Orthodontic appliances for the treatment of pediatric obstructive sleep apnea: A systematic review and network meta-analysis.

Humans Child Network Meta-Analysis Sleep Apnea, Obstructive / therapy Orthodontic Appliances Combined Modality Therapy Mandibular Advancement Treatment Outcome
AHI Children Effect Orthodontic appliance Sleep related breathing disorder

Journal

Sleep medicine reviews
ISSN: 1532-2955
Titre abrégé: Sleep Med Rev
Pays: England
ID NLM: 9804678

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 07 08 2023
revised: 12 09 2023
accepted: 19 09 2023
medline: 27 11 2023
pubmed: 12 10 2023
entrez: 11 10 2023
Statut: ppublish

Résumé

This systematic review and network meta-analysis aims to preliminarily investigate the efficacy of different orthodontic appliances for the treatment of pediatric obstructive sleep apnea (OSA). Electronic databases were systematically searched. Randomized and non-randomized controlled trials with patients <18 y treated with either mandibular advancement appliance (MAA), rapid maxillary expansion (RME), or myofunctional therapy (MFT) were included. A network meta-analysis using multivariate random effects was conducted to estimate pooled differences using the apnea-hypopnea index (AHI) as the main outcome. Eleven studies (595 patients) were included in the analysis. Compared with control, MAA was associated with significant reductions in AHI of -2.18/h (95%CI -3.48 to -0.89, p = 0.001). Combined treatment of RME + adenotonsillectomy (AT) and RME + MAA showed a significant decrease in AHI, with -5.13/h (95%CI -7.50 to -2.76, p < 0.0001) and -3.79 (95%CI -5.21 to -2.37, p < 0.0001), respectively. MFT was associated with a -2.45/h (95%CI -4.76 to -0.14, p = 0.038) decrease in AHI. However, RME alone was not associated with significant AHI reduction (0.02, 95%CI -1.72 to 1.75, p = 0.985). The heterogeneity of the network meta-analysis was I

Identifiants

DOI: 10.1016/j.smrv.2023.101855 PMID: 37820534
pubmed: 37820534
pii: S1087-0792(23)00111-9
doi: 10.1016/j.smrv.2023.101855
pii:
doi:

Types de publication

Meta-Analysis Systematic Review Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

101855

Informations de copyright

Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Auteurs

Min Yu (M)

Department of Orthodontics, Peking University School and Hospital of Stomatology, No. 22 Zhongguancun South Avenue, Haidian District, Beijing, 100081, PR China; Center for Oral Therapy of Sleep Apnea, Peking University Hospital of Stomatology, No. 22 Zhongguancun South Avenue, Haidian District, Beijing, 100081, PR China; National Center for Stomatology, No. 22 Zhongguancun South Avenue, Haidian District, Beijing, 100081, PR China.

Yanyan Ma (Y)

Department of Stomatology, Beijing Chao-Yang Hospital, Capital Medical University, No. 8 Gongren Tiyuchang Nanlu, Chaoyang District, Beijing, 100020, PR China.

Ying Xu (Y)

Department of Orthodontics, Peking University School and Hospital of Stomatology, No. 22 Zhongguancun South Avenue, Haidian District, Beijing, 100081, PR China; Center for Oral Therapy of Sleep Apnea, Peking University Hospital of Stomatology, No. 22 Zhongguancun South Avenue, Haidian District, Beijing, 100081, PR China; National Center for Stomatology, No. 22 Zhongguancun South Avenue, Haidian District, Beijing, 100081, PR China.

Jingxuan Bai (J)

Department of Orthodontics, Peking University School and Hospital of Stomatology, No. 22 Zhongguancun South Avenue, Haidian District, Beijing, 100081, PR China; Center for Oral Therapy of Sleep Apnea, Peking University Hospital of Stomatology, No. 22 Zhongguancun South Avenue, Haidian District, Beijing, 100081, PR China; National Center for Stomatology, No. 22 Zhongguancun South Avenue, Haidian District, Beijing, 100081, PR China.

Yujia Lu (Y)

Department of Orthodontics, Peking University School and Hospital of Stomatology, No. 22 Zhongguancun South Avenue, Haidian District, Beijing, 100081, PR China; Center for Oral Therapy of Sleep Apnea, Peking University Hospital of Stomatology, No. 22 Zhongguancun South Avenue, Haidian District, Beijing, 100081, PR China; National Center for Stomatology, No. 22 Zhongguancun South Avenue, Haidian District, Beijing, 100081, PR China.

Fang Han (F)

Sleep Division, Peking University People's Hospital, No. 11 Xizhimen South Street, Xicheng District, Beijing, 100044, PR China. Electronic address: hanfang1@hotmail.com.

Xuemei Gao (X)

Department of Orthodontics, Peking University School and Hospital of Stomatology, No. 22 Zhongguancun South Avenue, Haidian District, Beijing, 100081, PR China; Center for Oral Therapy of Sleep Apnea, Peking University Hospital of Stomatology, No. 22 Zhongguancun South Avenue, Haidian District, Beijing, 100081, PR China; National Center for Stomatology, No. 22 Zhongguancun South Avenue, Haidian District, Beijing, 100081, PR China. Electronic address: xmgao@263.net.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Orthodontic appliances for the treatment of...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Orthodontic appliances for the treatment of...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Méthodologie en recherche épidémiologique › Méta-analyse comme sujet › Méta-analyse en réseau › Orthodontic appliances for the treatment of...
questionsmedicales.fr › Maladies du système nerveux › Syndromes d'apnées du sommeil › Syndrome d'apnées obstructives du sommeil › Orthodontic appliances for the treatment of...
questionsmedicales.fr › Appareils orthodontiques › Orthodontic appliances for the treatment of...
questionsmedicales.fr › Thérapeutique › Association thérapeutique › Orthodontic appliances for the treatment of...
questionsmedicales.fr › Avancement mandibulaire › Orthodontic appliances for the treatment of...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Orthodontic appliances for the treatment of...