Rapid Maxillary Expansion for Obstructive Sleep Apnea among children - Systematic Review and Meta-analysis
A systematic review and meta-analysis is conducted for children with obstructive sleep apnea (OSA) treated with rapid maxillary expansion (RME). The study systematically and independently reviewed extracted articles from 2009 to 2019. The quality evaluation and selection of t...
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| Format: | Article |
| Language: | English |
| Published: |
Brazilian Association of Sleep and Latin American Federation of Sleep Societies
2020-01-01
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| Series: | Sleep Science |
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| Online Access: | http://sleepscience.org.br/export-pdf/2708/v13n1a11.pdf |
| Summary: | A systematic review and meta-analysis is conducted for children with obstructive sleep apnea
(OSA) treated with rapid maxillary expansion (RME). The study systematically and independently
reviewed extracted articles from 2009 to 2019. The quality evaluation and selection of these studies
was based on the high quality of NICE criteria. EMBASE, Scopus and other five databases were
used to extract international publications. The findings indicated that the apnea-hypopnea index
was enhanced after rapid maxillary expansion among children with OSA. It revealed that apnea
hypopnea index enhances to 73% in children with obstructive sleep apnea after ≤ three years
follow-up, while it was 77% in children with obstructive sleep apnea after > 3 years. The articles
included in this meta-analysis reported differential outcomes based on different inclusion or
exclusion criteria and diverse patient populations. Critical evaluation of previous literature suggests
diagnosing the disorder at an early stage for reducing the adverse health outcomes and formulating
an appropriate treatment plan. |
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| ISSN: | 1984-0659 1984-0063 |