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That type of system naturally leads to corruption which causes anger from people like Rainmaker who are tired of scammers. My third grade English book taught me that there is a rat in separate. I agree that if you are not per cent deployable you should be separated, except in extraordinary circumstances.

There should be exceptions for anyone who is wounded or injured on duty and is capable of performing most tasks in most places. What is the reason the airman was unable to deploy to Afghanistan? The people who administered the sleep study to me did not have any vested interest in reaching a conclusion that I did not need their help.

That was, of course, in the civilian world, where I live. In the military world, I would hope that you could receive a sleep study from an impartial expert. If you're in my situation, where you've been diagnosed by someone who makes his living treating sleep apnea and the diagnosis is supported by your own personal doctor, how do you know what to believe? I got the diagnosis because I was feeling fatigued all the time, but maybe it was caused by something else -- like reading these forums.

But what if there's nothing wrong with my sleep? How can I know? On the first day, I thought I could detect a difference after using the mask. That feeling lasted one day. Dorr, If nitpicking spelling makes you feel relevant than you and your third grade English teacher can have at it. However, here at Harvard we never end a sentence with a preposition. I agree with you that there should be exeptions for anyone who is wounded or injured on duty and can still contribute.

Do you think the airman was faking or do you think he or she had a real ailment? Of the 4 people i know personally who have it, 2 were discovered during their medical outprocessing, one was due to him refering himself to a sleep study due to his wife recommending it, and the last was due to chronic fatigue Jesus Christ guys you can't fake sleep apnea!!! To be diagnosed you HAVE to do a sleep study where you are hooked up to multiple machines that monitor every breathe, every heart beat while you are sleeping You are the same people who bash certain political ideas without researching them only to realize both parties support it or the claim was totally false I'm officially embarrassed to be associated with you morons.

It doesn't matter what I think about it. I think it's B. I submit that perhaps some of these common "disabilities" such as Sinusitis, Sleep Apnea and ADHD are being over-diagnosed for the medical industry to make money. That's because you snore more on your back. I'm officially embarrassed to be associated with you morons Hear, hear!! Since Rainmaker thinks we're all full of shit, perhaps this will change his tune: Yeah, we're all just a bunch of fakers who want to empty your wallet.

I'd still like to know how someone without sleep apnea can fake it during the sleep study. I know of at least one, that I got to deploy for, short notice. See that's my problem, I have always been a restless sleeper, I and constantly flipping from side to side, back to stomach. I know I'll end up with a machine, but am not sure that the movements will stop, and that I won't tear the mask off during the night. I'm officially embarrassed to be associated with you morons You forgot they measure brain waves too Catching up with the thread I was just about to post similar.

You can't fake sleep apnea. You either demonstrate signs to varying degrees or you do not. There is no "gaming the system like faking an injury. Machines and numbers compared to established standards do not lie. I think the hostility people take towards sleep apnea is like I said before Do people know that sleep apnea can elevate your blood pressure through out the day?

But that's why I got checked out Sure enough went on CPAP after diagnosis and blood pressure stabilized. Another interesting tidbit I learned was that even though people think they are getting proper sleep like me that is not always the case. Only a sleep study can truly tell. Sleep goes in cycles throughout the night. REM rapid eye movement sleep is the only time you are getting true rest. Genetics play into the this fatty tissue effects your airway. It a well known FACT that one of the largest factors contributing to many adverse health conditions is extra weight.

Just a few pounds makes a difference. It negatively effects and amplifies all negative aspects of ones physiological makeup and performance. Sleep is just one of of those aspects. I'm not saying everyone with sleep apnea is fat but I've yet to meet one including myself who isn't overwieght With that said I am currently in the process of losing 35lbs of excess ME that I've acquired over the last 5 years. Personall goal I hope to attain by August. I've always been a snorer even when I was skinny I doubt there will be another sleep study but when I asked the Doc if the apnea will go away with weight loss she said no once you have it you have it.

I should've got tested before I retired. I do occasionally wake up gagging I just choke on my saliva a lot. Anyway, I don't get the service connection thing either really For the folks who have apnea, I guess my question would be And isn't that what disability is for? I just glanced over those sites Rainman is a Dillweed! I guess it would depend on the severity. The rest who cannot control it with a CPAP or other means are medically separated. Some people die from sleep apnea.

Happened to that dude on Deadliest Catch and he was only 30 something! I suppose a guy like me there will be no diminished earning capacity. A more severe case people may have issues with employers not liking people falling asleep at work, poor performance, poor health OR worse die one night in his sleep. I'm officially embarrassed to be associated with you morons Yeah. But when you say it's BS, what do you mean? That there is no such ailment? That there is, but it's over-diagnosed? This is going to be my column next week. I think Road makes a good point.


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I think I've only ever slept completely through the night and woke up with my mask on twice in the 6 months I've had it. It take a few weeks to get used to but even now I usually wake up 2 or 3 AM and just take it off. According to the sleep geek I spoke of earlier successful CPAP use is considered as use from hours per night 7 out of 10 days. If you are getting proper REM cycles you really only need to sleep for 4 hours typically. Is this a heavy hitting topic for the troops This topic needs an article like Blutarski needs more voids to fill.

Yes it can be faked I can fake being asleep when I should be awake with the best of them. The dorm ho I slept with as an airman faked something She sure fooled me and I am sure she could fool the VA if needed. Which might be a way for them to 'fudge the statistics'. So far nothing like this has happened to me.

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When I wake up, the mask is still attached the same as when I went to sleep. It's a minor annoyance but it isn't terribly uncomfortable. I plead guilty to misreading an earlier post of yours, Ripcord, but I think I've got this one. This is different from my experience. I'm starting to develop a little groove across the bridge of my nose created by the very top part of the mask anyone got a cure? Here in these forums and outside in real life, I'm getting conflicting information as to whether I should wear the mask all of the time or only some of the time.

I'm suddenly discovering that many people around me have sleep apnea -- the friend at the dog park I've known for years, Grocery Lady, the lady at the dry cleaners', a family acquaintance -- but no one ever mentioned it. Do the members of this forum really object to seeing something in print on this subject? If so, this is the time to shout out. Ripcord, what is a "C1 assignment code"? Bunch, when you say, "They were trying to take it off the list but Congress put a stop to that in ," do you mean a list of disabilities?

What government agency maintains this list? The same list quoted elsewhere in this thread? Bruwin, if you "don't see why the taxpayers should pay people to sleep" -- such as your airman who "was always nodding off" -- what would you want the Air Force to do with that airman? Tak, what's an AHI? KellyinAvon, how often do you change the filter? When I had mine they told me they would prefer for me to lie on my back face up, but they didn't mind when I rolled over on my side. Insidiousbookworm, what's a PHA? A big thank-you to everyone who has been supportive while I try to understand this better.

I will try and help with a couple of these. This is the place people come for their medical evaluation before starting basic training. An organization responsible for paying active duty and retired military personnel. They also handle DoD Civilian pay. I know your just fishin but while one may be able to fake sleeping around people, sleep monitoring equipment sees right past the BS. A sleep study is the only way you can actually get diagnosed with Sleep Apnea.

Like someone said you might be able to fake it if you have mad ninja skills or perhaps are a Tibetan monk or something. Sleep Apnea is an involuntary condition. A C1 assignment code is one of several assignment limitation codes big blue can slap on you for medical issues. From what my doc told me the majority of active duty sleep apnea cases in the AF are assigned C1. A quick google search netted this article: Airmen permanently and TDY assignment-eligible to global Department of Defense installations with medical treatment facilities.

Generally, approvals are for conditions that are stable and found as a result of a medical review and not likely to worsen suddenly. They could also be deployable or assignable to overseas bases or non-fixed facilities if appropriate care is available. This is generally approved for temporary or mild conditions requiring follow-up but clinically inactive and managed without frequent visits or unique medication regimen or prescriptions. Airmen who are TDY non-deployable and assignment-limited to a specific installation based on medical need and availability of care. Approval authority is the Medical Standards Branch.

I googled C1 for you and found the following article. Here is a link that provides a catalog of disabilities recognized by the VA. I wouldn't believe everything you read. WebMD makes its money by selling advertisements to pharmaceutical Sponsors. The AMA supposedly a non-profit but, they accept tens of millions in advertising funds from drug companies.

We are nation getting more and more addicted to prescription pills. I'm not going to post links. If you want to believe that your snoring is a chronic disease that's going to kill you. So, you have a new born baby and are tired all the time- Normal. All of these airman need to be med boarded the hell out of the military.

None of these codes prevent anyone from deploying. It's just an extra step to get them there.

Even C3 can deploy though a waiver. Your argument is invalid. I'm betting tramatic brain injury and concussions are just a farce in your world too? My wife retired and gets it, if I retire I could get it. The apneas pauses in breathing must last for at least 10 seconds and are associated with a decrease in blood oxygenation. Combining these gives an overall sleep apnea severity score that evaluates both number sleep disruptions and degree of oxygen desaturation low blood level.

The AHI, as with the separate apnea index and hypopnea index, is calculated by dividing the number of events by the number of hours of sleep. Mr Dorr--a PHA is a routine annual medical "exam". I think it stands for "physical health assesment", but I could be wrong. It's really just a survey--"What is your overall impression of your health? The response was always "You'll have to make an appointment with your provider to discuss that.

So when I mentioned it the last time, they made me an appointment on the spot. Snoring does not exactly equal sleep apnea--it's just a symptom. Sleep apnea can lead to high blood pressure, blindness, heart attack, stroke, and yes--death. Not to mention the possibility of falling asleep on the job or behind the wheel and killing yourself or someone else. And since you distrust WebMD you have a good point about being a for-profit , here's some info from the Mayo Clinic. Reggie White died of heart attack. TBI and concussions that occur in Military Service can be pinpointed to specific events and are rightly compensated by the VA.

What makes it invalid? All of these codes can and do prevent airmen from deploying to many austere locations. Someone else who's not on a profile has to take their place. How is this equitable? My thinking is that the MEB system takes entirely too long. I empathize when an individual has a chronic condition thru no fault of their own.

But, they should be quickly processed for discharge and compensated thru the VA system if necessary. The system as it is now rewards malingering. Unfortuantely, those who just suck it up and play with pain don't have the documented history to merit compensation. Unfortuantely, those who just suck it up and play with pain don't have the documented history to merit compensation You've got a good point about the MEB process taking too long; however, in the case of sleep apnea, most of those are done via "fast-track" MEBs, which are usually resolved within a week.

At least that was what the clinic told me when I went through mine. You've got a good point about the MEB process taking too long; however, in the case of sleep apnea, most of those are done via "fast-track" MEBs, which are usually resolved within a week. That is certainly breathtaking. I stand corrected and am fully on board with you now. I have done some serious learning on this board today!

I'm sorry--I couldn't hear you. Would you mind repeating that? Unfortuantely, those who just suck it up and play with pain don't have the documented history to merit compensation Because ALLOT of people not on profile don't go to those "austere" locations either. At least in the AF That point is valid. The issue more often then not isn't the member it is the medical system and the MEB process itself. The process and the system prevents this. Mine took 7 months. Not because of my condition but because two weeks after I was diagnosed my doctor dropped his 2 week notice and was out.

I didn't find out until I tried to PCA and a Chief said he wouldn't touch me until my code 37 was lifted. I didn't even know I had a code 37? Once we got it straightened out the actually fast track MEB only took like 3 weeks with me holding their hands every step of the way. I should have done that from the get go and that was my bad. So it's a crap system when the member is forced to push their own issues through the bureaucracy.

I will say this though.

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There is a special place in hell for people who do game the system to get out of deployments. Dude - what village did you escape from?! They want their idiot, er you back. When you can produce a medical degree from an accredited university, then I might take you seriously. The surgeon goes in and removes your tonsils, adenoids, uvula aka the punching bag in the back of your throat , any nasal polyps that may be obstructing your nasal passage, and cauterizes the whole mess once he's done.

I had mine done in , where I stayed as an inpatient at Camp Foster in Okinawa. After I was released, I was not allowed to fly for about a week, in the event there were any complications from the surgery, plus you really need time to heal. That thing knocked me flat on my ass, like Mike Tyson in the movie "The Hang-over".

I was out and then some. Nothing any of us say is going to convince her otherwise. Last night was one of those up every other hour nights. My problem is I had the sleep test, no sleep apnea, but severe sleep disturbance, have been on CPAP every sense I have found this thread very interesting.

I had the sleep study done earlier this year and they are still screwing around with a diagnosis. Could be a sleep disturbance or mild Apnea. Woke 32 times, REM only 7 total minutes. Had 3 Apnea episodes. They would like to repeat one more time to be sure. That scares me more than the idea of being glued to a machine for life. Like almost every little kid of my generation, I had my tonsils removed in When it was learned that I'd been born with a hearing impairment that might prevent me from becoming a fighter pilot and getting into the first class in that new school they were building in Colorado, my parents dragged me to a succession of doctors who tried to make me hear better.

One of them decided to remove my adenoids in It didn't help, I still hear the same as the day I was born, I didn't become a fighter pilot, I didn't go to the Academy.


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I did enlist in the Air Force and spent two tours in Korea listening to the bad guys on the radio, a job I was able to perform well and for which no hearing test was given. Now that I've been diagnosed with sleep apnea in , I can't solve the problem by removing tonsils and adenoids. As for my uvula, I guess I'm a little lax on my medical terminology but I thought that was something girls have. And boys, men and women too whether they are fat or skinny, unless it has been surgically removed.

Uvula is in the small tissue structure hanging from the palate above the root of the tongue. You are confusing yourself with the Vulva, which is a portion of the female external genitalia. I threw that in for laughs. But I didn't know about it at all, so, thanks. I have found this thread very interesting.

My connection says va can rate disturbance as apnea if they deem it closest fit. Make sure you have cpap. Every time I try to throw a link into these forums I run into problems, so I won't. The ultra-wealthy builder of the mega-mansion is the owner of a chain of sleep medicine clinics in the Washington area, probably including the one that performed my sleep studies and is monitoring my sleep apnea situation.

The neighbor who is protesting took fat bonuses while his employees were being furloughed; he is the recently ousted boss at Gannett, which owns these forums. The wealth of the sleep-clinic owner is one measure of how much money is out there in Medicare and other federally-financed health care systems. And if you read the story about the mansion in today's Washington Post perhaps you also read my letter in the same paper. I have always been confused by those but I don't think I've ever confused myself with one. Or are you thinking of a car made in Sweden? I'm new to this sleep apnea thing and puzzled by the fact that some mornings I wake up feeling rested while on other mornings I'm too fatigued to do anything.

Could it be something as simple as the mask leaking on some nights and not on others? Watch for comments on this from a newcomer's perspective in the newspaper. A few years ago I went to the Doc because I was completely run down. Figured I was just getting older and my T was running low. I was a zombie by mid day, unfocused at work and fairly dangerous driving home from work. At the time I thought sleep apnea was just a scam for fat folks. Doc said I did not fit the profile for apnea but sent me for a sleep study since my blood work was good.

VA rate is dependent on the severity. Personally, I'd rather be healthy. A lot of the time it seems to me to be mostly an annoyance.

But I don't understand why I feel rested on some days and fatigued on others. Could it be some inconsistency in my use of the mask? Like Comm Chief, I have good blood work but my sleep study shows moderate sleep apnea. I don't think I ever reached the point of falling asleep involuntarily. What about the inconsistency, folks? You're probably better off asking your doctor about that. I have two doctors involved in this: He is my supporter here.

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He is on my side. Is he my supporter? Is he on my side? I asked what I thought was a fairly simple question about sleep apnea, or at least it would be familiar to those who've been on this route longer than I have. Is it reasonable for mornings to be inconsistent? Is it reasonable to feel rested on some mornings but fatigued on others?

Now that Shrike suggested it -- gee, it never occurred to me -- I will ask both doctors when I can gain access to them. Meanwhile, what is your experience? Ahh the tool of a troll wants me to bait. I'll go for it. Why should I estimate it? I saw three doctors and a surgeon because of that incident. Read about Ford Stevens tonight on Kindle. Product details File Size: May 27, Sold by: Related Video Shorts 0 Upload your video.

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View or edit your browsing history. Get to Know Us. English Choose a language for shopping. Not Enabled Word Wise: Myofunctional reeducation is applied much less frequently in early infancy. The premature cohort investigation indicates that SDB is seen in very early life, and that abnormal anatomic features of structures limiting the upper airway are also present very early. In patients with these recognized abnormalities, application of myofunctional reeducation techniques may be helpful.

Unfortunately, orthodontist exposure is rare in the pediatric arena, despite the pervasive knowledge of generalized hypotonia in premature infants. Page speaks of the importance of dealing with oral-facial hypotonia and how to manage it in infancy, as it may be associated with negative facial anatomy problems later. There is data showing that the way an infant sucks on a nipple breast or bottle is important for the development of normal oral-facial muscle tone and the prevention of local hypotonia Davis and Bell, ; Paunio et al. Breastfeeding is a complex reflex requiring considerable strength.

During feeding premature infants may experience significant apnea associated with severe oxygen desaturation. Oral-facial hypotonia in premature infants has been the subject of much research. Page studied how to deal with this hypotonia. Bottle feeding may be performed with special nipples that require more effort from the oral-facial muscles, such as NUK-Gerber nipples Ogaard et al. Progressive development of a normal palate can be attained using such approaches. We conducted a non-randomized small study with five infants. It showed that when mothers followed feeding recommendations to use these special bottle nipples and engaged in finger stimulation of oral reflexes, a progressive normalization of abnormal palatal anatomy associated with normal breathing during sleep was observed at month follow-up.

This was not observed in gestational age-matched infants using regular nipples. This was also demonstrated in the premature twins referenced earlier, leading to secondary development of normal oral-facial features and absence of SDB. These studies are very limited and are similar to case reports, but they complement observations in older children who had recurrence of SDB after appropriate treatment but did not have myofunctional therapy Guilleminault et al. In summary, premature infants as well as some full-term infants present with abnormal oral-facial features, particularly a high and narrow hard palate.

These findings are associated with oral-facial hypotonia. A small non-randomized study indicates that premature infants may develop normal nasomaxillary complex and mandible when a strong effort is made to induce normal oral-facial musculature. Independent of sleep studies, years of experience in orthodontia also supports the important role of myofunctional reeducation in the presence of abnormal oral-facial anatomy Chauvois et al.

In our investigations, absence of SDB is associated with normal nasal breathing during sleep, but recurrence of OSA during the teenage years is associated with mouth breathing during sleep and documentation of oral-facial hypotonia.

Introduction

The different data accumulated over time on SDB children and the experimental data obtained from infant monkeys years ago are indicative of a strong association between normal oral-facial muscle tone and the normal development of the nasomaxillary complex and mandible. Presence of abnormal muscle tone, either experimentally induced by creation of abnormal nasal resistance or due to premature birth, is associated with mouth breathing particularly during sleep, abnormal placement of the tongue, and either development or worsening of the oral-facial anatomy.

In humans, SDB is noted in association with pathological hypotonia of the tongue muscles. In a small group of infants seen at birth with a normal hard palate, development of a high and narrow hard palate and SDB was documented in children with oral-facial hypotonia. When the high and narrow hard palate was noted at birth in these cases, hypotonia also was present, and SDB was noted. In rare cases efforts very early in life to counteract oral-muscle hypotonia and reverse the high and narrow hard palate may lead to normal development and absence of SDB at follow-up. As suggested by Swedish investigators, tonsillar enlargement appears to be a secondary phenomenon that further impacts nasal resistance.

No information on adenoids had been collected in our infant studies, but was obtained in the long-term follow-up of older children with 3D-CT scans. Adenotonsillectomy often is insufficient to achieve complete and lasting resolution of breathing problems. Understanding the continuous interaction between muscle activity of the tongue and other oral-facial muscles, as well as the development of normal anatomic structures supporting the upper airway may lead to expansion of myofunctional reeducation as a therapeutic tool.

We still do not know when the interaction between the potential airway-limiting oral-facial anatomic structures and its musculature begins. Interruption of normal development with premature birth may explain the frequency of sleep-related breathing problems in premature infants.

However, these events also can be seen in full-term infants, leading to negative consequences Rambaud and Guilleminault, It is possible that the abnormality leading to oral-facial hypotonia begins in utero. Investigation of facial expression and movements shows that beginning in early pregnancy, the fetus exhibits regular movements of the mouth and face.

For example, the most frequent movement seen during the second trimester is sucking Kurjak et al. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

A portion of the presented data premature infant longitudinal study is part of the PhD thesis of Yu-shu Huang. Chiu and Gerard Meskill for their help in the editing of the manuscript. National Center for Biotechnology Information , U. Journal List Front Neurol v. Published online Jan This article was submitted to Frontiers in Sleep and Chronobiology, a specialty of Frontiers in Neurology. Received Aug 7; Accepted Dec This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in other forums, provided the original authors and source are credited and subject to any copyright notices concerning any third-party graphics etc.

This article has been cited by other articles in PMC. Lessons from OSA Treatment with Adenotonsillectomy Despite the widespread use of limited techniques to identify the complete cessation of abnormal breathing and its effects during sleep, many studies have demonstrated significant improvement in SDB without complete elimination of the phenomenon. Lessons from Orthodontia and the Experimental Infant Monkey Model European orthodontists showed that abnormal nasal resistance induced by enlarged adenoids and tonsils in children were associated with mouth breathing and led to important craniofacial changes Haas, ; Linder-Aronson, , ; Wertz, ; Timms, , ; Gray, ; Hershey et al.

Application of Work in Orthodontia in the Field of SDB More recent investigations demonstrating incomplete resolution of abnormal oropharyngeal growth by adenotonsillectomy have led to the usage of orthodontic techniques to help treat pediatric SDB. Interaction between Adenotonsils and Oral-Facial Growth and Evidences from Prematures Infants Swedish investigators suggested that children first become mouth breathers, and the subsequent subjection to repetitive abnormal stimulations resulting from mouth breathing causes an inflammatory reaction in the tonsils Zettergreen et al.

Role of Oral-Facial Muscle Hypotonia and Usage of Myofunctional Reeducation The investigation of infant monkeys showing changes in EMG firing demonstrated that abnormal nasal resistance early in life leads to mouth breathing associated with abnormal muscle tone, oral-facial hypotonia, and secondary changes in maxillary-mandibular growth Harvold et al. Conclusion The different data accumulated over time on SDB children and the experimental data obtained from infant monkeys years ago are indicative of a strong association between normal oral-facial muscle tone and the normal development of the nasomaxillary complex and mandible.

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Conflict of Interest Statement The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Acknowledgments A portion of the presented data premature infant longitudinal study is part of the PhD thesis of Yu-shu Huang. Analysis of inspiratory flow shapes in patients with partial upper-airway obstruction during sleep.

Chest , 37—44 [ PubMed ] Bahr D. Sensory World Behlfelt K. Posture of the head, the hyoid bone, and the tongue in children with and without enlarged tonsils. Adenotonsillectomy outcomes in treatment of obstructive sleep apnea in children: Reeducation des Fonctions Dans la Therapeutique Orthodontiques.

Neurocognitive function improvement after adenotonsillectomy in obstructive sleep apnea. Correlates of respiratory cycle-related EEG changes in children with sleep-disordered breathing. Sleep 27 , — [ PubMed ] Davis D. Infant feeding practices and occlusal outcomes: Clinical predictors of obstructive sleep apnea. Laryngoscope , — Results of cases of rapid maxillary expansion selected for medical reasons. Stanford Sleep Medicine; Available: Sleep apnea in eight children.

Pediatrics 58 , 23—30 [ PubMed ] Guilleminault C. Adenotonsillectomy and obstructive sleep apnea in children: Pediatric OSA, myo-facial reeducation and facial growth. Role of Puberty and myo-facial hypotonia in recurrence of SDB. A prospective study on the surgical outcomes of children with sleep-disordered breathing. Sleep 27 , 95— [ PubMed ] Guilleminault C. Maxillomandibular expansion for the treatment of sleep-disordered breathing: Adeno-tonsillectomy and rapid maxillary distraction in pre-pubertal children, a pilot study.

Morphometric facial changes and obstructive sleep apnea in adolescents. Effects of oropharyngeal exercises on patients with moderate obstructive sleep apnea syndrome. Rapid expansion of the maxillary dental arch and nasal cavity by opening the midpalatal suture.