Oral appliances and functional orthopaedic appliances for obstructive sleep apnoea in children

• Autor(a) principal: Carvalho, Fernando R. [UNIFESP]
• Data de Publicação: 2016
• Outros Autores: Lentini-Oliveira, Debora A. [UNIFESP], Prado, Lucila B. F. [UNIFESP], Prado, Gilmar F. [UNIFESP], Carvalho, Luciane B. C. [UNIFESP]
• Tipo de documento: Artigo (review)
• Idioma: eng
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1002/14651858.CD005520.pub3; http://repositorio.unifesp.br/handle/11600/49315
• topic: Orthodontic Appliances, Functional; Orthodontic Appliances, Removable; Sleep Apnea, Obstructive [therapy]; Adolescent; Child; HumansConsort Statement; Adenotonsillectomy; Adolescents; Management; Diagnosis; Quality; Infants; Trials; Values

Background Apnoea is a breathing disorder marked by the absence of airflow at the nose or mouth. In children, risk factors include adenotonsillar hypertrophy, obesity, neuromuscular disorders and craniofacial anomalies. The most common treatment for obstructive sleep apnoea syndrome (OSAS) in childhood is adeno-tonsillectomy. This approach is limited by its surgical risks, mostly in children with comorbidities and, in some patients, by recurrence that can be associated with craniofacial problems. Oral appliances and functional orthopaedic appliances have been used for patients who have OSAS and craniofacial anomalies because they hold the lower jaw (mandible) forwards which potentially enlarges the upper airway and increases the upper airspace, improving the respiratory function. Objectives To assess the effects of oral appliances or functional orthopaedic appliances for obstructive sleep apnoea in children. Search methods We searched the following electronic databases: Cochrane Oral Health's Trials Register (to 7 April 2016)