Arab Maryam, El Ansari Yasmeen S, Pelayo Rafael, Yoon Audrey
Department of Orthodontics, Arthur A. Dugoni School of Dentistry at the University of the Pacific, San Francisco, California, USA.
Division of Immunology, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.
Orthod Craniofac Res. 2025 Apr 17. doi: 10.1111/ocr.12930.
The objective of this study is to offer a comprehensive overview of paediatric obstructive sleep apnoea (OSA), a prevalent condition characterised by intermittent upper airway obstruction that impairs both ventilation and sleep. The design of the study was a literature review using an electronic search. The study extensively reviews the pathophysiology, epidemiology, sequelae and diagnostic approaches of paediatric OSA. It highlights the role of various healthcare professionals in the management of this disorder, with each specialist providing unique contributions to the diagnosis, treatment and ongoing management of OSA. The current state of sleep teams managing OSA is multidisciplinary, including sleep physicians, pulmonologists and otolaryngologists (ENT surgeons), each contributing distinct expertise. This review contrasts a multidisciplinary approach, which relies on separate expert contributions, with an interdisciplinary model that emphasises integrated, collaborative decision-making for comprehensive, patient-centred care. This review focuses on the interactions between dental and medical professionals, as other papers will provide more detailed insights into the roles of other specialists, such as myofunctional therapists, nutritionists and others. In conclusion, the evolution from a multidisciplinary to an interdisciplinary care model marks a significant development in clinical practice, enhancing cooperation and shared decision-making among healthcare professionals, thereby improving the quality of life for paediatric patients with OSA.
本研究的目的是全面概述小儿阻塞性睡眠呼吸暂停(OSA),这是一种常见病症,其特征为间歇性上呼吸道阻塞,会损害通气和睡眠。该研究的设计是使用电子检索进行文献综述。该研究广泛回顾了小儿OSA的病理生理学、流行病学、后遗症及诊断方法。它强调了各类医疗保健专业人员在管理这种疾病中的作用,每位专家在OSA的诊断、治疗及持续管理中都做出了独特贡献。目前管理OSA的睡眠团队的现状是多学科的,包括睡眠医生、肺科医生和耳鼻喉科(ENT外科医生),每个人都贡献独特的专业知识。本综述将依赖各自专家贡献的多学科方法与强调综合、协作决策以提供全面、以患者为中心的护理的跨学科模式进行了对比。本综述重点关注牙科和医学专业人员之间的互动,因为其他论文将更详细地深入探讨其他专家的作用,如肌功能治疗师、营养师等。总之,从多学科护理模式向跨学科护理模式的演变标志着临床实践中的一项重大发展,加强了医疗保健专业人员之间的合作和共同决策,从而改善了小儿OSA患者的生活质量。