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Comparison of Two Reeducation Methods in Children With Persistent Sleep Apnea, a Randomized Controlled Trial

RecruitingNAAges 4 Years - 14 YearsAllUniversité de Montréal
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In plain words

What the trial is, and whether it could suit you

Myofunctional therapy has been shown to be effectively reduce symptoms of paediatric obstructive sleep apnea, usually performed after adenotonsillectomy. This study aims to evaluate the effectiveness of Passive Oral Myofunctional Reeducation (using a flexible oral appliance) compared to nasal hygiene alone (control group), in a population of children scheduled for adenotonsillectomy.

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📋 Eligibility rules (as published)
Inclusion Criteria: participants must: * present signs of obstructive sleep apnea: snoring, apnea / respiratory pauses audible by the entourage (objectivized by a score, to the Pediatric Sleep Questionnaire (PSQ) , greater than or equal to 0.33- This questionnaire comprises twenty-two Questions and has a good sensitivity (83%) and specificity (87%) in screening for pediatric sleep apnea. * be programmed for adenoidectomy, tonsillectomy or adeno-tonsillectomy within 3 months (or more). Exclusion Criteria: participants should not: * present with a craniofacial syndrome nor a severe medical condition with complex medical management, * present with an abnormality of the neuromuscular tone (such as Duchenne myopathy or cerebral palsy) * receive orthodontic therapy during the study * have a class III malocclusion (mandibular prognathy type), for which a propulsion oral appliance is contraindicated because it may aggravate mandibular prominence. Maxillary deficiency is not a exclusion criterion. * A non-nutritive oral habit such as digital sucking (or pacifier) that persists because it interferes with oral reeducation and is a contraindication to orthodontic treatments. Children who have recently stopped such a habit may be included in the study.
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What it tests

  • Soft Oral Appliance
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Where

1 site
CHU Sainte Justine, Université de Montréal
Montreal, Canada
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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