儿童睡眠呼吸障碍症状:上颌扩张后5年的前瞻性评价

IF 3.4 2区 医学 Q1 CLINICAL NEUROLOGY
Nathalie Nietvelt , Guy Willems , Bertien Buyse , Valentine Detailleur , Maria Cadenas de Llano-Pérula
{"title":"儿童睡眠呼吸障碍症状:上颌扩张后5年的前瞻性评价","authors":"Nathalie Nietvelt ,&nbsp;Guy Willems ,&nbsp;Bertien Buyse ,&nbsp;Valentine Detailleur ,&nbsp;Maria Cadenas de Llano-Pérula","doi":"10.1016/j.sleep.2025.106700","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the effects of maxillary expansion and of different types of subsequent comprehensive orthodontic treatment on sleep disordered breathing (SDB) symptoms in children five years after maxillary expansion.</div></div><div><h3>Methods</h3><div>Children needing early maxillary expansion were asked to fill the Pediatric Sleep Questionnaire (PSQ) at three time points: before the start of maxillary expansion (T0; N = 404), after active expansion (T1; N = 309) and after the completion of comprehensive orthodontic treatment (T2; N = 113). Maxillary expansion was achieved using a removable expansion plate (80,49 %), a hyrax (18,03 %) or a quadhelix (1,48 %). When indicated, comprehensive orthodontic treatment either consisted of fixed appliances alone or was combined with a class II functional appliance, a headgear or a hyrax. Linear mixed models corrected for age were used to compare the PSQ results per time point.</div></div><div><h3>Results</h3><div>Significant reductions in the total PSQ scores (p &lt; 0.0001), breathing (p &lt; 0.0001), behavior (p = 0.0026) and loudness of snoring (p = 0.0107) were observed between T0 and T1, which maintained between T0 and T2 (p = 0.0275; p = 0.0281; p = 0.0243). Between T1 and T2 and T0 and T2, sleepiness significantly increased (p &lt; 0.0001; p = 0.0004).</div><div>No significant interaction was found between the four different types of comprehensive orthodontic treatment and the PSQ scores.</div></div><div><h3>Conclusion</h3><div>Early maxillary expansion with removable plates has general a positive effect on PSQ scores. These improvements exhibit a stability for at least five years, regardless of the type of subsequent comprehensive orthodontic treatment. Therefore, the orthodontist plays an important role in the early detection and multidisciplinary treatment of pediatric obstructive sleep apnea syndrome.</div></div>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"134 ","pages":"Article 106700"},"PeriodicalIF":3.4000,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sleep disordered breathing symptoms in children: a prospective evaluation 5 years after maxillary expansion\",\"authors\":\"Nathalie Nietvelt ,&nbsp;Guy Willems ,&nbsp;Bertien Buyse ,&nbsp;Valentine Detailleur ,&nbsp;Maria Cadenas de Llano-Pérula\",\"doi\":\"10.1016/j.sleep.2025.106700\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>To investigate the effects of maxillary expansion and of different types of subsequent comprehensive orthodontic treatment on sleep disordered breathing (SDB) symptoms in children five years after maxillary expansion.</div></div><div><h3>Methods</h3><div>Children needing early maxillary expansion were asked to fill the Pediatric Sleep Questionnaire (PSQ) at three time points: before the start of maxillary expansion (T0; N = 404), after active expansion (T1; N = 309) and after the completion of comprehensive orthodontic treatment (T2; N = 113). Maxillary expansion was achieved using a removable expansion plate (80,49 %), a hyrax (18,03 %) or a quadhelix (1,48 %). When indicated, comprehensive orthodontic treatment either consisted of fixed appliances alone or was combined with a class II functional appliance, a headgear or a hyrax. Linear mixed models corrected for age were used to compare the PSQ results per time point.</div></div><div><h3>Results</h3><div>Significant reductions in the total PSQ scores (p &lt; 0.0001), breathing (p &lt; 0.0001), behavior (p = 0.0026) and loudness of snoring (p = 0.0107) were observed between T0 and T1, which maintained between T0 and T2 (p = 0.0275; p = 0.0281; p = 0.0243). Between T1 and T2 and T0 and T2, sleepiness significantly increased (p &lt; 0.0001; p = 0.0004).</div><div>No significant interaction was found between the four different types of comprehensive orthodontic treatment and the PSQ scores.</div></div><div><h3>Conclusion</h3><div>Early maxillary expansion with removable plates has general a positive effect on PSQ scores. These improvements exhibit a stability for at least five years, regardless of the type of subsequent comprehensive orthodontic treatment. Therefore, the orthodontist plays an important role in the early detection and multidisciplinary treatment of pediatric obstructive sleep apnea syndrome.</div></div>\",\"PeriodicalId\":21874,\"journal\":{\"name\":\"Sleep medicine\",\"volume\":\"134 \",\"pages\":\"Article 106700\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2025-07-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sleep medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1389945725003752\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sleep medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1389945725003752","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0

摘要

目的探讨上颌扩张术及不同类型的综合正畸治疗对上颌扩张术后5年儿童睡眠呼吸障碍(SDB)症状的影响。方法选取需要早期上颌扩张的患儿,在上颌扩张开始前(T0;N = 404),主动膨胀后(T1;N = 309)和完成综合正畸治疗后(T2;n = 113)。上颌扩张采用可移动膨胀板(80,49%)、舌形(18,03%)或四螺旋形(1,48%)。当指征时,综合正畸治疗包括单独的固定矫治器或与II类功能矫治器、头套或hyrax联合使用。采用校正年龄的线性混合模型比较每个时间点的PSQ结果。结果PSQ总分显著降低(p <;0.0001),呼吸(p <;0.0001)、行为(p = 0.0026)和打鼾响度(p = 0.0107)在T0和T2之间保持不变(p = 0.0275;p = 0.0281;p = 0.0243)。在T1和T2以及T0和T2之间,嗜睡显著增加(p <;0.0001;p = 0.0004)。四种不同类型的综合正畸治疗与PSQ评分之间无显著交互作用。结论早期上颌扩展术对PSQ评分有普遍的积极作用。无论随后的综合正畸治疗类型如何,这些改善表现出至少五年的稳定性。因此,正畸医师在儿童阻塞性睡眠呼吸暂停综合征的早期发现和多学科治疗中起着重要的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sleep disordered breathing symptoms in children: a prospective evaluation 5 years after maxillary expansion

Objective

To investigate the effects of maxillary expansion and of different types of subsequent comprehensive orthodontic treatment on sleep disordered breathing (SDB) symptoms in children five years after maxillary expansion.

Methods

Children needing early maxillary expansion were asked to fill the Pediatric Sleep Questionnaire (PSQ) at three time points: before the start of maxillary expansion (T0; N = 404), after active expansion (T1; N = 309) and after the completion of comprehensive orthodontic treatment (T2; N = 113). Maxillary expansion was achieved using a removable expansion plate (80,49 %), a hyrax (18,03 %) or a quadhelix (1,48 %). When indicated, comprehensive orthodontic treatment either consisted of fixed appliances alone or was combined with a class II functional appliance, a headgear or a hyrax. Linear mixed models corrected for age were used to compare the PSQ results per time point.

Results

Significant reductions in the total PSQ scores (p < 0.0001), breathing (p < 0.0001), behavior (p = 0.0026) and loudness of snoring (p = 0.0107) were observed between T0 and T1, which maintained between T0 and T2 (p = 0.0275; p = 0.0281; p = 0.0243). Between T1 and T2 and T0 and T2, sleepiness significantly increased (p < 0.0001; p = 0.0004).
No significant interaction was found between the four different types of comprehensive orthodontic treatment and the PSQ scores.

Conclusion

Early maxillary expansion with removable plates has general a positive effect on PSQ scores. These improvements exhibit a stability for at least five years, regardless of the type of subsequent comprehensive orthodontic treatment. Therefore, the orthodontist plays an important role in the early detection and multidisciplinary treatment of pediatric obstructive sleep apnea syndrome.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Sleep medicine
Sleep medicine 医学-临床神经学
CiteScore
8.40
自引率
6.20%
发文量
1060
审稿时长
49 days
期刊介绍: Sleep Medicine aims to be a journal no one involved in clinical sleep medicine can do without. A journal primarily focussing on the human aspects of sleep, integrating the various disciplines that are involved in sleep medicine: neurology, clinical neurophysiology, internal medicine (particularly pulmonology and cardiology), psychology, psychiatry, sleep technology, pediatrics, neurosurgery, otorhinolaryngology, and dentistry. The journal publishes the following types of articles: Reviews (also intended as a way to bridge the gap between basic sleep research and clinical relevance); Original Research Articles; Full-length articles; Brief communications; Controversies; Case reports; Letters to the Editor; Journal search and commentaries; Book reviews; Meeting announcements; Listing of relevant organisations plus web sites.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信