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Myofunctional Therapy: Role in Pediatric OSA

Yu-Shu Huang1, Shih-Chieh Hsu2, Christian Guilleminault3

  • 1Department of Child Psychiatry and Sleep Center, Chang Gung Memorial Hospital and College of Medicine, No. 5, Fuxing Street, Guishan, Taoyuan 333, Taiwan.

Sleep Medicine Clinics
|February 3, 2019
PubMed

Insights

Myofunctional therapy (MFT) may help children with obstructive sleep apnea (OSA), but adherence is challenging. Continuous parental involvement is crucial for successful pediatric OSA treatment with MFT.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Orthodontics

Background:

  • Obstructive sleep apnea (OSA) in children is a significant health concern.
  • Myofunctional therapy (MFT) is explored as a non-surgical alternative for pediatric OSA.
  • Challenges with MFT compliance and long-term efficacy in children require investigation.

Purpose of the Study:

  • To evaluate the effectiveness and compliance of Myofunctional Therapy (MFT) in children with obstructive sleep apnea (OSA).
  • To compare MFT with a passive oral device and a no-treatment control group in pediatric OSA patients.
  • To identify factors influencing treatment outcomes in pediatric OSA management.

Main Methods:

  • A prospective study involving age-matched children diagnosed with OSA.
  • Participants were assigned to either MFT, passive MFT (oral device during sleep), or a control group.
  • Compliance and treatment outcomes were monitored throughout the study period.

Main Results:

  • Compliance remains a significant hurdle for Myofunctional Therapy (MFT) in pediatric patients.
  • The study highlights the necessity of consistent parental engagement for effective MFT in treating childhood OSA.
  • Long-term outcomes and comparative effectiveness require further extensive research.

Conclusions:

  • Myofunctional therapy (MFT) shows potential for pediatric obstructive sleep apnea (OSA), but adherence is a critical issue.
  • Continuous parental involvement is essential for the successful implementation of MFT in children with OSA.
  • Further research is needed to establish long-term efficacy and optimize treatment protocols for pediatric OSA.

Keywords:
Functional oral applianceLateral cephalometricMyofunctional therapyObstructive sleep apnea syndromePolysomnography

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