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Objectives
Pediatric sleep disordered breathing: an overview
Daytime symptoms in children with obstructive sleep apnea
Obstructive Sleep Apnea in Children
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Obstructive Sleep Apnea in Children
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Examination of the nasal valve
Examination of the Nasal Valve
Bilateral nasal valve collapse
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Nasal Septum and Turbinate
Diagram
CRANIO-FACIAL DEVELOPMENT
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Environmental Factors
Consequences
Consequences (2) con’t
Consequences:
SUMMARY
Conclusion
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The Dolichochephalic Child
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Influences on orofacial growth
Physiology: puberty
puberty
What to do
Obstructive Sleep Apnea in Children
RME
RME
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Orthopedic effect of RME w/ both maxillary processes opening in a triangular fashion-base at the palatal vault
Orthodontics
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Distraction Osteogenesis
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conclusion

Christian Guilleminault, M.D.

Sleep Disordered Breathing in Children