Efecto de la expansión maxilar rápida sobre los síntomas de los trastornos respiratorios del sueño en pacientes pediátricos.

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Bibliographic Details
Title:	Efecto de la expansión maxilar rápida sobre los síntomas de los trastornos respiratorios del sueño en pacientes pediátricos.
Alternate Title:	Effect of rapid maxillary expansion on symptoms of sleep-disordered breathing in pediatric patients.
Authors:	Noeli Villarreal-Hernández, Andrea¹, Eduardo Reyes-Sepúlveda, José² jereyes73@yahoo.com, Maya-Alcántara, Antonio³
Source:	Revista Oral. may-aug2026, Vol. 27 Issue 84, p2569-2574. 6p.
Subjects:	Maxillary expansion, Child patients, Sleep apnea syndromes, Mouth breathing, Snoring, Sleep interruptions
Abstract (English):	Introduction. Sleep-disordered breathing (SDB) refers to a group of conditions characterized by episodes of partial or total obstruction of the upper airway during sleep, which impairs normal ventilation and oxygenation in the patient. The most common clinical manifestations include snoring, restless sleep, mouth breathing, daytime sleepiness, and neurobehavioral disturbances. Rapid maxillary expansion (RME) is an orthopedic procedure used in pediatric dentistry to correct transverse maxillary constriction by separating the midpalatal suture through controlled mechanical forces. Objective. To evaluate the impact of snoring, restless sleep, and mouth breathing symptoms in pediatric patients with SDB treated with RME using a Hyrax appliance over a six-month period. Methodology. An observational, longitudinal, prospective study was conducted in male and female patients aged 6 to 11 years diagnosed with SDB. All patients received RME using a Hyrax appliance. Respiratory symptoms were assessed before and after treatment using the Mexican Questionnaire for the Detection of Sleep-Disordered Breathing in the Pediatric Population. Results. Before to treatment, 100% of patients presented snoring, along with a high prevalence of restless sleep and mouth breathing. After six months of treatment, a significant clinical (60%) in snoring was observed, along with a consistent improvement in the other evaluated symptoms. Conclusions. RME using a Hyrax appliance is associated with significant clinical improvement in symptoms related to SDB in pediatric patients and represents a noninvasive interceptive therapeutic alternative. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Introducción. Los trastornos respiratorios del sueño (TRS) constituyen un grupo de alteraciones caracterizadas por episodios de obstrucción parcial o total de la vía aérea superior durante el sueño, que afecta a la ventilación normal y a la oxigenación del paciente. Entre las manifestaciones clínicas más frecuentes están los ronquidos, el sueño inquieto, la respiración bucal, la somnolencia diurna y las alteraciones neuroconductuales. La expansión maxilar rápida (EMR) es un procedimiento ortopédico utilizado en odontopediatría para corregir la constricción transversal del maxilar mediante la separación de la sutura palatina media a través de fuerzas mecánicas controladas. Objetivo. Evaluar el impacto de los síntomas de ronquidos, sueño inquieto y respiración bucal en pacientes pediátricos con TRS sometidos a un tratamiento de EMR mediante un disyuntor tipo Hyrax, durante un periodo de seis meses. Metodología. Se llevó a cabo un ensayo clínico experimental, longitudinal y prospectivo, de un solo grupo, en pacientes de ambos sexos de entre seis y 11 años de edad, diagnosticados con TRS. A todos los pacientes se les colocó un disyuntor tipo Hyrax para realizar una EMR. Los síntomas respiratorios fueron evaluados antes y después del tratamiento por medio del Cuestionario Mexicano para la Detección de Trastornos Respiratorios del Sueño en Población Pediátrica. Resultados. Antes del tratamiento, el 100% de los pacientes presentaba ronquidos, así como una alta frecuencia de sueño inquieto y respiración bucal. Posterior a seis meses de tratamiento, se observó una disminución clínica significativa (60%) de los ronquidos, además de una mejora consistente de los demás síntomas evaluados. Conclusiones. La EMR mediante un disyuntor tipo Hyrax se asocia con una mejora clínica significativa de los síntomas relacionados con los TRS en pacientes pediátricos, lo que constituye una alternativa terapéutica interceptiva no invasiva. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Introduction. Sleep-disordered breathing (SDB) refers to a group of conditions characterized by episodes of partial or total obstruction of the upper airway during sleep, which impairs normal ventilation and oxygenation in the patient. The most common clinical manifestations include snoring, restless sleep, mouth breathing, daytime sleepiness, and neurobehavioral disturbances. Rapid maxillary expansion (RME) is an orthopedic procedure used in pediatric dentistry to correct transverse maxillary constriction by separating the midpalatal suture through controlled mechanical forces. Objective. To evaluate the impact of snoring, restless sleep, and mouth breathing symptoms in pediatric patients with SDB treated with RME using a Hyrax appliance over a six-month period. Methodology. An observational, longitudinal, prospective study was conducted in male and female patients aged 6 to 11 years diagnosed with SDB. All patients received RME using a Hyrax appliance. Respiratory symptoms were assessed before and after treatment using the Mexican Questionnaire for the Detection of Sleep-Disordered Breathing in the Pediatric Population. Results. Before to treatment, 100% of patients presented snoring, along with a high prevalence of restless sleep and mouth breathing. After six months of treatment, a significant clinical (60%) in snoring was observed, along with a consistent improvement in the other evaluated symptoms. Conclusions. RME using a Hyrax appliance is associated with significant clinical improvement in symptoms related to SDB in pediatric patients and represents a noninvasive interceptive therapeutic alternative. [ABSTRACT FROM AUTHOR]
ISSN:	1665143X