents with obstructive sleep apnea: Systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Effectiveness of functional orthopedic appliances as an alternative treatment among children and adolescents with obstructive sleep apnea: Systematic review and meta-analysis.
المؤلفون: Bernardes R; Postgraduate Medicine Program - Pediatrics and Child Health, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Av. Ipiranga 6681, Partenon, Porto Alegre, RS, 90619-900, Brazil. Electronic address: rossana@rossanabernardes.com.br., Di Bisceglie Ferreira LM; Postgraduate Program in the Department of Oral and Dental Biology, Anatomy Sector, Piracicaba School of Dentistry, UNICAMP, Avenida Limeira 901, Areião, Piracicaba, SP, Brazil. Electronic address: liegedb@gmail.com., Machado Júnior AJ; Postgraduate Program on Surgical Sciences, Department of Ophthalmology- Otorhinolaryngology, School of Medical Sciences, UNICAMP, Rua Vital Brasil 80, Cidade Universitária, Campinas, SP, Brazil. Electronic address: almiromachadophd@gmail.com., Jones MH; Postgraduate Medicine Program - Pediatrics and Child Health, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Av. Ipiranga 6681, Partenon, Porto Alegre, RS, 90619-900, Brazil. Electronic address: mhjones@pucrs.br.
المصدر: Sleep medicine [Sleep Med] 2023 May; Vol. 105, pp. 88-102. Date of Electronic Publication: 2023 Mar 15.
نوع المنشور: Meta-Analysis; Systematic Review; Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Elsevier Science Country of Publication: Netherlands NLM ID: 100898759 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-5506 (Electronic) Linking ISSN: 13899457 NLM ISO Abbreviation: Sleep Med Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Amsterdam ; New York : Elsevier Science, c2000-
مواضيع طبية MeSH: Quality of Life* , Sleep Apnea, Obstructive*, Child ; Humans ; Adolescent ; Polysomnography/adverse effects
مستخلص: Introduction: The objective here was to review the efficacy of functional jaw orthopedic appliances for treating children/adolescents with obstructive sleep apnea (OSA), through correlating the apnea/hypopnea index (AHI) and oxygen saturation (SaO 2 ) in polysomnography (PSG), in addition to questionnaire scores from the obstructive sleep apnea-18 (OSA-18).
Methods: The PRISMA 2020 guidelines 1 were followed. A search was conducted in October 2021, with updating to May 2022, in the MEDLINE/PubMed, BVS (LILACS/BBO), ISI, SciELO (Web of Science), COCHRANE, EMBASE, SCOPUS and WHO databases and the gray literature. Data selection and extraction were performed by two independent reviewers, with Cohen kappa testing. All articles included in the meta-analyses showed good quality and low risk of bias. Statistical analyses were performed in the "R" software, using means with standard deviations, and differences in the means were represented graphically in forest plots. Heterogeneity was tested using I 2 , in random-effect models.
Results: From before to after treatment, treated individuals showed improved AHI, SaO 2 and OSA-18 scores 2 . Comparing treated individuals and controls, AHI decreased in treated individuals and increased in controls. For SaO 2 , the increase in treated individuals was greater than in controls. For OSA-18, daytime/nighttime symptoms decreased in treated individuals and increased in controls.
Conclusion: Functional jaw orthopedic appliances are appropriate and effective for children/adolescents with OSA whose etiology is deficient maxillomandibular growth and development. Functional jaw orthopedics treats the form and function of the stomatognathic system, thereby enhancing quality of life.
Prospero Registration Protocol: CRD42021253341.
Competing Interests: Declaration of competing interest None.
(Copyright © 2023 Elsevier B.V. All rights reserved.)
فهرسة مساهمة: Keywords: Airway obstruction; Child; Functional jaw orthopedic appliance; Functional jaw orthopedics; Obstructive sleep apnea; Retrognathism
تواريخ الأحداث: Date Created: 20230402 Date Completed: 20230412 Latest Revision: 20230418
رمز التحديث: 20231215
DOI: 10.1016/j.sleep.2023.03.008
PMID: 37004341
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-5506
DOI:10.1016/j.sleep.2023.03.008