
We recommend a chapter in a new book from Wiley, coming out now, on sleep-disordered breathing, obstructive sleep apnea (OSA), and orthodontic management. This is Pliska, B.T. (2023). ‘Orthodontic management of pediatric obstructive sleep apnea’, In Cleft and Craniofacial Orthodontics (eds P.R. Shetye and T.L. Gibson). https://doi.org/10.1002/9781119778387.ch58. OSA is a relatively common condition in children, and it causes significant problems in early physical and neurocognitive development. The association between altered craniofacial morphology and OSA in children has been reported often in the literature, for which symptom-based questionnaires have become the usual screening tool in the clinical setting. Many children with craniofacial conditions, such as cleft palate and syndromic micrognathia and/or maxillary hypoplasia, suffer from oropharyngeal muscular dysfunction affecting swallowing, speech, and respiration. Managing OSA in children with syndromic craniosynostosis is dependent on individual clinical and polysomnographic criteria. For all of these patients, the chapter concludes, a multi-disciplinary approach is needed, that is also individually focussed.
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