[Analysis of the efficacy and safety of orthodontic-orthopedic maxillary expansion devices as an alternative to adenotonsillectomy and/or pharmacological treatment in the management of sleep apnea-hypopnea syndrome in pediatric patients]

Matos SL, Polo de Santos MM, Sánchez Gómez LM
Record ID 32018001728
Original Title: Análisis de la eficacia y seguridad de los dispositivos ortodóncico-ortopédicos de expansión maxilar como alternativa a la adenoamigdalectomía y/o al tratamiento farmacológico en el manejo del síndrome de apnea-hipopnea del sueño en pacientes pediátricos
Authors' objectives: The objective of this study is to analyse the efficacy and safety of orthodontic-orthopaedic devices for maxillary expansion versus adenotonsillectomy and/or pharmacological treatment for the treatment of paediatric OSAHS.
Authors' results and conclusions: This report aims to evaluate treatment with RME versus ATT and / or pharmacological treatment for SAHSp. However, we have only found one non-randomized clinical trial that analyzes the treatment with RME and with ATT.− In relation to the efficacy of the treatment with RME, we found that such treatment improves the AHI in children with SAHS, although there isn’t enough information about long-term results.− The information on other clinical variables of RME treatment results is very poor, and we haven’t found quality of life studies for patients after treatment.− In relation to the safety of the RME, the studies don’t report side effects to the treatment or don´t state the absence of complications. Although it would be convenient to have more information, we believe that the safety of RMEs is not a relevant problem.− The studies have limitations in relation, above all, to the lack of randomization and the absence of a comparator. They also show a high heterogeneity, so the results on the effectiveness of RME should be interpreted cautiously.− We consider fundamental to carry out well-designed research studies. To study the effectiveness of RME in relation to other therapeutic alternatives and to know which patients could benefit more from the intervention would be of special interest.
Project Status: Completed
Year Published: 2018
English language abstract: An English language summary is available
Publication Type: Rapid Review
Country: Spain
MeSH Terms
  • Sleep Apnea, Obstructive
  • Mandibular Advancement
  • Child
  • Adolescent
  • Adenoidectomy
  • Tonsillectomy
  • Orthodontic Appliance Design
Organisation Name: Agencia de Evaluacion de Tecnologias Sanitarias
Contact Address: Instituto de Salud "Carlos III", Calle Sinesio Delgado 6, Pabellon 4, 28029 Madrid, Spain. Tel: +34 9 1 822 2005; Fax: +34 9 1 387 7841;
Contact Name: Luis M. Sánchez Gómez
Contact Email: luism.sanchez@isciii.es
Copyright: Agencia de Evaluacion
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