Myofunctional Therapy: Role in Pediatric OSA

Yu-Shu Huang; Shih-Chieh Hsu; Christian Guilleminault; Li-Chuan Chuang

doi:10.1016/j.jsmc.2018.10.004

Myofunctional Therapy: Role in Pediatric OSA

Sleep Med Clin. 2019 Mar;14(1):135-142. doi: 10.1016/j.jsmc.2018.10.004. Epub 2018 Nov 30.

Authors

Yu-Shu Huang¹, Shih-Chieh Hsu², Christian Guilleminault³, Li-Chuan Chuang⁴

Affiliations

¹ Department of Child Psychiatry and Sleep Center, Chang Gung Memorial Hospital and College of Medicine, No. 5, Fuxing Street, Guishan, Taoyuan 333, Taiwan.
² Department of Psychiatry and Sleep Center, Chang Gung Memorial Hospital and College of Medicine, No. 5, Fuxing Street, Guishan, Taoyuan 333, Taiwan.
³ Division of Sleep Medicine, Stanford University, 450 Broadway Pavillion C 2nd Floor, Redwood City, CA 94063, USA.
⁴ Department of Pediatric Dentistry, Chang Gung Memorial Hospital at Linkou, No. 5, Fuxing Street, Guishan, Taoyuan City 333, Taiwan; Graduate Institute of Craniofacial and Dental Science, College of Medicine, Chang Gung University, 259 Wenhwa 1st Road, Guishan, Taoyuan 333, Taiwan. Electronic address: soleus34@cgmh.org.tw.

PMID: 30709528
DOI: 10.1016/j.jsmc.2018.10.004

Abstract

Myofunctional therapy (MFT) has been reported to be an alternative treatment to obstructive sleep apnea (OSA), but compliance and long-term outcome in the children were considered as an issue. A prospective study was performed on age-matched children submitted to MFT or to a functional oral device used during sleep (passive MFT) and compared with no-treatment control group. Compliance is a major problem of MFT, and MFT will have to take into consideration the absolute need to have continuous parental involvement in the procedure for pediatric OSA.

Keywords: Functional oral appliance; Lateral cephalometric; Myofunctional therapy; Obstructive sleep apnea syndrome; Polysomnography.

MeSH terms

Adolescent
Child
Child, Preschool
Female
Humans
Male
Myofunctional Therapy*
Polysomnography
Prospective Studies
Sleep
Sleep Apnea, Obstructive / therapy*
Treatment Outcome