Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 178–188
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THE IMPORTANCE OF A MULTIDISCIPLINARY APPROACH TO METABOLIC SYNDROMES IN CHILDREN WITH OSAS. A CASE REPORT

Sabina Saccomanno*, Melania Evangelista, Licia Paskay, Eleonora Luciani, Martina Serenelli, Valerio Brunetti

Researcher at the Department of life Science, Health and Health Professions Link university Italy, Rome, Italy · Medical Director of the NESMOS Department, Faculty of Medicine e Psychology, Sapienza University of RomeRegional Sleep Disorders Center at Sant’ Andrea Hospital Rome, Italy · . Private Practice at Academy of Orofacial Myofunctional Therapy (AOMT), Pacific Palisades, CA 90272, USA · Private practice, Rome, Italy · e Dental School at the Polytechnic University of Marche, Italy · Adjunct Professor at Policlinico Universitario A. Gemelli IRCS, Rome, Italy

Received: 2026-04-08 · Published: 2025-04-20

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Original title
THE IMPORTANCE OF A MULTIDISCIPLINARY APPROACH TO METABOLIC SYNDROMES IN CHILDREN WITH OSAS. A CASE REPORT
Authors
Sabina Saccomanno, Melania Evangelista, Licia Paskay, Eleonora Luciani, Martina Serenelli, Valerio Brunetti
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-04-20
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006X-2025.3-178

Abstract

Objective: OSAS is currently a relatively frequent multifactorial sleep disorder often associated with metabolic dysfunction. This case study highlights the importance of creating a collaboration team of different specialists such as a pediatrician, a dentist, a sleep specialist, an otolaryngologist and a speech therapist, which, in this case, was essential to promote an early and comprehensive diagnosis, not only to limit and to prevent complications, but for a better therapeutic management of the symptoms. Case review: A 10-year-old girl who came in for orthodontic treatment was found to have signs and symptoms of metabolic disorders including obesity, obstructive sleep apnea, breathing issues, transmissive hypoacusis and orofacial dysfunctions. She was previously treated orthodontically without resolution of any symptoms. At that point, instead of a “serial” approach, the girl was evaluated and then treated by a team of professionals who addressed together her various metabolic, functional and structural issues. Results: The integrated program of palatal expansion and myofunctional therapy, in particular, made it possible to intervene on the skeletal structure and on the muscular function of this patient by promoting nasal respiration, a balanced mastication, adequate mobility and muscle tone of the orofacial complex and of the oropharynx. The improvement of the metabolic status was associated with better breathing and important weight loss. Conclusion: A multidisciplinary approach seems to be the best strategy for solving cases of MetS (metabolic syndromes) and concomitant OSAS in children. A key role is played by the orthodontist and the pediatrician, by being able to intercept cases of OSAS in children and in adolescent and by being able to intervene directly on some components such as palatal contraction.
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