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Título

SLEEP-DISORDERED BREATHING IN CHILDREN WITH PERIODIC LIMB MOVEMENT: THE ROLE OF RAPID MAXILLARY EXPANSION

Introdução

Introduction: Pediatric restless legs syndrome (RLS) in children has an estimated prevalence of 2%. RLS affects the quality of life, sleep, cognition, and behavior in children and adults. The supportive criteria of a family history of RLS and periodic limb movements in sleep (PLMs) >5 per hour are predictive of pediatric RLS.

Objetivo

To evaluate the short-term efficacy of rapid maxillary expansion (RME) on PLMS in children with sleep-disordered breathing (SDB) after delayed adenotonsillectomy (AT).

Métodos

Method: Prospective clinical trial study using RME therapy. The inclusion criteria of participants were: children aged 5 to 12 years, who had AT more than two years ago, whose parents/guardians reported that they still snore ≥4 nights per week, with maxillary transverse deficiency and the PLMS > 5 per hour. Thirteen children with primary snoring and 11 with obstructive sleep apnea participated in this study. Patients underwent Nasopharyngoscopy, Polysomnography and Quality of Life Questionnaire (OSA-18) before and after six months of RME.

Resultados

OSA-18 domain total scores reduced significantly in both groups (p < 0.001). There was a reduction in snoring after RME in both groups, but more significant in the OSA group. There was a decrease in periodic limb movements (PLMs). There was a decrease in the periodic movements of PLMs. 30.8% of primary snoring children had PLMS > 5/hour and decreased post-RME to 7.7%. While the AOS children changed from 36.4% to 9,1% post-RME.I In the total sample, the mean PLMS decreased significantly from 4.2/h to 1.1/h/h after RME treatment.

Conclusões

RME may be an alternative treatment that improves symptoms and quality of life in children with SRD. The improvement of the SDB with RME had a positiveimpact on PLMs as well.

Palavras-chave

periodic limb movements of sleep; polysomnography; restless legs syndrome, Sleep Apnea Obstructive, Snoring

Área

Área Clínica

Autores

Rita Catia Bariani, Renato Bigliazzi, Thais Moura Guimarâes, katia Regina Prade, Camila Baruqui Guillen, Sergio Tufik, Gustavo Antonio Moreira, Reginaldo Raimundo Fujita