Review Article

Alternative Approaches to Adenotonsillectomy and Continuous Positive Airway Pressure (CPAP) for the Management of Pediatric Obstructive Sleep Apnea (OSA): A Review

Table 1

Orthodontic devices/procedures addressing OSA in children.

Author (date)AgeType of interventionPrior procedure performedType of studyMean pre/post AHI

Al-Jewair, Gaffar, and Flores-Mir (2016)<18 yrs542Varied orthodontic appliancesNot reportedSystematic reviewNot reported
Camacho et al. (2016)<18 yrs (mean 7.6)314RMESome groups with prior adenotonsillectomySystematic review and meta-analysis8.9/2.7 (70% reduction)
Huynh, Desplats, and Almeida (2016)<18 yrs238 (only 39 in OMA group)OMA, RME, or MA and RMENone (excluded)Systematic review and meta-analysis13.1% in OMA, unable to calculate for RME and MA with RME
Nazarali et al. (2015)<16 yrs134MADNone (excluded)Systematic review and meta-analysisNot calculated due to high risk of bias

AHI: apnea/hypopnea index; MAD: mandibular advancement device; RME: rapid maxillary expander; OMA: orthopaedic mandibular advancement; MA: myofunctional appliances.