{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T02:10:10Z","timestamp":1792030210682,"version":"4.4.0"},"reference-count":37,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T00:00:00Z","timestamp":1739404800000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Residual obstructive sleep apnea (OSA) is common in childhood OSA even after upper airway obstruction removal by adenotonsillectomy. Orofacial myofunctional therapy (OMT) is becoming a popular treatment in stomatology but lacks adequate evidence of effectiveness in childhood OSA. Our study attempts to evaluate the effect of OMT on childhood OSA by subjective and objective methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty\u2010seven children diagnosed with postoperative residual OSA (obstructive sleep apnea) were enrolled in the study and divided into a treated group (n\u2009=\u200921) and a untreated group (n\u2009=\u200916). They were followed up at 0, 1, and 3 months. The degree of mouth opening, modified OSA\u201018 questionnaire responses, polysomnography (PSG) findings, and scores of the orofacial myofunctional evaluation with scores (OMES) were recorded pre\u2010 and post\u2010therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared with pre\u2010OMT or untreated children, the degree of mouth opening during sleep and the OSA\u201018 total score were significantly decreased after OMT in children with Residual OSA. Furthermore, OMT significantly decreased the apnea\u2010hypopnea index (AHI), the longest duration of apnea and hypopnea, and the proportion of wakefulness and increased the duration of deep sleep. Moreover, the total score of OMES score and the scores of appearance and posture, mobility and functions were significantly increased after OMT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>OMT improves the qualities of life and sleep by repairing orofacial myofunctions in residual OSA children. OMT could be an adjuvant treatment for childhood OSA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      The trial was registered with the Chinese Clinical Trial Registry (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.chictr.org.cn\">http:\/\/www.chictr.org.cn<\/jats:ext-link>\n                      .). Registration number: ChiCTR2300072252 (07\/06\/2023).\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ppul.70993","type":"journal-article","created":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T09:33:24Z","timestamp":1739439204000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The Therapeutic Role of Orofacial Myofunctional Therapy in Childhood Residual Obstructive Sleep Apnea"],"prefix":"10.1002","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0052-9129","authenticated-orcid":false,"given":"Maoyu","family":"Ye","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery The Third Xiangya Hospital, Central South University Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shasha","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery The Third Xiangya Hospital, Central South University Changsha Hunan China"},{"name":"Nursing Department The Third Xiangya Hospital, Central South University Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery The Third Xiangya Hospital, Central South University Changsha Hunan China"},{"name":"Nursing Department The Third Xiangya Hospital, Central South University Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery The Third Xiangya Hospital, Central South University Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guolin","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery The Third Xiangya Hospital, Central South University Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiansheng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery The Third Xiangya Hospital, Central South University Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,13]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-1671"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.15537\/smj.2020.9.25262"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1513\/pats.200708-135MG"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2023.1124610"},{"issue":"2","key":"e_1_2_10_6_1","first-page":"165","article-title":"Pathophysiology of Childhood Obstructive Sleep Apnea: Current Concepts","volume":"149","author":"Marcus C. 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