The short evaluation of orofacial myofunctional protocol (ShOM) and the sleep clinical record in pediatric obstructive sleep apnea

Detalhes bibliográficos
Autor(a) principal: Corrêa, Camila de Castro
Data de Publicação: 2020
Outros Autores: Weber, Silke Anna Theresa [UNESP], Evangelisti, Melania, Villa, Maria Pia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1016/j.ijporl.2020.110240
http://hdl.handle.net/11449/200756
Resumo: Introduction: Multiple anatomic and functional risk factors contribute to Obstructive Sleep Apnea (OSA) in children, most of the screening tools only evaluate clinical symptoms. The aim was to describe the evaluation of the short orofacial myofunctional protocol (ShOM) in OSA children, and to analyze if the inclusion of orofacial myofunctional aspects would influence the screening sensitivity/specificity of the Sleep Clinical Record (SCR). Methods: Children from Brazil and Italy with sleep disordered breathing were evaluated by full night polygraphy, the SCR and the ShOM. For the analysis of the correlations, we normalized the distribution of the children based on the percentiles of the Apnea and Hypopnea Index (AHI). The children were divided in: Group1: first percentile AHI up to25% (cut-off value: AHI≤1.9); Group 2: second percentile from 25% to 75% (cut-off values: 1.9˂AHI≤7.9); Group3: third percentile AHI˃75% (cut = off value: AHI˃7.9). The findings of SCR and ShOM were compared for each group. ROC curve of the sensitivity and specificity of OSA diagnosis were compared for SCR alone and the combined results of SCR plus ShOM. Results: 86 children, 47 girls, 4–11 years, were included, 34 children were obese and 20 overweight. OSA severity and obesity showed a positive correlation (p = 0.04). Mean ShOM score was 5.64 ± 2.27, with a positive correlation to the SCR (p = 0.002). In Group1, the SCR showed more nasal obstruction, arched palate and OSAS score/positive Brouilette questionnaire and the ShOM scored more alterations to breathing mode, breathing type (p = 0.01) and lip competence. In Group 3, we found more tonsillar hypertrophy, Friedman tongue position alteration (p < 0.001), malocclusion and obesity at SCR and more alterations in tongue resting position, tongue deglutition position and malocclusion at ShOM. Conclusions: The myofuntional evaluation contributed to the screening of OSA in children, while alterations of the tongue (resting and deglutition position) were observed in children with the highest AHI percentile. The combination of SCR and ShOM improved the sensitivity and specificity for the identification of pediatric OSA when compared to SCR alone.
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spelling The short evaluation of orofacial myofunctional protocol (ShOM) and the sleep clinical record in pediatric obstructive sleep apneaChildrenDiagnostic Techniques and proceduresFacial musclesObstructiveSleep apneaSleep clinical recordStomatognathic systemIntroduction: Multiple anatomic and functional risk factors contribute to Obstructive Sleep Apnea (OSA) in children, most of the screening tools only evaluate clinical symptoms. The aim was to describe the evaluation of the short orofacial myofunctional protocol (ShOM) in OSA children, and to analyze if the inclusion of orofacial myofunctional aspects would influence the screening sensitivity/specificity of the Sleep Clinical Record (SCR). Methods: Children from Brazil and Italy with sleep disordered breathing were evaluated by full night polygraphy, the SCR and the ShOM. For the analysis of the correlations, we normalized the distribution of the children based on the percentiles of the Apnea and Hypopnea Index (AHI). The children were divided in: Group1: first percentile AHI up to25% (cut-off value: AHI≤1.9); Group 2: second percentile from 25% to 75% (cut-off values: 1.9˂AHI≤7.9); Group3: third percentile AHI˃75% (cut = off value: AHI˃7.9). The findings of SCR and ShOM were compared for each group. ROC curve of the sensitivity and specificity of OSA diagnosis were compared for SCR alone and the combined results of SCR plus ShOM. Results: 86 children, 47 girls, 4–11 years, were included, 34 children were obese and 20 overweight. OSA severity and obesity showed a positive correlation (p = 0.04). Mean ShOM score was 5.64 ± 2.27, with a positive correlation to the SCR (p = 0.002). In Group1, the SCR showed more nasal obstruction, arched palate and OSAS score/positive Brouilette questionnaire and the ShOM scored more alterations to breathing mode, breathing type (p = 0.01) and lip competence. In Group 3, we found more tonsillar hypertrophy, Friedman tongue position alteration (p < 0.001), malocclusion and obesity at SCR and more alterations in tongue resting position, tongue deglutition position and malocclusion at ShOM. Conclusions: The myofuntional evaluation contributed to the screening of OSA in children, while alterations of the tongue (resting and deglutition position) were observed in children with the highest AHI percentile. The combination of SCR and ShOM improved the sensitivity and specificity for the identification of pediatric OSA when compared to SCR alone.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)University of Brasília UnBPlateau University Center of the Federal District UNIPLANDepartment of Ophtalmology Otolaryngology and Head and Neck Surgery Botucatu Medical School State University Sao Paulo UNESPPediatric Sleep Disease Center Child Neurology NESMOS Department School of Medicine and Psychology Sapienza University of Rome Sant'Andrea HospitalDepartment of Ophtalmology Otolaryngology and Head and Neck Surgery Botucatu Medical School State University Sao Paulo UNESPFAPESP: 2018/00590-6UnBUNIPLANUniversidade Estadual Paulista (Unesp)Sant'Andrea HospitalCorrêa, Camila de CastroWeber, Silke Anna Theresa [UNESP]Evangelisti, MelaniaVilla, Maria Pia2020-12-12T02:15:12Z2020-12-12T02:15:12Z2020-10-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1016/j.ijporl.2020.110240International Journal of Pediatric Otorhinolaryngology, v. 137.1872-84640165-5876http://hdl.handle.net/11449/20075610.1016/j.ijporl.2020.1102402-s2.0-85087932000Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengInternational Journal of Pediatric Otorhinolaryngologyinfo:eu-repo/semantics/openAccess2024-08-16T18:44:05Zoai:repositorio.unesp.br:11449/200756Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T18:44:05Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv The short evaluation of orofacial myofunctional protocol (ShOM) and the sleep clinical record in pediatric obstructive sleep apnea
title The short evaluation of orofacial myofunctional protocol (ShOM) and the sleep clinical record in pediatric obstructive sleep apnea
spellingShingle The short evaluation of orofacial myofunctional protocol (ShOM) and the sleep clinical record in pediatric obstructive sleep apnea
Corrêa, Camila de Castro
Children
Diagnostic Techniques and procedures
Facial muscles
Obstructive
Sleep apnea
Sleep clinical record
Stomatognathic system
title_short The short evaluation of orofacial myofunctional protocol (ShOM) and the sleep clinical record in pediatric obstructive sleep apnea
title_full The short evaluation of orofacial myofunctional protocol (ShOM) and the sleep clinical record in pediatric obstructive sleep apnea
title_fullStr The short evaluation of orofacial myofunctional protocol (ShOM) and the sleep clinical record in pediatric obstructive sleep apnea
title_full_unstemmed The short evaluation of orofacial myofunctional protocol (ShOM) and the sleep clinical record in pediatric obstructive sleep apnea
title_sort The short evaluation of orofacial myofunctional protocol (ShOM) and the sleep clinical record in pediatric obstructive sleep apnea
author Corrêa, Camila de Castro
author_facet Corrêa, Camila de Castro
Weber, Silke Anna Theresa [UNESP]
Evangelisti, Melania
Villa, Maria Pia
author_role author
author2 Weber, Silke Anna Theresa [UNESP]
Evangelisti, Melania
Villa, Maria Pia
author2_role author
author
author
dc.contributor.none.fl_str_mv UnB
UNIPLAN
Universidade Estadual Paulista (Unesp)
Sant'Andrea Hospital
dc.contributor.author.fl_str_mv Corrêa, Camila de Castro
Weber, Silke Anna Theresa [UNESP]
Evangelisti, Melania
Villa, Maria Pia
dc.subject.por.fl_str_mv Children
Diagnostic Techniques and procedures
Facial muscles
Obstructive
Sleep apnea
Sleep clinical record
Stomatognathic system
topic Children
Diagnostic Techniques and procedures
Facial muscles
Obstructive
Sleep apnea
Sleep clinical record
Stomatognathic system
description Introduction: Multiple anatomic and functional risk factors contribute to Obstructive Sleep Apnea (OSA) in children, most of the screening tools only evaluate clinical symptoms. The aim was to describe the evaluation of the short orofacial myofunctional protocol (ShOM) in OSA children, and to analyze if the inclusion of orofacial myofunctional aspects would influence the screening sensitivity/specificity of the Sleep Clinical Record (SCR). Methods: Children from Brazil and Italy with sleep disordered breathing were evaluated by full night polygraphy, the SCR and the ShOM. For the analysis of the correlations, we normalized the distribution of the children based on the percentiles of the Apnea and Hypopnea Index (AHI). The children were divided in: Group1: first percentile AHI up to25% (cut-off value: AHI≤1.9); Group 2: second percentile from 25% to 75% (cut-off values: 1.9˂AHI≤7.9); Group3: third percentile AHI˃75% (cut = off value: AHI˃7.9). The findings of SCR and ShOM were compared for each group. ROC curve of the sensitivity and specificity of OSA diagnosis were compared for SCR alone and the combined results of SCR plus ShOM. Results: 86 children, 47 girls, 4–11 years, were included, 34 children were obese and 20 overweight. OSA severity and obesity showed a positive correlation (p = 0.04). Mean ShOM score was 5.64 ± 2.27, with a positive correlation to the SCR (p = 0.002). In Group1, the SCR showed more nasal obstruction, arched palate and OSAS score/positive Brouilette questionnaire and the ShOM scored more alterations to breathing mode, breathing type (p = 0.01) and lip competence. In Group 3, we found more tonsillar hypertrophy, Friedman tongue position alteration (p < 0.001), malocclusion and obesity at SCR and more alterations in tongue resting position, tongue deglutition position and malocclusion at ShOM. Conclusions: The myofuntional evaluation contributed to the screening of OSA in children, while alterations of the tongue (resting and deglutition position) were observed in children with the highest AHI percentile. The combination of SCR and ShOM improved the sensitivity and specificity for the identification of pediatric OSA when compared to SCR alone.
publishDate 2020
dc.date.none.fl_str_mv 2020-12-12T02:15:12Z
2020-12-12T02:15:12Z
2020-10-01
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.ijporl.2020.110240
International Journal of Pediatric Otorhinolaryngology, v. 137.
1872-8464
0165-5876
http://hdl.handle.net/11449/200756
10.1016/j.ijporl.2020.110240
2-s2.0-85087932000
url http://dx.doi.org/10.1016/j.ijporl.2020.110240
http://hdl.handle.net/11449/200756
identifier_str_mv International Journal of Pediatric Otorhinolaryngology, v. 137.
1872-8464
0165-5876
10.1016/j.ijporl.2020.110240
2-s2.0-85087932000
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv International Journal of Pediatric 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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