This study focuses on the impact of rapid palatal expansion (RPE) on the sizes of adenoids and palatine tonsils in children with tonsillar hypertrophy and obstructive sleep apnea (OSA). Adenoid and tonsil hypertrophy can lead to upper airway obstruction and sleep-disordered breathing. While tonsillectomy is often recommended as a treatment, RPE is used to alleviate maxillary transverse deficiency and has shown potential benefits for pediatric OSA. This research aims to assess the effects of RPE on adenoid and tonsil sizes using 3D volumetric analysis of cone beam computational tomography (CBCT) imaging. The study included 60 pediatric patients divided into a control group and an expansion group that underwent RPE. The results revealed a significant decrease in adenoid and tonsil volume in the expansion group compared to the control group. This suggests that RPE could be an effective treatment option for pediatric OSA patients with narrow high arch palate and adenotonsillar hypertrophy. This study provides valuable insights into the potential benefits of RPE in addressing adenoid and tonsil hypertrophy in children with OSA.
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Attention deficit hyperactivity disorder and sleep disordered breathing
SDB