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Review
. 2023 Dec 1;35(6):710-715.
doi: 10.1097/MOP.0000000000001287. Epub 2023 Sep 7.

Something to consider: rapid palatal expansion for treatment of obstructive sleep apnea in pediatric patients

Muhammad Ahsan  1 , Bhavya Narala  1 , Mathew Ednick  2 , Catherine Kier  2
Affiliations
Review

Something to consider: rapid palatal expansion for treatment of obstructive sleep apnea in pediatric patients

Muhammad Ahsan et al. Curr Opin Pediatr. .

Abstract

Purpose of review: This review examines the potential of rapid palatal expansion (RPE) as a treatment for pediatric obstructive sleep apnea (OSA). The focus is on recent findings related to its efficacy, safety, patient selection, timing, appliance options, cost considerations, and long-term outcomes.

Recent findings: Recent studies indicate that RPE can lead to significant improvements in pediatric OSA, with a 70% reduction in the Apnea Hypopnea Index (AHI) and increased oxygen saturation levels. It has been particularly effective in children with small or absent tonsils and has been found to reduce adenoid and tonsil size. Long-term follow-up studies suggest the need for ongoing monitoring, as some patients may experience relapse over time.

Summary: RPE shows promise as an additional treatment for pediatric obstructive sleep apnea. It offers improvements in respiratory function and reduced symptoms in certain patients. However, long-term efficacy and safety require further investigation. Comparative studies and patient-reported outcomes are necessary to optimize treatment approaches. Collaboration between orthodontists, sleep specialists, and ear-nose-throat (ENT) specialists may be essential for optimal outcomes in pediatric OSA patients treated with RPE.

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