Stomatológ 2025, 35(1):15-20
Management of childhood obstructive sleep apnea syndrome
- Katedra čeľustnej ortopédie LF SZU, Bratislava
ABSTRACT Sleep is a vital physiological state essential for proper growth, development, emotional well-being, and immune function in children. Higher sleep quality is associated with increased secretion of growth hormone and reduced nocturnal motor activity. In recent years, the prevalence of sleep disorders has been steadily increasing. Habitual snoring and obstructive sleep apnea syndrome are among the most common conditions, both caused by upper airway collapse during sleep. Obstructive sleep apnea is widely regarded as the most severe form of sleep-disordered breathing, affecting both adults and children. In pediatric patients, dysfunctional breathing and deleterious oral habits can negatively impact craniofacial development and compromise airway growth. Early identification and elimination of these risk factors are essential to ensure healthy development. This paper presents a comprehensive overview of the current understanding of pediatric obstructive sleep apnea, including its etiological factors, clinical manifestations, and diagnostic criteria. Treatment options are also discussed, ranging from conservative approaches such as lifestyle modification, to orthodontic, surgical, pharmacological, and myofunctional therapies.
Keywords: sleep medicine; sleep disorder; obstructive sleep apnea; breathing dysfunction; functional appliances
Published: July 1, 2025 Show citation
References
- LEVRINI, L., SALONE, G.S., RAMIREZ-YANEZ, G.O.: PreFabricated Myofunctional Appliance for the Treatment of Mild to Moderate Pediatric Obstructive Sleep Apnea: A Preliminary Report. J of Clinical Pediatric Dentistry. 42, 2018, 3, doi 10.17796/1053-4628-42.3.13, p. 236-239
Go to original source...
Go to PubMed... - BHATTACHARJEE, R., KHEIRANDISH-GOZAL, L., SPRUYT, K. a kol.: Adenotonsillectomy Outcomes in Treatment of Obstructive Sleep Apnea in Children. Am J Respir Crit Care Med. 182, 2010, DOI:10.1164/rccm.200912-1930OC, p. 676-683
Go to original source...
Go to PubMed... - ANAND, L., SEALEY, C.: Obstructive sleep apnoea: options for surgical management. NZ Dental J. 114, 2018, p. 86-89
- DUAN, J., XIA, W., YANG, K. a kol.: The Efficacy of TwinBlock Appliances for the Treatment of Obstructive Sleep Apnea in Children: A Systematic Review and Meta-Analysis. BioMed Research International. 2022, doi:10.1155/2022/3594162, p. 1-13
Go to original source...
Go to PubMed... - MACEY, P. M., KHEIRANDISH-GOZAL, L., PRASAD, J. P. a kol.: Altered regional Brain cortical Thickness in Pediatric Obstructive sleep apnea. Front. Neurol. 9, 2018, 4, doi: 10.3389/fneur.2018.00004, p. 1-10
Go to original source...
Go to PubMed... - AURORA, R. N., ZAK, R. S., KARIPPOT, A. a kol.: Practice Parameters for the Respiratory Indications for Polysomnography in Children. Sleep. 34, 2011, 3, p. 379-388
Go to original source...
Go to PubMed... - VILLA, M. O., CASTALDO, R., MIANO, S. a kol.: Adenotonsillectomy and orthodontic therapy in pediatric obstructive sleep apnea. Sleep Breath. DOI 10.1007/s11325-013-0915-3, 2013
Go to original source...
Go to PubMed... - MOELLER, J. L., PASKAY, L. C., GELB, M. L.: Myofunctional Therapy A Novel Treatment of Pediatric Sleep-Disordered Breathing. Sleep Med Clin. 9, 2014, 3, doi: 10.1016/j.jsmc.2014.03.002, p. 235-243
Go to original source... - GUILLEMINAULT, C., HUANG, Y. S., MONTEYROL, P. J. a kol.: Critical role of myofascial reeducation in pediatric sleep-disordered breathing. Sleep Medicine. 14, 2013, doi: 10.1016/j.sleep.2013.01.013, p. 518-525
Go to original source...
Go to PubMed... - VILLA, M. P.: Treatment of paediatric obstructive sleep apnoea with oral appliances. ERS. 2012, p. 26-30
- MARCUS, C. L., BROOKS, L. J., DRAPER, K. A. a kol.: Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome. American Academy of Pediatrics. 130, 2012, 3, doi:10.1542/peds.2012-1671, p. 576-584
Go to original source...
Go to PubMed... - HOBAN, T. F.: Obstructive Sleep Apnea in Children. Current Treatment Options in Neurology, Sleep Disorders. 7, 2005, p. 353- 361
Go to original source...
Go to PubMed... - PHAN, N. T., WALLWORK, B., PANIZZA, B.: Surgery for adult patients with obstructive sleep apnoea: A review for general practitioners. The Royal Australian College of General Practitioners. 45, 2016, 8, p. 574-578
- MYERS K. A., MRKOBRADA, M., SIMEL, D. L.: Does This Patient Have Obstructive Sleep Apnea? The Rational Clinical Examination Systematic Review. JAMA. 310, 2013, 7, doi:10.1001/jama.2013.276185, p. 731-741
Go to original source...
Go to PubMed... - KLOBUČNÍKOVÁ, K.: Základy fyziológie a porúch spánku. 2021, s. 27. ISBN 978-80-223-5338-0
- RANDERATH, W., VERBRAECKEN, J., RAAFF, CH. A. L. D. a kol.: European Respiratory Society guideline on non-CPAP therapies for obstructive sleep apnoea. EurRespirRev. 30, 2021, doi:10.1183/16000617.0200-2021, p. 1-19
Go to original source...
Go to PubMed... - LI, K.K., RILEY, R. W., GUILLEMINAULT, CH.: An Unreported Risk in the Use of Home Nasal Continuous Positive Airway Pressure and Home Nasal Ventilation in Children. Chest. 117, 2000, 3, p. 916-918
Go to original source...
Go to PubMed... - GUIMARAES, K. C., DRAGER, L. F., GENTA, P. R. a kol.: Effects of Oropharyngeal Exercises on Patients with Moderate Obstructive Sleep Apnea Syndrome. Am J Respir Crit Care Med. 179, 2009, p. 962-966
Go to original source...
Go to PubMed... - DIANIŠKOVÁ, S., HEGYI, K.: Využitie Fränklových aparátov v ortodontickej liečbe. Čeľustný ortopéd. 6, 2024, 2. s. 24-27, ISSN 2644-500
- VILLA, M. P., BRASILI, L., FERRETTI, A. a kol.: Oropharyngeal exercises to reduce symptoms of OSA after AT. Sleep and Breathing.
- DOI: 10.1007/s11325-014-1011-z
Go to original source... - CAMACHO, M., CERTAL, V., ABDULLATIF, J. a kol.: Myofunctional Therapy to Treat Obstructive Sleep Apnea: A Systematic Review and Meta-analysis. Sleep. 38, 2015, 5, doi:10.5665/sleep.4652, p. 669-675
Go to original source...
Go to PubMed...
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