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Combined Orthodontic and Surgical Treatment in a 8-Years-Old Patient Affected By Severe Obstructive Sleep Apnea: A Case-Report

  • Antonio Gracco1
  • Giovanni Bruno1
  • Alberto de Stefani1,*,
  • Rosario Marchese Ragona1
  • Sergio Mazzoleni1
  • Edoardo Stellini1

1Department of Neuroscience, School of Dentistry, University of Padua, Padua, Italy

DOI: 10.17796/1053-4628-42.1.14 Vol.42,Issue 1,January 2018 pp.79-84

Published: 01 January 2018

*Corresponding Author(s): Alberto de Stefani E-mail: alberto.de.stefani@hotmail.it

Abstract

An eight-years-old girl showed a restless sleep with snoring and severe apnea episodes, a mandibular retrognathia, mouth breathing, maxillary transverse discrepancy, mandibular transverse discrepancy, moderate crowding and anterior open-bite. The CBCT showed an anterior collapse of the epiglottis. The treatment consisted in a rapid palatal expansion, an epiglottoplasty and a reduction of the tongue base. Polysomnography revealed that apnea-hypopnea index improved from 21,8 episodes/hr at the baseline to 0,6 episodes/hr, average oxygen saturation from 96,5% to 98,1%, oxygen desaturation events from 23,4 episodes/hr to 1/hr.

Keywords

Obstructive sleep apnea, children, orthodontics, epiglottoplasty

Cite and Share

Antonio Gracco,Giovanni Bruno,Alberto de Stefani,Rosario Marchese Ragona,Sergio Mazzoleni,Edoardo Stellini. Combined Orthodontic and Surgical Treatment in a 8-Years-Old Patient Affected By Severe Obstructive Sleep Apnea: A Case-Report. Journal of Clinical Pediatric Dentistry. 2018. 42(1);79-84.

References

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