Dr. Grummons

Dr. Duane Grummons, DDS, MSD

  • Home
  • About Dr. Grummons
    • Family
    • Publications
    • Awards
    • Testimonials
    • References
  • Practice
    • Locum Tenens
    • Facial Orthopedics/ Orthodontics
    • Airway
    • Elite Invisalign
    • Facial 3D
  • Consulting/ Lectures
    • Lecture Topics
    • Management Dr/Staff
    • Practice Growth
    • Consulting Pediatric Airway
    • Consulting Elite Invisalign
  • Presentations
  • Contact

Sleep Medicine

May 19, 2016 by admin Leave a Comment

Critical Role of Myo Guilleminault Sleep Medicine 2013

Critical role of myofascial reeducation in pediatric sleep-disordered breathing

Background: Limited studies suggest that pubertal development may lead to a recurrence of sleep- disordered breathing (SDB) despite previous curative surgery. Our study evaluates the impact of myofunctional reeducation in children with SDB referred for adenotonsillectomy, orthodontia, and myofunctional treatment in three different geographic areas.

Methods: A retrospective investigation of children with polysomnographic analysis following adenoton- sillectomy were referred for orthodontic treatment and were considered for myofunctional therapy. Clinical information was obtained during pediatric and orthodontic follow-up. Polysomnography (PSG) at the time of diagnosis, following adenotonsillectomy, and at long-term follow-up, were compared. The PSG obtained at long-term follow-up was scored by a single-blinded investigator.

Results: Complete charts providing the necessary medical information for long-term follow-up were lim- ited. A subgroup of 24 subjects (14 boys) with normal PSG following adenotonsillectomy and orthodontia were referred for myofunctional therapy, with only 11 subjects receiving treatment. Follow-up evalua- tion was performed between the 22nd and 50th month after termination of myofunctional reeducation or orthodontic treatment if reeducation was not received. Thirteen out of 24 subjects who did not receive myofunctional reeducation developed recurrence of symptoms with a mean apnea–hypopnea index (AHI) = 5.3 ± 1.5 and mean minimum oxygen saturation = 91 ± 1.8%. All 11 subjects who completed myo- functional reeducation for 24 months revealed healthy results.

Conclusion: Despite experimental and orthodontic data supporting the connection between orofacial muscle activity and oropharyngeal development as well as the demonstration of abnormal muscle con- traction of upper airway muscles during sleep in patients with SDB, myofunctional therapy rarely is con- sidered in the treatment of pediatric SDB. Absence of myofascial treatment is associated with a recurrence of SDB.

Filed Under: References

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Recent Blog Posts

  • 2018 SEC Dental August 15, 2019
  • Earlier Airway Treatment, Toronto, CA August 15, 2019
  • Houstonsleep.net Airway Conference August 15, 2019
  • Rondeau Seminars – Las Vegas, NV August 15, 2019
  • Pediatric DDS lecture August 15, 2019

Blog Topics

admin airway ALS around the office assistant asymmetry awards Before and After Bloopers community customer customers Customer Service deband dog fun funny guitar happy hug ice bucket Invisalign keynote leadership and teamwork music office one pets presentor puppy radio results rockstar Slideshow smile Smile4Life Smiles song staff team Testimony thanks tour video YouTube

Copyright © 2021 · Outreach Pro on Genesis Framework · WordPress · Log in