耳鼻咽喉科・頭頸部外科95巻4号

2023年04月発行

特集 睡眠時無呼吸症候群の診療エッセンシャル

《各種治療の適応とその効果》

小児に対する治療戦略

著者： 井下綾子¹

所属機関： ¹順天堂大学医学部耳鼻咽喉科学講座

ページ範囲：P.348 - P.355

文献概要

POINT

●小児閉塞性睡眠時無呼吸症（OSA）の病態は年齢層，扁桃組織の肥大，鼻炎の状態などにより異なるため，適切な診断と治療選択が求められる。

●小児OSAの治療戦略の根幹は，口呼吸習慣の是正と鼻呼吸の獲得・維持で，小児期の誤った呼吸様式は，口腔機能の低下や顎顔面形態の劣成長を引き起こす。

●小児OSA児の口腔機能は低下していることが多く，その補完的治療として口腔筋機能訓練が着目されている。

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