口腔疾病防治2024，Vol.32Issue(5)：388-394,7.DOI:10.12016/j.issn.2096-1456.2024.05.009
儿童错(牙合)畸形合并阻塞性睡眠呼吸暂停综合征的诊疗研究进展
Research progress on the diagnosis and treatment of pediatric malocclusion combined with obstructive sleep apnea-hypopnea syndrome
摘要
Abstract
Pediatric malocclusion is common in dentistry.Some children with malocclusion combined with obstruc-tive sleep apnea-hypopnea syndrome(OSAHS)often fail to receive appropriate treatment due to a lack of multidisci-plinary diagnosis and treatment.It can cause abnormal ventilation during sleep,affecting the central nervous system and cardiovascular development and even causing neurological and behavioral problems.Pediatric OSAHS is caused by the narrowing of the upper respiratory tract,characterized by specific facial bone characteristics and neuromuscular factors and correlated with malocclusion.Due to its diverse clinical manifestations and etiology,the diagnosis and treatment of pediatric OSAHS require an interdisciplinary,personalized,and specialized approach.Questionnaires and physical ex-aminations can be used for preliminary screening.Moreover,children's stomatology and otorhinolaryngology examina-tions are the basis for disease diagnosis.Polysomnography(PSG)is currently the direct diagnostic method.There are var-ious treatment methods for OSAHS in children,and for OSAHS caused by adenoid tonsil hypertrophy,adenoidectomy and tonsillectomy are the main treatments.Othodontic treatment including mandibular advancement and rapid maxillary expansion et al is also effective for OSAHS in children with malocclusion.Currently,there is limited research on the cor-relation between childhood malocclusion and OSAHS,and multidisciplinary combination therapy may improve the cure rate,but there is a lack of sufficient evidence.In the future,the pathogenesis of OSAHS should be further elucidated,and research on multidisciplinary combination therapy should be promoted to achieve early intervention and treatment for potential and existing patients.关键词
儿童/错(牙合)畸形/阻塞性睡眠呼吸暂停低通气综合征/睡眠障碍/多导睡眠监测/腺样体扁桃体切除术/多学科诊疗/正畸治疗Key words
children/malocclusion/obstructive sleep apnea hypopnea syndrome/sleep disorder/polysom-nography/adenotonsillectomy/multidisciplinary diagnosis and treatment/orthodontic treatment分类
医药卫生引用本文复制引用
王超杰,温和,金欣哲,朱亚芬..儿童错(牙合)畸形合并阻塞性睡眠呼吸暂停综合征的诊疗研究进展[J].口腔疾病防治,2024,32(5):388-394,7.基金项目
This study was supported by the grants from the National Natural Science Foundation of China(No.82101046) （No.82101046）
Student Research and Training Program of School of Stomatology,Zhejiang University School of Medicine(No.2022S007). 国家自然科学基金青年基金项目(82101046) （No.2022S007）
浙江大学口腔医学院医学生科研训练项目(2022S007) （2022S007）
