Combined Orthodontic and Surgical Treatment in a 8-Years-Old Patient Affected By Severe Obstructive Sleep Apnea: A Case-Report

被引:8
|
作者
Gracco, Antonio [1 ]
Bruno, Giovanni [1 ]
de Stefani, Alberto [1 ]
Ragona, Rosario Marchese [1 ]
Mazzoleni, Sergio [1 ]
Stellini, Edoardo [2 ]
机构
[1] Univ Padua, Sch Dent, Dept Neurosci, Via Giustiniani 2, I-35136 Padua, Italy
[2] Univ Padua, Sch Dent, Dept Neurosci, Dent Dept, Padua, Italy
关键词
Obstructive sleep apnea; children; orthodontics; epiglottoplasty; MANAGEMENT; CHILDREN;
D O I
10.17796/1053-4628-42.1.14
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
An eight-years-old girl showed a restless sleep with snoring and severe apnea episodes, a mandibular retrognathia, mouth breathing, maxillary transverse discrepancy, mandibular transverse discrepancy, moderate crowding and anterior open-bite. The CBCT showed an anterior collapse of the epiglottis. The treatment consisted in a rapid palatal expansion, an epiglottoplasty and a reduction of the tongue base. Polysomnography revealed that apnea-hypopnea index improved from 21,8 episodes/hr at the baseline to 0,6 episodes/hr, average oxygen saturation from 96,5% to 98,1%, oxygen desaturation events from 23,4 episodes/hr to 1/hr.
引用
收藏
页码:79 / 84
页数:6
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