Cozza P, Gatto R, Ballanti F, Prete L
Department of Orthodontics, University of Rome Tor Vergata, Italy.
Eur J Paediatr Dent. 2004 Mar;5(1):24-9.
This was to investigate the effect of the use of an orthodontic appliance in the treatment of obstructive sleep apnoea (OSA) in children using polysomnographic variables.
10 boys and 10 girls with OSA aged between 4 to 8 years, referred from an otolaryngology clinic because of sleep apnoea, wore modified monobloc devices nightly for 6 months. Polysomnography was used for each patient for baseline diagnosis of OSA and also for post therapy assessment.
The median obstructive apnoea- hypopnoea index decreased after 6 months of therapy with oral appliances. The mean (+/-SD) number of episodes of OSA was 7.88+/-1.81 before treatment and 3.66+/-6.80 after 6 months (p<0.001).
The modified monobloc appliance is suggested for use in children with OSA and may be an effective therapeutic alternative in children with mild to moderate OSA.
本研究旨在利用多导睡眠图变量，探讨正畸矫治器对儿童阻塞性睡眠呼吸暂停（OSA）的治疗效果。
10名年龄在4至8岁之间因睡眠呼吸暂停而从耳鼻喉科诊所转诊的OSA男孩和10名女孩，每晚佩戴改良式单块矫治器6个月。对每位患者进行多导睡眠图检查，用于OSA的基线诊断和治疗后评估。
经口腔矫治器治疗6个月后，阻塞性呼吸暂停低通气指数中位数下降。治疗前OSA发作的平均（±标准差）次数为7.88±1.81，6个月后为3.66±6.80（p<0.001）。
建议改良式单块矫治器用于治疗儿童OSA，对于轻度至中度OSA儿童可能是一种有效的治疗选择。
