Supakit Peanchitlertkajorn1, Thanate Assawakawintip1, Mevadee Pibulniyom2, Panida Srisan3, Patimaporn Pungchanchaikul4, Rasintra Jaroenying5. 1. Department of Orthodontics, Faculty of Dentistry, Mahidol University, Bangkok, Thailand. 2. Panyananthaphikkhu Chonprathan Medical Center, Srinakharinwirot University, Nonthaburi, Thailand. 3. Division of Pulmonary and Critical Care, Department of Pediatrics, Queen Sirikit National Institute of Child Health, Bangkok, Thailand. 4. Biofilm Research Group, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand. 5. Division of Pediatric Pulmonary and Critical Care, Department of Pediatrics, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand.
Abstract
STUDY OBJECTIVES: We reported an 8-year-old male patient with Schwartz-Jampel syndrome, severe obstructive sleep apnea, constricted maxilla and moderate tonsillar hypertrophy. The syndrome is characterized by myotonia, skeletal dysplasia, and facial dysmorphism. METHODS: CPAP was initially prescribed, but he was not able to tolerate due to a high pressure setting. Rapid maxillary expansion alone reduced AHI to 10.4 events/h. RESULTS: When combined with CPAP, AHI is further reduced to 2.4 events/h. The patient has a better compliance with CPAP following rapid maxillary expansion therapy as the pressure setting decreased. CONCLUSIONS: This is the first report utilizing a combination of rapid maxillary expansion and CPAP therapy to successfully treat severe pediatric OSA.
STUDY OBJECTIVES: We reported an 8-year-old male patient with Schwartz-Jampel syndrome, severe obstructive sleep apnea, constricted maxilla and moderate tonsillar hypertrophy. The syndrome is characterized by myotonia, skeletal dysplasia, and facial dysmorphism. METHODS: CPAP was initially prescribed, but he was not able to tolerate due to a high pressure setting. Rapid maxillary expansion alone reduced AHI to 10.4 events/h. RESULTS: When combined with CPAP, AHI is further reduced to 2.4 events/h. The patient has a better compliance with CPAP following rapid maxillary expansion therapy as the pressure setting decreased. CONCLUSIONS: This is the first report utilizing a combination of rapid maxillary expansion and CPAP therapy to successfully treat severe pediatric OSA.
Authors: Nanci L O De Felippe; Neeta Bhushan; Adriana C Da Silveira; Grace Viana; Bonnie Smith Journal: Am J Orthod Dentofacial Orthop Date: 2009-10 Impact factor: 2.650
Authors: S Nicole; C S Davoine; H Topaloglu; L Cattolico; D Barral; P Beighton; C B Hamida; H Hammouda; C Cruaud; P S White; D Samson; J A Urtizberea; F Lehmann-Horn; J Weissenbach; F Hentati; B Fontaine Journal: Nat Genet Date: 2000-12 Impact factor: 38.330
Authors: Macario Camacho; Edward T Chang; Sungjin A Song; Jose Abdullatif; Soroush Zaghi; Paola Pirelli; Victor Certal; Christian Guilleminault Journal: Laryngoscope Date: 2016-10-31 Impact factor: 3.325