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Down syndrome: otolaryngological effects of rapid maxillary expansion

dc.contributor.authorMoura, C. Pinto de
dc.contributor.authorAndrade, D.
dc.contributor.authorCunha, L. M.
dc.contributor.authorTavares, M. J.
dc.contributor.authorGonçalves, Maria João
dc.contributor.authorVaz, P.
dc.contributor.authorBarros, H.
dc.contributor.authorPueschel, S. M.
dc.contributor.authorClemente, M. Pais
dc.date.accessioned2025-01-14T10:09:28Z
dc.date.available2025-01-14T10:09:28Z
dc.date.issued2008-06-25
dc.description.abstractPhenotypical Down syndrome includes pharyngeal and maxillary hypoplasia and, frequently, constricted maxillary arch with nasal obstruction. This clinical trial assessed the effects of rapid maxillary expansion on ENT disorders in 24 children with Down syndrome randomly allocated to receive either rapid maxillary expansion or not. Each group received ENT and speech therapy assessments before expansion and after the device had been removed. In the rapid maxillary expansion group, the yearly ENT infection rate was reduced when assessed after device removal (p < 0.01). The parents of rapid maxillary expansion children reported a reduction in respiratory obstruction symptoms. Audiological assessment revealed improvements in the rapid maxillary expansion group (p < 0.01). Cephalometry showed increased maxillary width in the rapid maxillary expansion group. Rapid maxillary expansion resulted in a reduction in hearing loss, yearly rate of ENT infections and parentally assessed symptoms of upper airway obstruction, compared with no treatment. These findings are probably related to expanded oronasal space, due to rapid maxillary expansion.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMoura, C. P. de, Andrade, D., Cunha, L. M., Tavares, M. J., Cunha, M. J., Vaz, P., Barros, H., Pueschel, S. M., & Clemente, M. P. (2008). Down syndrome: Otolaryngological effects of rapid maxillary expansion. The Journal of Laryngology & Otology, 122(12), 1318–1324. https://doi.org/10.1017/S002221510800279Xpt_PT
dc.identifier.doi10.1017/S002221510800279Xpt_PT
dc.identifier.eissn1748-5460
dc.identifier.issn0022-2151
dc.identifier.urihttp://hdl.handle.net/10400.22/27090
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCambridge University Presspt_PT
dc.relation.publisherversionhttps://www.cambridge.org/core/journals/journal-of-laryngology-and-otology/article/abs/down-syndrome-otolaryngological-effects-of-rapid-maxillary-expansion/5E3566AEF6C39138B2D070438EBF8EE8pt_PT
dc.subjectDown syndromept_PT
dc.subjectMaxillapt_PT
dc.subjectOtorhinolaryngologic surgical procedurespt_PT
dc.subjectOtitis mediapt_PT
dc.subjectAirway obstructionpt_PT
dc.titleDown syndrome: otolaryngological effects of rapid maxillary expansionpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1324pt_PT
oaire.citation.startPage1318pt_PT
oaire.citation.titleThe Journal of Laryngology & Otology (JLO)pt_PT
oaire.citation.volume122(12)pt_PT
person.familyNameGonçalves
person.givenNameMaria Joao Moreira
person.identifier.ciencia-id3D1C-98BF-2E15
person.identifier.orcid0000-0002-9742-4007
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication6758fb1b-bab8-4c09-9874-bbdbc5231814
relation.isAuthorOfPublication.latestForDiscovery6758fb1b-bab8-4c09-9874-bbdbc5231814

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