Maxillary Hypoplasia and Non-Invasive Ventilation: Literature Review and Proposed New Treatment Protocol.
Maria Costanza MeazziniMattia MorettiGabriele CanziDavide SozziGiorgio NovelliFabio MazzoleniPublished in: Children (Basel, Switzerland) (2024)
The impact of non-invasive ventilation (NIV) on pediatric maxillary growth is a subject of ongoing research considering its increased use in the pediatric population due to technological advancements and broader indications. This review examines the existing literature, encompassing original articles, case reports, and reviews, to evaluate the effects of NIV on maxillary development and explore potential treatment options. Although the majority of studies agree on the adverse effects of prolonged NIV on maxillary development, techniques for its correction remain understudied. Introducing a novel treatment protocol, we addressed the challenge of correcting severe midfacial hypoplasia in a child with congenital central hypoventilation syndrome (CCHS) undergoing NIV therapy, thus sidestepping the necessity for osteotomies. This proposed protocol holds promise in correcting the adverse impact of NIV on maxillary growth, emphasizing the need for further exploration into innovative treatment modalities.
Keyphrases
- randomized controlled trial
- case report
- cone beam computed tomography
- systematic review
- emergency department
- mental health
- young adults
- machine learning
- combination therapy
- mechanical ventilation
- risk assessment
- big data
- obstructive sleep apnea
- mesenchymal stem cells
- climate change
- artificial intelligence
- acute respiratory distress syndrome
- extracorporeal membrane oxygenation
- respiratory failure