Changes in craniofacial and airway morphology as well as quality of life after passive myofunctional therapy in children with obstructive sleep apnea: a comparative cohort study

Chuang, Li-Chuan; Hwang, Yi-Jing; Lian, Yun‐Chia; Hervy-Auboiron, Michèle; Pirelli, P; Huang, Yu‐Shu; Guilleminault, Christian

doi:10.1007/s11325-019-01929-w

Cited by 31 publications

(22 citation statements)

References 24 publications

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“…They also found improvements in nasal breathing, mandible linear growth, and airway morphology [18]. Unlike our study, Chuang et al discovered more vertical growth in the anterior facial height in the treatment group subjects, indicating the mandible clockwise rotation trend [18]. These inconsistent findings might be related to the differences in patient characteristics and methodological techniques between our study and Chuang et al' study.…”

Section: Discussioncontrasting

confidence: 90%

“…After passive myofunctional therapy, Chuang et al reported changes in craniofacial parameters and life quality for children with sleep apnea. They also found improvements in nasal breathing, mandible linear growth, and airway morphology [18]. Unlike our study, Chuang et al discovered more vertical growth in the anterior facial height in the treatment group subjects, indicating the mandible clockwise rotation trend [18].…”

Section: Discussioncontrasting

confidence: 66%

“…Although the effectiveness of myofunctional therapy has been questioned, some evidence has been published demonstrating the influence of myofunctional therapy on some dentoskeletal problems [18][19][20]. Investigating myofunctional treatment in children with functional mouth breathing may lead to a better understanding of myofunctional therapy's clinical efficacy in individuals with dentofacial abnormalities induced by mouth breathing.…”

Section: Background and Objectivementioning

confidence: 99%

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A non-randomized concurrent controlled trial of myofunctional treatment in the mixed dentition children with functional mouth breathing assessed by cephalometric radiographs and study models

Habumugisha

Cheng

et al. 2022

BMC Pediatr

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Objectives This study aimed to examine the clinical effects of myofunctional treatment on children with functional mouth breathing by cephalometric radiographs and study models. Methods A total of 224 children (6–10 years old; 114 males and 110 females; SNA°: 82.24 ± 1.67°; ANB°: 2.79 ± 0.80°, 28° < SN-GoGn° < 37°) formed three groups: MB-M group (mouth breathers with myofunctional treatment,n = 75); MB-N group (mouth breathers with no treatment,n = 70); NB group (nasal breathers with no treatment, n = 79). A blind evaluation of cephalometric radiographs and study models was conducted at T1(pre-study) and T2 (post-study), respectively. Results Two hundred four children (MB-M:66, MB-N:68, NB:70) completed the present study. At T1, MB-M and MB-N groups, compared to their NB counterpart, had greater anterior lower facial height(P < 0.01) and overjet(P < 0.001) but shorter overbite and maxillary canines width (P < 0.001). At T2, the MB-N group exhibited a higher ANB angle, anterior lower facial height, and overjet, but shorter overbite and maxillary canines width (P < 0.001). From T1 to T2, the anterior lower facial height increased, overbite and the maxillary canines width further decreased in the MB-N group (P < 0.001). However, in the MB-M group, the incisors were retracted, overbite increased (P < 0.001), anterior lower facial height increased insignificantly (P > 0.05), and maxillary canines width increased slightly (P < 0.05). In the NB and MB-M groups, the mandible showed a normal tendency to grow forward, whereas, in the MB-N group, the mandible showed a tendency to grow downward (P < 0.001). Conclusions Mouth breathers demonstrated increased anterior facial height and overjet but reduced overbite and maxillary arch width, which improved significantly following myofunctional treatment. Trial registration TCTR: TCTR20220401001. Registered 1stApril 2022-Retrospectively registered.

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Section: Discussioncontrasting

confidence: 90%

Section: Discussioncontrasting

confidence: 66%

Section: Background and Objectivementioning

confidence: 99%

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A non-randomized concurrent controlled trial of myofunctional treatment in the mixed dentition children with functional mouth breathing assessed by cephalometric radiographs and study models

Habumugisha

Cheng

et al. 2022

BMC Pediatr

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“…Thus, traditional breathing therapy helps reposition the tongue, improve nasal breathing, and increase muscle tone and responsiveness in pediatric and adult OSA patients [ 44 , 45 ]. Improvements in nasal breathing and the concomitant reduction in nocturnal oral breathing seem to reduce OSA severity and snoring [ 47 , 48 ].…”

Section: Discussionmentioning

confidence: 99%

Investigation of the Effectiveness of Traditional Breathing Therapy on Pulmonary Function in College Students with Obstructive Sleep Apnea

Pei

Fan

Kong

et al. 2022

Contrast Media & Molecular Imaging

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Background. Obstructive sleep apnea (OSA) is a problem that involves many body systems, but its impact on the respiratory system deserves special attention. While there are many studies investigating the use of continuous positive airway pressure (CPAP) to treat lung function in patients with sleep apnea, the lack of studies in the literature on the effects of traditional breathing therapy on lung function in patients with OSA prompted us to conduct such a study. Objective. The present randomized trial aims to assess the effect of traditional breathing therapy on daytime sleepiness and pulmonary function in college students with OSA. Methods. Forty college students (male) with OSA were randomly divided into two groups: the control group (CG) and the traditional breathing therapy group (TG). Daytime sleepiness symptoms in OSA are measured primarily by the Epworth Sleepiness Scale (ESS). Pulmonary function measurements included FVC, FEV1, PEE, and MEF50%. The changes in morning blood pressure (BP), including diastolic BP and systolic BP, were also recorded. Data were recorded before and after the experiment. Results. A decrease in ESS at 12 weeks after intervention had statistical significance compared with values recorded before intervention (P < 0.05). A decrease in systolic and diastolic BP at 12 weeks after intervention had statistical significance compared with values recorded before intervention (P < 0.05). Comparisons made in terms of pulmonary functions demonstrated a statistically significant increase in 12-week postintervention values of FVC, FEV1, PEF, and MEF50% (P < 0.05). Conclusion. Our study shows the positive effects of traditional breathing therapy on pulmonary function parameters. This suggests that traditional breathing therapy treatment in OSA patients is as effective as CPAP on pulmonary function, while there is an improvement in daytime sleepiness and a modest decline in the mean daytime systolic and diastolic BP.

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“…Guimaraes et al (2009) recommend a combination of orthodontic treatment (applicators, rapid maxillary expansion) and myofunctional therapy in children with OSA. Chuang et al (2019) examined the quality of life before and after the application of passive myofunctional therapy (using the Myobrace product). The Myobrace had a positive effect on craniofacial morphology and airway morphology.…”

mentioning

confidence: 99%

Speech-language therapists’ awareness of the use of orofacial myofunctional therapy as a treatment of obstructive sleep apnoea in Czechia

2022

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Obstructive sleep apnoea is an increasingly frequent lifestyle disease which affects both children and adults, affecting more than 10% of the adult population. The risk factors include unhealthy lifestyle, older age, structural and functional changes in the orofacial area as well as spinal cord injuries. Presently, there is no specific treatment of this disorder. One of the options for supportive treatment to alleviate the occurrence of apnoea during sleep is orofacial myofunctional therapy. The aim of the research presented in the article was to identify speech-language therapists’ awareness of the application of myofunctional therapy as a treatment of obstructive sleep apnoea and their awareness of the therapeutic methods in patients under supervision of a speech-language therapist. The aim of the paper is to emphasize the possibility of using myofunctional therapy among patients with obstructive sleep apnoea.

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Changes in craniofacial and airway morphology as well as quality of life after passive myofunctional therapy in children with obstructive sleep apnea: a comparative cohort study

Cited by 31 publications

References 24 publications

A non-randomized concurrent controlled trial of myofunctional treatment in the mixed dentition children with functional mouth breathing assessed by cephalometric radiographs and study models

A non-randomized concurrent controlled trial of myofunctional treatment in the mixed dentition children with functional mouth breathing assessed by cephalometric radiographs and study models

Investigation of the Effectiveness of Traditional Breathing Therapy on Pulmonary Function in College Students with Obstructive Sleep Apnea

Speech-language therapists’ awareness of the use of orofacial myofunctional therapy as a treatment of obstructive sleep apnoea in Czechia

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