Sleep‐Related Obstructive Disordered Breathing in Cleft Palate Patients after Palatoplasty

@article{Rose2002SleepRelatedOD,
  title={Sleep‐Related Obstructive Disordered Breathing in Cleft Palate Patients after Palatoplasty},
  author={Edmund Clemens Rose and Richard Staats and Ulrike Thissen and J{\"o}rg-Eland Otten and Rainer Schmelzeisen and Irmtrud E. Jonas},
  journal={Plastic and Reconstructive Surgery},
  year={2002},
  volume={110},
  pages={392–396}
}
&NA; Sleep‐disordered breathing is frequently associated with children presenting congenital midface defects. Because of structural and functional anomalies in the upper airway, children with cleft palate, especially after surgery, may carry a higher risk of developing sleep‐disordered breathing. However, the presence of such sleep‐disordered breathing in older cleft palate children has not been emphasized. The aim of this comparative overnight cardiorespiratory sleep study was to evaluate… 

Impact of Syndromes on Sleep-Disordered Breathing in Children After Cleft Palate Repair.

It was showed that children with CP experience higher rates of SDB after palatoplasty than the general pediatric population and Clinicians should counsel caregivers accordingly and closely monitor these groups for SDB for palate repair.

Cephalometric Assessment of the Posterior Airway Space in Patients with Cleft Palate after Palatoplasty

Patients with cleft palate appear to present pharyngeal and craniofacial distinctive features that characterize patients with obstructive sleep disordered breathing and differ from those of a noncleft control.

Cephalometric assessment of the posterior airway space in patients with cleft palate after palatoplasty.

  • E. RoseU. ThissenJ. OttenI. Jonas
  • Medicine
    The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
  • 2003
Patients with cleft palate appear to present pharyngeal and craniofacial distinctive features that characterize patients with obstructive sleep disordered breathing and differ from those of a noncleft control.

Respiratory Polysomnographic Findings in Patients Treated Primarily for Unilateral Cleft Lip and Palate

This sample of patients with unilateral cleft lip and palate exhibited an increased prevalence of OSAS during the mixed dentition stage, and the results showed that OSAS was mild, it is advised to advise closer observation of these patients.

Effect of cleft palate repair with vomer flap on incidence and severity of obstructive sleep apnea

Utilization of a vomer flap during cleft palate repair did not have a statistically significant effect on the presence or severity of OSAS.

Screening for Obstructive Sleep Apnea in Preschool Children with Cleft Palate

Preschool children with cleft lip and/or palate have a risk of obstructive sleep apnea that is as much as five times that of children without cleft.

Surgical Closure of the Cleft Palate Has a Transient Obstructive Effect on the Upper Airway in Children

The results support the conclusion that OSA is underappreciated in this population of children with cleft palate, and indicate that children with a palatal cleft who undergo surgical repair are at risk for OSA.

Will Obstructive Sleep Apnea and Apnea/Hypopnea Index Be Corrected Following Alveolar Cleft Reconstruction?

It was showed that the OSA and AHI ameliorated after bone graft surgery in alveolar cleft repair and reconstruction, and more clinical trials including larger sample sizes may be required for relevancy.

Comparison of Clinical Symptoms and Severity of Sleep Disordered Breathing in Children with and without Cleft Lip and/or Palate

Snoring and obstructive sleep apnea are common in CL/P with less tonsillar enlargement than non-CL/P children but more central apnea which may indicate differences in the control of breathing.

Snoring in cleft patients with velopharyngoplasty.

...

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