Abstract
Enuresis, the involuntary release of urine during sleep, is one of the most common disorders of childhood. More common in boys than girls, this condition is characterized by night-time wetting in the presence of normal urinalysis and physical examination. At present, treatment can be divided into behavioral modification and pharmacological therapy, despite which many enuretic children remain untreated or are treated ineffectively. Treatment of long-standing chronic enuresis by orthodontic appliances could be used more frequently to give relief to those not responding to conventional treatment. Mandibular advancement therapy is especially beneficial in the treatment of enuretic patients presenting with anteroposterior skeletal discrepancies.
References
Friman P. Nocturnal enuresis in the child In: Ferber R, Kryger M Principles and Practice of Sleep Medicine in the Child Philadelphia, PA WB Saunders Co 1995; 107–113
Challamel M-J, Cochat P. Enuresis: pathophysiology and treatment. Sleep Med Rev 1999;3:313–324
Guilleminault C, Stoohs R. Obstructive sleep apnea syndrome in children. Pediatrician 1990;17:46–51
Leach J, Olson J, Hermann J, Mannin S. Polysomnographic and clinical findings in children with obstructive sleep apnea. Arch Otolaryngol Head Neck Surg 1992;118:741–744
Wille S, Aili M, Harris A, Aronson S. Plasma and urinary levels of vasopressin in enuretic and non-enuretic children. Scand J Urol Nephrol 1994;28:119–122
Rushton G. Nocturnal enuresis: epidemiology, evaluation and currently available treatment options. J Pediatr 1989;114:691–696
Weider D, Sateia M, West R. Nocturnal enuresis in children with upper airway obstruction. Otolaryngol Head Neck Surg 1991;105:427–432
Cinar U, Vural C, Cakir B et al. Nocturnal enuresis and upper airway obstruction. Int J Pediatr Otorhinolaryngol 2001;59:115–118
Topol H, Bogle D, Brooks L. Enuresis in children with obstructive sleep apnea. Sleep Abst Suppl 2000;24:A127–A128
Timms J. Rapid maxillary expansion in the treatment of nocturnal enuresis. Angle Orthod 1990;60:229–233
Kurol J, Modin H, Bjerkhoel A. Orthodontic maxillary expansion and its effect on nocturnal enuresis. Angle Orthod 1998;68:225–232
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Robertson, C.J. Treatment of Long-Standing Nocturnal Enuresis by Mandibular Advancement. Sleep Breath 8, 57–60 (2004). https://doi.org/10.1007/s11325-004-0057-8
Issue Date:
DOI: https://doi.org/10.1007/s11325-004-0057-8