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Effect of rapid maxillary expansion on sleep apnea-hypopnea syndrome in growing patients. A meta-analysis

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Effect of rapid maxillary expansion on sleep apnea-hypopnea syndrome in growing patients. A meta-analysis

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dc.contributor.author Sánchez-Súcar, Ana-Matilde es
dc.contributor.author Sánchez-Súcar, Francisco-de Borja es
dc.contributor.author Almerich Silla, José Manuel es
dc.contributor.author Paredes Gallardo, Vanessa es
dc.contributor.author Montiel Company, José María es
dc.contributor.author García Sanz, Verónica es
dc.contributor.author Bellot Arcís, Carlos es
dc.date.accessioned 2019-11-22T12:20:53Z
dc.date.available 2019-11-22T12:20:53Z
dc.date.issued 2019 es
dc.identifier.citation Sánchez-Súcar, Ana-Matilde ; Sánchez-Súcar, Francisco-de Borja ; Almerich Silla, José Manuel ; Paredes Gallardo, Vanessa ; Montiel Company, José María ; García Sanz, Verónica ; Bellot Arcís, Carlos. Effect of rapid maxillary expansion on sleep apnea-hypopnea syndrome in growing patients. A meta-analysis. En: Journal of Clinical and Experimental Dentistry, 11 8 2019: 759-767 es
dc.identifier.uri https://hdl.handle.net/10550/72307
dc.description.abstract Changes produced in the upper airway after rapid maxillary expansion makes this procedure a therapeutic option for treating sleep apnea-hypopnea syndrome (SAHS) in children. The objective of this systematic review and meta-analysis was to analyze the evidence available for the effects of rapid maxillary expansion (RME) on SAHS, analyzing changes produced in oximetric variables: apnea-hypopnea index (AHI); oxygen saturation (SO2); sleep efficiency (SE), total sleep time (TST), percentage of rapid eye movement (REM) phase; and arousal index (AI). An electronic search was conducted in the PubMed, Scopus, Embase, and Cochrane databases, and in grey literature (Opengrey). No limit was placed on publication date or language. Inclusion criteria were: patients in growth with sleep apnea who underwent rapid maxillary expansion with oximetric values registered before and after treatment. Articles with patient sample sizes <10 were excluded. Ten articles were included for qualitative synthesis and nine for meta-analysis (eliminating one observational study). AHI values underwent a mean reduction of 5.79 events/hour (CI -95% 9.06 to 2.5); an increase in mean oxygen saturation of 2.54 % (CI-95% -0.28 to 4.80, 6.7 %); a reduction in AI of 2.17 events/hour (CI-95% -5.25 to -0.582); an increase in REM phase of 1.20 % (CI-95% 1.02 to 1.38); and an increase in SE of 0.961% (CI-95% -1.574 to 3.495). RME would appear efficient for treating slight or moderate SAHS, as indicated by improvement in oximetric parameters; it may be effective as coadjuvant therapy to adenotonsillectomy in severe cases of children with maxillary compression. es
dc.title Effect of rapid maxillary expansion on sleep apnea-hypopnea syndrome in growing patients. A meta-analysis es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/jced.55974 es
dc.type.hasVersion VoR es_ES

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