The effect of rapid maxillary expansion in children: a meta-analysis
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.bjorl.2020.12.017 http://hdl.handle.net/11449/207383 |
Resumo: | Introduction: Craniofacial growth is modified by chronic mouth breathing. Rapid maxillary expansion leads to separation of the mid-palatal suture, improving the occlusion and the upper airway size. Aim: Systematically evaluate scientific articles on the effects of rapid maxillary expansion on airway dimensions and classify the quality of the evidence of the information. Methods: Searches on PUBMED, LILACS, EMBASE, SCOPUS, WEB OF SCIENCE and COCHRANE, as well as in the grey literature were performed. The articles found were selected and evaluated both for the risk of bias (ROBINS-I) and for the quality of evidence (GRADE). Results: Of the 309 works found, 26 papers were selected for full reading, of which 22 were excluded. Data compilation and analysis were performed in four papers, two being controlled non-randomized clinical trials and two non-randomized and uncontrolled clinical trials. No randomized clinical trial was found. Conclusions: The meta-analysis found an increase in the internasal and inter-zygomatic distances and oropharyngeal volume after rapid maxillary expansion, which, together with clinical findings, makes the recommendation favorable to the intervention. The quality of the evidence for each outcome was considered very low. |
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The effect of rapid maxillary expansion in children: a meta-analysisChildrenMeta-analysesMouth breatherRapid maxillary expansionTransverse maxillary deficiencyIntroduction: Craniofacial growth is modified by chronic mouth breathing. Rapid maxillary expansion leads to separation of the mid-palatal suture, improving the occlusion and the upper airway size. Aim: Systematically evaluate scientific articles on the effects of rapid maxillary expansion on airway dimensions and classify the quality of the evidence of the information. Methods: Searches on PUBMED, LILACS, EMBASE, SCOPUS, WEB OF SCIENCE and COCHRANE, as well as in the grey literature were performed. The articles found were selected and evaluated both for the risk of bias (ROBINS-I) and for the quality of evidence (GRADE). Results: Of the 309 works found, 26 papers were selected for full reading, of which 22 were excluded. Data compilation and analysis were performed in four papers, two being controlled non-randomized clinical trials and two non-randomized and uncontrolled clinical trials. No randomized clinical trial was found. Conclusions: The meta-analysis found an increase in the internasal and inter-zygomatic distances and oropharyngeal volume after rapid maxillary expansion, which, together with clinical findings, makes the recommendation favorable to the intervention. The quality of the evidence for each outcome was considered very low.Universidade Estadual Paulista (UNESP) Faculdade de Medicina de Botucatu Departamento de Oftalmologia Otorrinolaringologia e Cirurgia de Cabeça e Pescoço Programa de Cirurgia e Medicina TranslacionalUniversidade Estadual Paulista (UNESP) Faculdade de Medicina de BotucatuUniversidade Estadual Paulista (UNESP) Faculdade de Medicina de Botucatu Departamento de EnfermagemUniversidade Estadual Paulista (UNESP) Faculdade de Medicina de Botucatu Departamento de Dermatologia e RadioterapiaHospital Estadual de Botucatu Laboratório do Sono do Hospital das ClínicasUniversidade Estadual Paulista (UNESP) Faculdade de Medicina de Botucatu Departamento de Oftalmologia Otorrinolaringologia e Cirurgia de Cabeça e PescoçoUniversidade Estadual Paulista (UNESP) Faculdade de Medicina de Botucatu Departamento de Oftalmologia Otorrinolaringologia e Cirurgia de Cabeça e Pescoço Programa de Cirurgia e Medicina TranslacionalUniversidade Estadual Paulista (UNESP) Faculdade de Medicina de BotucatuUniversidade Estadual Paulista (UNESP) Faculdade de Medicina de Botucatu Departamento de EnfermagemUniversidade Estadual Paulista (UNESP) Faculdade de Medicina de Botucatu Departamento de Dermatologia e RadioterapiaUniversidade Estadual Paulista (UNESP) Faculdade de Medicina de Botucatu Departamento de Oftalmologia Otorrinolaringologia e Cirurgia de Cabeça e PescoçoUniversidade Estadual Paulista (Unesp)Laboratório do Sono do Hospital das ClínicasSantana, Denise M.C. [UNESP]Nogueira, Vania S. [UNESP]Lima, Silvana A.M. [UNESP]Fernandes, Luciana P.A. [UNESP]Weber, Silke A.T. [UNESP]2021-06-25T10:54:15Z2021-06-25T10:54:15Z2021-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1016/j.bjorl.2020.12.017Brazilian Journal of Otorhinolaryngology.1808-86861808-8694http://hdl.handle.net/11449/20738310.1016/j.bjorl.2020.12.0172-s2.0-85101880038Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBrazilian Journal of Otorhinolaryngologyinfo:eu-repo/semantics/openAccess2021-10-23T17:04:24Zoai:repositorio.unesp.br:11449/207383Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462021-10-23T17:04:24Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
The effect of rapid maxillary expansion in children: a meta-analysis |
title |
The effect of rapid maxillary expansion in children: a meta-analysis |
spellingShingle |
The effect of rapid maxillary expansion in children: a meta-analysis Santana, Denise M.C. [UNESP] Children Meta-analyses Mouth breather Rapid maxillary expansion Transverse maxillary deficiency |
title_short |
The effect of rapid maxillary expansion in children: a meta-analysis |
title_full |
The effect of rapid maxillary expansion in children: a meta-analysis |
title_fullStr |
The effect of rapid maxillary expansion in children: a meta-analysis |
title_full_unstemmed |
The effect of rapid maxillary expansion in children: a meta-analysis |
title_sort |
The effect of rapid maxillary expansion in children: a meta-analysis |
author |
Santana, Denise M.C. [UNESP] |
author_facet |
Santana, Denise M.C. [UNESP] Nogueira, Vania S. [UNESP] Lima, Silvana A.M. [UNESP] Fernandes, Luciana P.A. [UNESP] Weber, Silke A.T. [UNESP] |
author_role |
author |
author2 |
Nogueira, Vania S. [UNESP] Lima, Silvana A.M. [UNESP] Fernandes, Luciana P.A. [UNESP] Weber, Silke A.T. [UNESP] |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Laboratório do Sono do Hospital das Clínicas |
dc.contributor.author.fl_str_mv |
Santana, Denise M.C. [UNESP] Nogueira, Vania S. [UNESP] Lima, Silvana A.M. [UNESP] Fernandes, Luciana P.A. [UNESP] Weber, Silke A.T. [UNESP] |
dc.subject.por.fl_str_mv |
Children Meta-analyses Mouth breather Rapid maxillary expansion Transverse maxillary deficiency |
topic |
Children Meta-analyses Mouth breather Rapid maxillary expansion Transverse maxillary deficiency |
description |
Introduction: Craniofacial growth is modified by chronic mouth breathing. Rapid maxillary expansion leads to separation of the mid-palatal suture, improving the occlusion and the upper airway size. Aim: Systematically evaluate scientific articles on the effects of rapid maxillary expansion on airway dimensions and classify the quality of the evidence of the information. Methods: Searches on PUBMED, LILACS, EMBASE, SCOPUS, WEB OF SCIENCE and COCHRANE, as well as in the grey literature were performed. The articles found were selected and evaluated both for the risk of bias (ROBINS-I) and for the quality of evidence (GRADE). Results: Of the 309 works found, 26 papers were selected for full reading, of which 22 were excluded. Data compilation and analysis were performed in four papers, two being controlled non-randomized clinical trials and two non-randomized and uncontrolled clinical trials. No randomized clinical trial was found. Conclusions: The meta-analysis found an increase in the internasal and inter-zygomatic distances and oropharyngeal volume after rapid maxillary expansion, which, together with clinical findings, makes the recommendation favorable to the intervention. The quality of the evidence for each outcome was considered very low. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-06-25T10:54:15Z 2021-06-25T10:54:15Z 2021-01-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.bjorl.2020.12.017 Brazilian Journal of Otorhinolaryngology. 1808-8686 1808-8694 http://hdl.handle.net/11449/207383 10.1016/j.bjorl.2020.12.017 2-s2.0-85101880038 |
url |
http://dx.doi.org/10.1016/j.bjorl.2020.12.017 http://hdl.handle.net/11449/207383 |
identifier_str_mv |
Brazilian Journal of Otorhinolaryngology. 1808-8686 1808-8694 10.1016/j.bjorl.2020.12.017 2-s2.0-85101880038 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Brazilian Journal of Otorhinolaryngology |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1797789250664529920 |