Multidisciplinary Treatment in Patients with Craniofacial, Neurocognitive, and Neuromuscular Disorders with Obstructive Sleep Apnea: A Systematic Review of the Literature.

IF 1.1 4区 医学 Q3 PEDIATRICS
Julian F Beltran, Oscar E Ramirez, Angela Carrillo, Eneida López, Angela Suárez, Lucas Guimarães-Abreu, Sonia M Restrepo-Gualteros, Carlos E Rodriguez-Martinez, Liliana Otero
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Abstract

Obstructive sleep apnea (OSA) is a respiratory disorder that has a high prevalence in patients with craniofacial, neurocognitive, and neuromuscular disorders. Currently, the treatments for this population are diverse and depend on the individual conditions of the patient and the severity of the case. However, there are no multidisciplinary dental treatment guidelines. The aim of the present study was to determine the multidisciplinary dental treatment alternatives in patients with craniofacial, neurocognitive, and neuromuscular disorders with a diagnosis of OSA through evidence-based medicine. A systematic review of the literature has been performed by searching scientific articles in the PubMed, Cochrane, Ovid, ScienceDirect and Scopus databases, through controlled and uncontrolled language. Articles were classified according to the level of evidence and grades of recommendation through the Scottish Intercollegiate Guidelines Network. A total of 19,439 references were identified, of which 15 articles met the predetermined requirements to be included in the investigation. The articles included for this systematic review showed that mandibular distraction osteogenesis and adenotonsilectomy are the first-choice therapies for craniofacial and neurocognitive disorders. However, for neuromuscular disorders, the findings reported were not enough to provide information about surgical or nonsurgical alternatives. Despite the reported high frequency of OSA in those children with craniofacial, neurocognitive, and neuromuscular disorders, the evidence on the surgical and nonsurgical therapeutic success for OSA in these patients is scarce. It is necessary to perform future studies to investigate successful therapies for OSA in children. [Pediatr Ann. 2024;53(2):e62-e69.].

对患有颅面、神经认知和神经肌肉疾病并伴有阻塞性睡眠呼吸暂停的患者进行多学科治疗:系统性文献综述》。
阻塞性睡眠呼吸暂停(OSA)是一种呼吸系统疾病,在颅面、神经认知和神经肌肉疾病患者中发病率很高。目前,针对这一人群的治疗方法多种多样,取决于患者的个体情况和病情严重程度。然而,目前还没有多学科牙科治疗指南。本研究的目的是通过循证医学来确定对诊断为 OSA 的颅面、神经认知和神经肌肉疾病患者的多学科牙科治疗方案。通过受控和非受控语言,在 PubMed、Cochrane、Ovid、ScienceDirect 和 Scopus 数据库中搜索科学文章,对文献进行了系统性回顾。通过苏格兰校际指南网络,根据证据水平和推荐等级对文章进行了分类。共确定了 19,439 篇参考文献,其中 15 篇文章符合纳入调查的预定要求。本系统综述所收录的文章显示,下颌骨牵引成骨术和腺体切除术是治疗颅面和神经认知障碍的首选疗法。然而,对于神经肌肉疾病,所报告的研究结果不足以提供手术或非手术替代方法的相关信息。尽管有报道称患有颅面、神经认知和神经肌肉疾病的儿童发生 OSA 的频率很高,但有关这些患者的 OSA 手术和非手术疗法成功的证据却很少。今后有必要对儿童 OSA 的成功疗法进行研究。[2024;53(2):e62-e69.].
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pediatric Annals
Pediatric Annals 医学-小儿科
CiteScore
1.80
自引率
0.00%
发文量
104
审稿时长
2 months
期刊介绍: Published for more than 40 years, Pediatric Annals is an online-only, monthly medical review journal dedicated to providing pediatricians and other clinicians with the latest practical information on the diagnosis and treatment of pediatric diseases and disorders. Begin to explore the Journal and all of its great benefits such as: -Single-topic summary reviews of important trends in pediatric medicine -Access to current articles, as well as several years of archived content -Columns including Healthy Baby/Healthy Child and Case Challenges
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