Xin Yuan, Chen Jie, Sun Peiyin
Department of Otorhinolaryngology Oral and Maxillofacial Surgery，Shanghai Children's Medical Center，School of Medicine，Shanghai Jiao Tong University，Shanghai，200127，China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 Aug;37(8):642-647. doi: 10.13201/j.issn.2096-7993.2023.08.008.
This study aims to investigate the clinical effectiveness of muscle function training combined with occlusal inducers in the treatment for children's malocclusion after obstructive sleep apnea（OSA） surgery. A total of 40 pediatric patients who underwent surgery for OSA at Shanghai Children's Medical Center, affiliated with Shanghai Jiao Tong University School of Medicine, from January 2020 to December 2021 were involved in this study. They were divided into a treatment group（=20） and a control group（=20）. The treatment group received muscle function training combined with occlusal inducers, while the control group received muscle function training alone. Cephalometric measurements of hard tissues were compared between the two groups before and 12 months after surgery. Additionally, the OSA-18 questionnaire, which includes 18 items to assess the life quality of children with OSA, was filled out before surgery, 6 months after surgery, and 12 months after surgery by these patients. ①The scores of sleep disorders, physical symptoms, emotional status, daytime sleepiness and energy status and the degree of influence on guardians in the two groups were significantly improved at 12 months after operation（<0.05）. The scores of sleep disorders, physical symptoms, emotional status and the degree of influence on guardians in the treatment group were better than those in the control group（<0.05）. ②Cephalometric data at 12 months after operation showed that the upper and lower alveolar seat angle（ANB）, Overbite, upper and lower central incisor angle（U1-L1） and Overjet in the treatment group were lower than those in the control group at 12 months after operation, and the difference was statistically significant（<0.05）. Children with OSA can improve the dentition irregularity by muscle function training combined with occlusal inducer after operation, and the effect is better than that of muscle function training alone.
本研究旨在探讨肌肉功能训练联合咬合诱导器对阻塞性睡眠呼吸暂停（OSA）手术后儿童错牙合畸形的临床治疗效果。选取2020年1月至2021年12月在上海交通大学医学院附属上海儿童医学中心接受OSA手术的40例儿科患者参与本研究。将他们分为治疗组（n = 20）和对照组（n = 20）。治疗组接受肌肉功能训练联合咬合诱导器治疗，而对照组仅接受肌肉功能训练。比较两组患者手术前及手术后12个月硬组织的头影测量数据。此外，这些患者在手术前、手术后6个月和手术后12个月填写OSA-18问卷，该问卷包含18个项目以评估OSA患儿的生活质量。①两组患者术后12个月时睡眠障碍、身体症状、情绪状态、日间嗜睡和精力状态的评分以及对监护人的影响程度均有显著改善（P < 0.05）。治疗组睡眠障碍、身体症状、情绪状态的评分以及对监护人的影响程度均优于对照组（P < 0.05）。②术后12个月的头影测量数据显示，治疗组术后12个月的上下牙槽座角（ANB）、覆牙合、上下中切牙角（U1-L1）和覆盖均低于对照组，差异有统计学意义（P < 0.05）。OSA患儿术后通过肌肉功能训练联合咬合诱导器可改善牙列不齐，效果优于单纯肌肉功能训练。
