Giannasi Lilian Chrystiane, Santos Israel Reis, Alfaya Thays Almeida, Bussadori Sandra Kalil, Leitão-Filho Fernando Studart, de Oliveira Luis Vicente Franco
Cranio. 2015 Jul;33(3):169-73. doi: 10.1179/2151090314Y.0000000029. Epub 2014 Oct 16.
The aim of this study was to assess the efficacy of the McNamara rapid palatal expansion device for the treatment of sleep disorders in children.
The sample enrolled 12 children aged 4-11 years. Children with snoring and bruxism whose parents did not agree to tonsil surgery were included in the study. During the initial evaluation, a questionnaire addressing sleep was administered, and plaster models were made for the construction of the McNamara rapid maxillary expansion device. The expansion period was 7-15 days, and the McNamara device was removed after 6-8 months. The same questionnaire was administered again after 30 days of use of the orthopedic appliance. The data were analyzed using the McNemar test, with the level of significance set to 5% (P<0.05).
Significant improvements were found in tiredness upon waking (P=0.002), mood (P=0.008), lip seal (P=0.031), drooling during sleep (P=0.031), snoring (P=0.001), and bruxism (P=0.0062).
The use of non-invasive methods, such as rapid maxillary expansion, can be an effective treatment for snoring and other undesirable sleep behaviors in children.
本研究旨在评估麦克纳马拉快速腭扩展装置治疗儿童睡眠障碍的疗效。
样本纳入了12名4至11岁的儿童。研究纳入了打鼾和磨牙且父母不同意进行扁桃体手术的儿童。在初始评估期间，发放了一份关于睡眠的问卷，并制作了石膏模型以构建麦克纳马拉快速上颌扩展装置。扩展期为7至15天，6至8个月后取出麦克纳马拉装置。在使用矫形器具30天后再次发放相同的问卷。数据采用麦克纳马拉检验进行分析，显著性水平设定为5%（P<0.05）。
在睡醒时的疲劳感（P=0.002）、情绪（P=0.008）、唇闭合（P=0.031）、睡眠时流口水（P=0.031）、打鼾（P=0.001）和磨牙（P=0.0062）方面发现了显著改善。
使用非侵入性方法，如快速上颌扩展，可能是治疗儿童打鼾和其他不良睡眠行为的有效方法。
