Objective: OSAS is currently a relatively frequent multifactorial sleep disorder often associated with metabolic dysfunction. This case study highlights the importance of creating a collaboration team of different specialists such as a pediatrician, a dentist, a sleep specialist, an otolaryngologist and a speech therapist, which, in this case, was essential to promote an early and comprehensive diagnosis, not only to limit and to prevent complications, but for a better therapeutic management of the symptoms. Case review: A 10-year-old girl who came in for orthodontic treatment was found to have signs and symptoms of metabolic disorders including obesity, obstructive sleep apnea, breathing issues, transmissive hypoacusis and orofacial dysfunctions. She was previously treated orthodontically without resolution of any symptoms. At that point, instead of a “serial” approach, the girl was evaluated and then treated by a team of professionals who addressed together her various metabolic, functional and structural issues. Results: The integrated program of palatal expansion and myofunctional therapy, in particular, made it possible to intervene on the skeletal structure and on the muscular function of this patient by promoting nasal respiration, a balanced mastication, adequate mobility and muscle tone of the orofacial complex and of the oropharynx. The improvement of the metabolic status was associated with better breathing and important weight loss. Conclusion: A multidisciplinary approach seems to be the best strategy for solving cases of MetS (metabolic syndromes) and concomitant OSAS in children. A key role is played by the orthodontist and the pediatrician, by being able to intercept cases of OSAS in children and in adolescent and by being able to intervene directly on some components such as palatal contraction.
THE IMPORTANCE OF A MULTIDISCIPLINARY APPROACH TO METABOLIC SYNDROMES IN CHILDREN WITH OSAS. A CASE REPORT
Saccomanno, Sabina
;
2025-01-01
Abstract
Objective: OSAS is currently a relatively frequent multifactorial sleep disorder often associated with metabolic dysfunction. This case study highlights the importance of creating a collaboration team of different specialists such as a pediatrician, a dentist, a sleep specialist, an otolaryngologist and a speech therapist, which, in this case, was essential to promote an early and comprehensive diagnosis, not only to limit and to prevent complications, but for a better therapeutic management of the symptoms. Case review: A 10-year-old girl who came in for orthodontic treatment was found to have signs and symptoms of metabolic disorders including obesity, obstructive sleep apnea, breathing issues, transmissive hypoacusis and orofacial dysfunctions. She was previously treated orthodontically without resolution of any symptoms. At that point, instead of a “serial” approach, the girl was evaluated and then treated by a team of professionals who addressed together her various metabolic, functional and structural issues. Results: The integrated program of palatal expansion and myofunctional therapy, in particular, made it possible to intervene on the skeletal structure and on the muscular function of this patient by promoting nasal respiration, a balanced mastication, adequate mobility and muscle tone of the orofacial complex and of the oropharynx. The improvement of the metabolic status was associated with better breathing and important weight loss. Conclusion: A multidisciplinary approach seems to be the best strategy for solving cases of MetS (metabolic syndromes) and concomitant OSAS in children. A key role is played by the orthodontist and the pediatrician, by being able to intercept cases of OSAS in children and in adolescent and by being able to intervene directly on some components such as palatal contraction.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
