Obstructive sleep apnea affects around 20 million Americans and can lead to hypertension, heart attack, stroke, depression, muscle pain, fibromyalgia, morning headaches, and excessive daytime sleepiness.

Wednesday, April 14, 2010

RAPID MAXILLARY EXPANSION TO TREAT SLEEP APNEA IN CHILDREN

wHEN SLEEP APNEA OCCURS IN YOUNG CHILDREN REMOVAL OF TONSILS AND ADENOIDS IS THAT BLOCK THE AIRWAY IS USUALLY THE FIRST LINE OF TREATMENT.

a SECOND APPROACH IS RAPID MAXILLARY EXPANSION TO INCREASE NASAL AIRWAY AND AND TONGUE SPACE IN THE MOUTH. a PAPER PRESENTED AT THE AMERICAN ACADEMY OF DENTAL SLEEP MEDICINE SUGGESTED THAT rem SHOULD PROCEED SURGICAL INTERVENTION TO REDUCE POST-OPERATIVE RISKS.

3% OF CHILDREN SUFFER FROM SLEEP APNEA AND OVER 10% SNORE. THIS MAY PARTIALLY DUE TO THE FACT THAT FEWER TONSILLECTOMIES ARE BEING DONE. iDEALLY WITH PROPER MANAGEMENT EARLY TREATMENT OF SLEEP APNEA MAY PROVIDE A LIFETIME CURE OF THE PROBLEM. tHIS IS IMPORTANT BECAUSE UP TO 60% OF PATIENTS REFUSE CPAP.

SOME OF THE PROBLEMS ASSOCIATES WITH SLEEP APNEA IN CHILDREN INCLUDE POOR SCHOOL PERFORMANCE, DAYTIME SLEEPINSS, HYPERACTIVITY AND INNATEN5TIVENESS IN SCHOOL AS WELL AS BEHAVIORAL DISORDERS. hYPERACTIVITY AND ADHD CAN BE PREDICTED WITH UP TO 70% ACCURACY BASED ON SLEEP PATTERNS ALONE.

cLUES TO PROBLEMS WITH SLEEP APNEA IN CHILDREN INCLUDE SNORING, MOUTHBREATHING,ENURESIS, ENLARGED TONSILS AND/OR ADENOIDS, LARGE TOUNGUES, DROOLING AND A SMALL JAW OR RETROGNATHIA.

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posted by Dr Shapira at 6:29 AM