Successful treatment of a child with Schwartz-Jampel syndrome using rapid maxillary expansion and CPAP

Supakit Peanchitlertkajorn; Thanate Assawakawintip; Mevadee Pibulniyom; Panida Srisan; Patimaporn Pungchanchaikul; Rasintra Jaroenying

doi:10.5664/jcsm.9028

Successful treatment of a child with Schwartz-Jampel syndrome using rapid maxillary expansion and CPAP

Supakit Peanchitlertkajorn, Thanate Assawakawintip, Mevadee Pibulniyom, Panida Srisan, Patimaporn Pungchanchaikul, Rasintra Jaroenying

Department of Orthodontics

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

Study Objectives:We reported an 8-year-old male patient with Schwartz-Jampel syndrome, severe obstructive sleep apnea, constricted maxilla and moderate tonsillar hypertrophy. The syndrome is characterized by myotonia, skeletal dysplasia, and facial dysmorphism. Methods: CPAP was initially prescribed, but he was not able to tolerate due to a high pressure setting. Rapid maxillary expansion alone reduced AHI to 10.4 events/h. Results: When combined with CPAP, AHI is further reduced to 2.4 events/h. The patient has a better compliance with CPAP following rapid maxillary expansion therapy as the pressure setting decreased. Conclusions: This is the first report utilizing a combination of rapid maxillary expansion and CPAP therapy to successfully treat severe pediatric OSA.

Original language	English
Pages (from-to)	601-604
Number of pages	4
Journal	Journal of Clinical Sleep Medicine
Volume	17
Issue number	3
DOIs	https://doi.org/10.5664/jcsm.9028
Publication status	Published - 1 Mar 2021

Keywords

Orthodontic treatment
Pediatric OSA
Rapid maxillary expansion
Rapid palatal expansion
Schwartz-Jampel syndrome

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10.5664/jcsm.9028

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title = "Successful treatment of a child with Schwartz-Jampel syndrome using rapid maxillary expansion and CPAP",

abstract = "Study Objectives:We reported an 8-year-old male patient with Schwartz-Jampel syndrome, severe obstructive sleep apnea, constricted maxilla and moderate tonsillar hypertrophy. The syndrome is characterized by myotonia, skeletal dysplasia, and facial dysmorphism. Methods: CPAP was initially prescribed, but he was not able to tolerate due to a high pressure setting. Rapid maxillary expansion alone reduced AHI to 10.4 events/h. Results: When combined with CPAP, AHI is further reduced to 2.4 events/h. The patient has a better compliance with CPAP following rapid maxillary expansion therapy as the pressure setting decreased. Conclusions: This is the first report utilizing a combination of rapid maxillary expansion and CPAP therapy to successfully treat severe pediatric OSA.",

keywords = "Orthodontic treatment, Pediatric OSA, Rapid maxillary expansion, Rapid palatal expansion, Schwartz-Jampel syndrome",

author = "Supakit Peanchitlertkajorn and Thanate Assawakawintip and Mevadee Pibulniyom and Panida Srisan and Patimaporn Pungchanchaikul and Rasintra Jaroenying",

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doi = "10.5664/jcsm.9028",

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AU - Peanchitlertkajorn, Supakit

AU - Assawakawintip, Thanate

AU - Pibulniyom, Mevadee

AU - Srisan, Panida

AU - Pungchanchaikul, Patimaporn

AU - Jaroenying, Rasintra

PY - 2021/3/1

Y1 - 2021/3/1

N2 - Study Objectives:We reported an 8-year-old male patient with Schwartz-Jampel syndrome, severe obstructive sleep apnea, constricted maxilla and moderate tonsillar hypertrophy. The syndrome is characterized by myotonia, skeletal dysplasia, and facial dysmorphism. Methods: CPAP was initially prescribed, but he was not able to tolerate due to a high pressure setting. Rapid maxillary expansion alone reduced AHI to 10.4 events/h. Results: When combined with CPAP, AHI is further reduced to 2.4 events/h. The patient has a better compliance with CPAP following rapid maxillary expansion therapy as the pressure setting decreased. Conclusions: This is the first report utilizing a combination of rapid maxillary expansion and CPAP therapy to successfully treat severe pediatric OSA.

AB - Study Objectives:We reported an 8-year-old male patient with Schwartz-Jampel syndrome, severe obstructive sleep apnea, constricted maxilla and moderate tonsillar hypertrophy. The syndrome is characterized by myotonia, skeletal dysplasia, and facial dysmorphism. Methods: CPAP was initially prescribed, but he was not able to tolerate due to a high pressure setting. Rapid maxillary expansion alone reduced AHI to 10.4 events/h. Results: When combined with CPAP, AHI is further reduced to 2.4 events/h. The patient has a better compliance with CPAP following rapid maxillary expansion therapy as the pressure setting decreased. Conclusions: This is the first report utilizing a combination of rapid maxillary expansion and CPAP therapy to successfully treat severe pediatric OSA.

KW - Orthodontic treatment

KW - Pediatric OSA

KW - Rapid maxillary expansion

KW - Rapid palatal expansion

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Successful treatment of a child with Schwartz-Jampel syndrome using rapid maxillary expansion and CPAP

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Keywords

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