OSA儿童错[牙合]畸形矫治临床路径

Clinical pathway for the treatment of malocclusion in children with OSA

儿童阻塞性睡眠呼吸暂停(obstructive sleep apnea,OSA)是睡眠呼吸障碍中最严重的类型,可导致牙颌面错牙合畸形,而后者又可造成儿童OSA的发生与发展。OSA儿童错牙合畸形的治疗需要多学科合作,建议正畸医师在接诊儿童患者时密切关注患儿的睡眠呼吸状况,对伴有OSA的错牙合畸形患儿,应综合考量患儿的年龄、生长发育阶段、OSA严重程度及错牙合畸形表现,制定个性化的治疗方案,为患儿牙颌面乃至全身的健康发育创造有利条件。

Obstructive sleep apnea(OSA)in children is the most serious type of sleep disordered breathing.If left untreated,it can lead to serious complications,including malocclusion,which in turn can lead to the occurrence and development of OSA.The treatment of malocclusion in OSA children requires multidisciplinary cooperation.It is recommended that orthodontists pay close attention to the sleep breathing condition of children with OSA.The orthodontists should comprehensively consider childrens age,growth and develop⁃ment stage,severity of OSA and malocclusion manifestations,and formulate personalized treatment plans to create favorable conditions for the healthy development of the dentofacial and even the whole body of children.