• 45 children with sleep disordered breathing, ages ranging from 3 to 14 years, not pre-selected based on any type of facial morphology or cephalometric measure, underwent bimaxillary expansion.• The majority of the children (66%) showed improvement in their sleep scores and symptoms after bimaxillary expansion. But retrognathia in an anterior growth rotation pattern is a factor that may not respond to efforts of bimaxillary expansion and has limited impact on the sleep-disordered-breathing.
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