Rola specjalistycznej współpracy lekarza laryngologa i ortodonty w wykrywaniu i zintegrowanym leczeniu pacjentów w wieku rozwojowym cierpiących na obturacyjny zespół snu z bezdechem, na podstawie przypadków własnych oraz piśmiennictwa

Aneta Tomaszewska-Jaźwiec¹, Katarzyna Wiśniewska¹, Marcin Wiśniewski², *Lidia Zawadzka-Głos²

Summary
A lot of adults orthodontic patients suffers from sleep problems and snoring, which is one of the most frequent symptoms of obstructive sleep apnea syndrome. OSAS is characterized by episodes of totally or partially impaired airflow through the respiratory tracts. Those are repeated several times during the night. Pathomechanism of this disease is not fully known, but the most significant are anatomical and functional disorders of airways. In orthodontics mouth breathing is considered as a one of the causes of malocclusion development. The use of some orthodontic appliances in children and adolescents, may have a positive influence on the respiratory system condition and thereby improve the effectiveness of the overall treatment of OSAS. Rapid palatal expansion (RPE), causes the extension of the nose base and increases the airflow in the airways. This results in the permanent reduction of AHI rate. The movement of the mandible in a growth spurt causes the change of the base of the tongue and increases the volume of air tracts. The use of face mask for the maxillary protraction can change the maxillary plane and the mandible rotation and also can cause changes in soft tissues of the nose.
Conclusions. Orthodontic treatment has positive impact for the general therapy of OSAS. The multi-specialty cooperation in the overall treatment is beneficial.

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