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Published in:

01-05-2016 | Original Article

Effects of surgically assisted rapid maxillary expansion on obstructive sleep apnea and daytime sleepiness

Authors: Pedro Pileggi Vinha, Alan Luiz Eckeli, Ana Célia Faria, Samuel Porfirio Xavier, Francisco Veríssimo de Mello-Filho

Published in: Sleep and Breathing | Issue 2/2016

Abstract

Purpose

The aim of the study was to evaluate the effects of surgically assisted rapid maxillary expansion (SARME) on obstructive sleep events and daytime sleepiness in adults with obstructive sleep apnea syndrome (OSAS).

Methods

Sixteen individuals (7 women/9 men) aged 40.2 ± 10.2 (range, 24.4 to 62.2 years) with maxillary transverse deficiency and OSAS (respiratory disturbance index [RDI] greater than 5) confirmed with full-night polysomnography (PSG) underwent SARME to evaluate its efficiency for OSAS treatment.

Results

Several PSG parameters and the Epworth Sleepiness Scale (ESS) results were compared in selected individuals before and after they underwent SARME. An RDI reduction from 35.4 ± 38.5 to 16.0 ± 19.7 was found, corresponding to a mean decrease of 54.6 % (p = 0.0013). A 56.2 % (33.23 ± 39.5 to 14.5 ± 19.4, p = 0.001) decrease was found in the apnea-hypopnea index (AHI), in addition to decreases in the desaturation and microarousal rates, among other parameters. The ESS scores improved from 12.5 ± 5.3 to 7.2 ± 3.5 (p < 0.001).

Conclusions

SARME promotes an improvement in OSAS symptoms; decreases the rates of respiratory disturbances; microarousal, and desaturation; and reduces daytime sleepiness.

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Title: Effects of surgically assisted rapid maxillary expansion on obstructive sleep apnea and daytime sleepiness
Authors: Pedro Pileggi Vinha
Alan Luiz Eckeli
Ana Célia Faria
Samuel Porfirio Xavier
Francisco Veríssimo de Mello-Filho
Publication date: 01-05-2016
Publisher: Springer Berlin Heidelberg
Published in: Sleep and Breathing / Issue 2/2016
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-015-1214-y

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