Related Experiment Video

Updated: Jul 17, 2025

Author Spotlight: Development of a Novel Finite Element Analysis Model for Improved Orthognathic Surgical Techniques
07:16

Author Spotlight: Development of a Novel Finite Element Analysis Model for Improved Orthognathic Surgical Techniques

Published on: October 20, 2023

1.3K

Something to consider: rapid palatal expansion for treatment of obstructive sleep apnea in pediatric patients

Muhammad Ahsan1, Bhavya Narala1, Mathew Ednick2

  • 1Division of Pulmonary, Critical Care and Sleep Medicine, Stony Brook University Hospital.

Current Opinion in Pediatrics
|September 7, 2023
PubMed

Insights

Rapid palatal expansion (RPE) shows promise for treating pediatric obstructive sleep apnea (OSA), improving breathing and reducing symptoms. Further research is needed to confirm long-term effectiveness and safety.

Area of Science:

  • Orthodontics and Sleep Medicine
  • Pediatric Sleep Disorders

Background:

  • Pediatric obstructive sleep apnea (OSA) is a significant health concern.
  • Current treatment options for pediatric OSA have limitations.

Approach:

  • This review synthesizes recent findings on rapid palatal expansion (RPE) for pediatric OSA.
  • The review covers efficacy, safety, patient selection, timing, appliances, costs, and long-term outcomes.

Key Points:

  • RPE significantly improves pediatric OSA, reducing the Apnea Hypopnea Index (AHI) by 70% and increasing oxygen saturation.
  • RPE is effective in children with small or absent tonsils, reducing adenoid and tonsil size.
  • Long-term monitoring is necessary due to potential relapse.

Conclusions:

  • RPE is a promising adjunctive treatment for pediatric OSA, improving respiratory function.
  • Further investigation into long-term efficacy, safety, and comparative studies is required.
  • Multidisciplinary collaboration is crucial for optimal outcomes in pediatric OSA patients treated with RPE.
Abstract

More Related Videos

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea07:54

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

19.8K
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation06:13

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

16.8K

Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
184
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
19
Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
251
Mechanical Ventilation III: Noninvasive Ventilation01:23

Mechanical Ventilation III: Noninvasive Ventilation

Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
149
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
495
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
20