{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:14:22Z","timestamp":1787015662307,"version":"build-2736575974"},"reference-count":44,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,2,10]],"date-time":"2019-02-10T00:00:00Z","timestamp":1549756800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Constricted maxilla is frequently associated with reduced nasal airway dimensions. Wheatear skeletal maxillary expansion (ME) is effective on the dimension of the upper airways is still a debated issue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This overview aimed to report the evidence provided by systematic reviews (SRs) on the effect of ME on the upper airways and to assess the methodological quality of the included SRs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Six electronic databases have been explored up to November 2017. After title and abstract screening, SRs addressing the effects of fixed palatal expanders on the dimension and function of the nasal airways were included. The methodological quality of the included SRs was assessed using the updated version of A Measurement Tool to Assess Systematic Review (AMSTAR\u20102).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eight SRs were included. The methodological quality of most of the included SRs ranged between low and critically low. One SR was rated of high quality. A significant increase in nasal linear dimensions was reported both in the short and long term, but supported by low\u2010\/critically low\u2010quality SRs. The significant increase in nasal cavity volume was the only outcome supported by a high\u2010quality SR Controversial results were found with regards to nasal function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Whenever a constricted maxilla is present general dentists, paediatricians and ENTs should be familiar with the potential improvement provided by ME. However, due to the low\/critically low quality of SRs supporting these results, ME cannot be indicated only for upper airways enhancement, but should be supported by an orthodontic indication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.12766","type":"journal-article","created":{"date-parts":[[2019,1,21]],"date-time":"2019-01-21T12:40:10Z","timestamp":1548074410000},"page":"377-387","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["Effects of maxillary expansion on the upper airways: Evidence from systematic reviews and meta\u2010analyses"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2588-2949","authenticated-orcid":false,"given":"Rosaria","family":"Bucci","sequence":"first","affiliation":[{"name":"Department of Neurosciences, Reproductive Sciences and Oral Sciences, School of Orthodontics and Temporomandibular Disorders University of Naples \u201cFederico II\u201d Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danilo","family":"Montanaro","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Reproductive Sciences and Oral Sciences, School of Orthodontics and Temporomandibular Disorders University of Naples \u201cFederico II\u201d Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9741-794X","authenticated-orcid":false,"given":"Roberto","family":"Rongo","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Reproductive Sciences and Oral Sciences, School of Orthodontics and Temporomandibular Disorders University of Naples \u201cFederico II\u201d Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Valletta","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Reproductive Sciences and Oral Sciences, School of Orthodontics and Temporomandibular Disorders University of Naples \u201cFederico II\u201d Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ambra","family":"Michelotti","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Reproductive Sciences and Oral Sciences, School of Orthodontics and Temporomandibular Disorders University of Naples \u201cFederico II\u201d Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"D'Ant\u00f2","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Reproductive Sciences and Oral Sciences, School of Orthodontics and Temporomandibular Disorders University of Naples \u201cFederico II\u201d Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2,10]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-5406(00)70202-2"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/23.2.153"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.17796\/jcpd.32.1.h53g027713432102"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cju018"},{"key":"e_1_2_6_6_1","first-page":"197","article-title":"The effect of hypertrophic adenoids and tonsils on the development of posterior crossbite and oral habits","volume":"18","author":"Oulis CJ","year":"1994","journal-title":"J Clin Pediatr Dent"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2008.07.014"},{"key":"e_1_2_6_8_1","first-page":"73","article-title":"Rapid expansion of the maxillary dental arch and nasal cavity by opening the midpalatal suture","volume":"31","author":"Haas AJ","year":"1961","journal-title":"Angle Orthod"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjn092"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-6343.2012.01543.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12393"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjl069"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1808-8694(15)31388-4"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjp164"},{"key":"e_1_2_6_15_1","volume-title":"Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]","author":"Higgins J","year":"2011"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000326"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-6343.2011.01522.x"},{"key":"e_1_2_6_18_1","first-page":"11","article-title":"Methodology in conducting a systematic review of systematic reviews of healthcare interventions","volume":"3","author":"Smith V","year":"2011","journal-title":"BMC Med Res Methodol"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12295"},{"key":"e_1_2_6_20_1","first-page":"561","article-title":"Finding the evidence. Clinical obstetrics and gynecology","author":"Cooke I","year":"1966","journal-title":"Int Pract Res"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001080050259"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j4008"},{"key":"e_1_2_6_23_1","first-page":"1046","article-title":"Long\u2010term skeletal changes with rapid maxillary expansion: a systematic review","volume":"75","author":"Lagravere MO","year":"2005","journal-title":"Angle Orthod"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2006.0020"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.2319\/082108-441.1"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2011.02.019"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.2319\/020413-103.1"},{"key":"e_1_2_6_28_1","first-page":"1632","article-title":"Oropharyngeal airway changes after rapid maxillary expansion: the state of the art","volume":"7","author":"Ortu E","year":"2014","journal-title":"Int J Clin Exp Med"},{"key":"e_1_2_6_29_1","first-page":"463","article-title":"Volumetric upper airway changes after rapid maxillary expansion: a systematic review and meta\u2010analysis","volume":"39","author":"Buck LM","year":"2017","journal-title":"Eur J Orthod"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/5460429"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3181cf5f5f"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.2319\/050410-241.1"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2008.03.020"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.2319\/011209-22.1"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2011.12.017"},{"key":"e_1_2_6_36_1","first-page":"57","article-title":"Non\u2010surgically assisted rapid maxillary expansion in adults","volume":"11","author":"Capelozza Filho L","year":"1996","journal-title":"Int J Adult Orthodon Orthognath Surg"},{"key":"e_1_2_6_37_1","first-page":"309","article-title":"Surgically assisted rapid maxillary expansion: a comparison of technique, response and stability","volume":"67","author":"Northway WM","year":"1997","journal-title":"Angle Orthod"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0049667"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2014.12.009"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0001350"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60903-8"},{"key":"e_1_2_6_42_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39489.470347.AD"},{"key":"e_1_2_6_43_1","doi-asserted-by":"publisher","DOI":"10.5037\/jomr.2016.7101"},{"key":"e_1_2_6_44_1","doi-asserted-by":"publisher","DOI":"10.2319\/010908-12.1"},{"key":"e_1_2_6_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2006.06.295"}],"container-title":["Journal of Oral Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjoor.12766","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.12766","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T21:06:53Z","timestamp":1694466413000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/joor.12766"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,10]]},"references-count":44,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1111\/joor.12766"],"URL":"https:\/\/doi.org\/10.1111\/joor.12766","archive":["Portico"],"relation":{},"ISSN":["0305-182X","1365-2842"],"issn-type":[{"value":"0305-182X","type":"print"},{"value":"1365-2842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,10]]},"assertion":[{"value":"2018-10-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-02-10","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}