A treatment strategy for pediatric obstructive sleep apnea syndrome

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Pediatric patients with obstructive sleep apnea syndrome (Obstructive Sleep Apnea Syndrome ; OSAS) who did not respond to adenotonsillectomy showed smaller mandible in cephalometric analysis. It was suggested that maxillofacial morphology might contribute to the pathogenesis of pediatric OSA as seen in adult patients. Since application of oral appliance treatment to pediatric OSAS patient with smaller mandible reduced breathing disturbance during sleep, oral appliance was effective treatment of choice to pediatric OSAS patients as well as adult OSAS patients.