Peter J Hayward

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Cleft of the lip and/or palate (CL/P) is a common defect which is associated with changes in facial structures and a smaller upper airway. As a result, infants and children with CL/P have an increased risk of sleep disordered breathing (SDB). This paper will review the anatomical and functional factors which place infants and children with CL/P at increased(More)
BACKGROUND Stickler syndrome is a rare autosomal dominant connective tissue disorder estimated to affect approximately 1/7500 newborns. It is diagnosed clinically and, at present, there is no consensus on a minimal clinical diagnostic criterion. The aim of this series was to evaluate the outcome of a group of cleft palate children with Stickler syndrome in(More)
BACKGROUND We present six cases of infants with Robin sequence and severe obstructive sleep apnoea who failed treatment with nasal mask continuous positive airway pressure (CPAP). Surgical intervention with mandibular distraction osteoneogenesis with glossopexy meant tracheostomy was avoided. Polysomnography (PSG) was used to document the severity of the(More)
We have successfully used fibrin glue to avoid operative nasal packing in 30 cases of septal surgery. Avoiding a nasal pack is not only more acceptable to the patient but may also reduce hospital stay. Analysis of our results showed some minor short-term complications but initial post-operative septal deviation tended to resolve spontaneously. Transient(More)