Multidisciplinary Approach in a 12-Year-Old Patient Affected by Severe Obstructive Sleep Apnea: a Case-Report

Multidisciplinary Approach in a 12-Year-Old Patient Affected by Severe Obstructive Sleep Apnea: a Case-Report

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A 12-year-old boy shows a restless sleep and snoring episodes declaring himself tired during the day here and the school lessons.On clinical examination the patient presents a second-class profile, a retrusive jaw with a small chin and an open nasolabial angle.From the intraoral examination a tonsillar hypertrophy is denoted.

The patient is sent by the ear, nose, and throat specialist (ENT) and subsequently subjected to a polysomnography (PSG).The ENT decides to subject him to a tonsillectomy and the subsequent PSG shows an improvement in the obstructive sleep apnea syndrome (OSAS) pathology with an apnea-hypopnea index (AHI) improved from 25.5 episodes/hr to 3.

4 episodes/hr.Subsequently a orthodontic treatment with twin-block was start to further reduce the apnea episodes.The last PSG highlights the turbosound ts-18sw700/8a success of the treatment further lowering the AHI to 0.

7 episodes/hr.This case report shows how a multidisciplinary approach to OSAS is fundamental also in the young patient and that the orthodontist carried out in this area a fundamental task both in diagnosis and treatment.