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Rapid Maxillary Expansion (RME): An Otolaryngologic Perspective
Luca Cerritelli1, Stavros Hatzopoulos1, Andrea Catalano1
1ENT and Audiology Unit, Department of Neurosciences and Rehabilitation, University Hospital of Ferrara, 44124 Ferrara, Italy.
Journal of Clinical Medicine
|September 9, 2022
Summary
Rapid Maxillary Expansion (RME) improves nasal breathing and may treat obstructive sleep apnea (OSA) and hearing loss in children. Otolaryngologists should consider RME for its otolaryngologic benefits.
Area of Science:
- Otolaryngology
- Orthodontics
- Pediatric Medicine
Background:
- Rapid Maxillary Expansion (RME) is an orthodontic treatment for maxillary constriction in young patients.
- Its effects on otolaryngologic conditions require evaluation.
Purpose of the Study:
- To assess the otolaryngologic impacts of RME, including nasal breathing, middle ear function, and obstructive sleep apnea (OSA).
Main Methods:
- A comprehensive literature search was conducted across Medline/PubMed, EMBASE, and CINAHL databases.
- The search covered studies from May 2005 to November 2021, adhering to PRISMA guidelines.
Main Results:
- RME improved nasal function in children, reducing nasal resistance and respiratory infections by increasing nasal volume and improving airway muscle tone.
- Positive effects were observed for conductive hearing loss and obstructive sleep apnea (OSA), with reduced Apnea Hypopnea Index (AHI).
- These benefits may stem from increased pharyngeal dimensions, altered tongue posture, and improved nasal airflow.
Conclusions:
- Otolaryngologists should recognize the indications and advantages of RME.
- RME offers potential benefits for various conditions within the otolaryngology field.
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