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| ID | Type | Description | Link |
|---|---|---|---|
| 2025-A00478-41 | Other Identifier | ID RCB |
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OSAHS (Obstructive Sleep Apnea Hypopnea Syndrome) in children is a frequent respiratory disorder, whose prevalence is estimated at between 1.2 and 5.7%, and which, if left untreated, can cause severe medical complications. This prevalence tends to be underestimated. Diagnosis is made following a clinical examination noting the presence of characteristic clinical and polysomnographic criteria. Multidisciplinary management has been widely described in the literature, and various therapeutic options have been indicated. Rapid maxillary expansion has proved highly effective in the treatment of this condition. This syndrome is a real public health problem and must be diagnosed as early as possible. Through our research, we would like to study whether there is a causal link between an orthodontic problem of the transverse direction and the presence of SAHOS in children. In other words, we would like to assess whether children who clinically present an orthodontic deficiency of their transverse dimension are more likely to develop SAHOS than children without this deficit. If this proves to be true, then a new clinical sign could enable certain healthcare professionals to detect this syndrome early, and be able to refer patients to physicians as soon as possible.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| transverse deficiency maxilla | Experimental | patient with transverse deficiency maxilla |
|
| other type of maxilla deficiency | Other | patient with other type maxilla deficiency |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| over nigtht ventilatory polysomnograph test | Diagnostic Test | Every patient will have an overnight polysomnography test. |
|
| Measure | Description | Time Frame |
|---|---|---|
| study whether children with a transverse orthodontic deficiency have a higher risk of developing Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS) compared to those without this deficiency, | compare the proportion of children with an Apnea-Hypopnea Index (AHI) >1, , based on the presence or absence of a transverse deficiency." AHI is evaluated with the polysomnography exam | 1 months after enrollement |
| Measure | Description | Time Frame |
|---|---|---|
| study whether all children with a transverse orthodontic deficiency systematically have Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS) | distribution of Apnea-Hypopnea Index (AHI) values among these children | one month after enrollement |
| Investigate a link between the severity of this transverse deficiency and the severity of OSAHS. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service d'orthopédie dento-cranio-maxillo faciale | Recruiting | Rouen | 7600 | France |
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| ID | Term |
|---|---|
| D020181 | Sleep Apnea, Obstructive |
| ID | Term |
|---|---|
| D012891 | Sleep Apnea Syndromes |
| D001049 | Apnea |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
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Distribution of AHI values among children based on the extent of the transverse deficiency. Three groups will be formed for the transverse deficiency : one for pure endognathies, one for endoalveolies, and one for crossbite occlusions.". AHI is evaluated with the polysomnography exam. |
| 1month after enrollement |
| impact of hteSeverity of transferse deficiency on the snoring events frequency. | Average number of snoring events per hour based on the severity of the transverse deficiency. Three groups for the transverse defficiency will be formed: one for pure endognathies, one for endoalveolies, and one for crossbite occlusions. Number of snoring event will be mesured by the polysomnography exam. | 1months after enrollement |
| diagnostic value of the sleep disorder screening scale for children aged 4 to 16 years | comparison of the sleep disorder screening scale results with the results of the polysomnography exam. | 1month after enrollement |
| D020919 |
| Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |