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Comparison of obstructive sleep apnea syndrome in children with cleft palate following Furlow palatoplasty or pharyngeal flap for velopharyngeal insufficiency.
Cleft Palate Craniofac J. 2004 Mar; 41(2):152-6.CP

Abstract

OBJECTIVE

To evaluate the incidence and severity of obstructive sleep apnea syndrome (OSAS) in patients with cleft palate having a Furlow palatoplasty or pharyngeal flap for correction of velopharyngeal insufficiency (VPI).

PATIENTS

A total of 48 nonsyndromic children with repaired cleft palate with VPI were enrolled in the study. Twenty of the children had a Furlow palatoplasty (F group) and 28 children had a pharyngeal flap (P group) for correction of VPI.

INTERVENTIONS

An overnight polysomnography evaluation was done to evaluate the incidence and severity of OSAS 6 months or more postoperatively.

MAIN OUTCOME MEASURES

Symptoms of OSAS, respiratory disturbance index (RDI), oxyhemoglobin desaturation index (DI), and sleep stages were measured.

RESULTS

In the P group, the mean percentage of stage 2 sleep was lower than the F group (p <.05). The mean RDI and DI were larger in the P group, compared with the F group (p <.001). The incidence and severity of OSAS were higher in the P group, compared with the F group (p <.001 and p = 0.05, respectively).

CONCLUSIONS

A Furlow palatoplasty should be used in deference to a pharyngeal flap whenever possible on the basis of the preoperative evaluation of VPI because of the decreased incidence and severity of OSAS.

Authors+Show Affiliations

Division of Orthodontics, the Craniofacial Center, Chang Gung Memorial Hospital, Taipei, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

14989690

Citation

Liao, Yu-Fang, et al. "Comparison of Obstructive Sleep Apnea Syndrome in Children With Cleft Palate Following Furlow Palatoplasty or Pharyngeal Flap for Velopharyngeal Insufficiency." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 41, no. 2, 2004, pp. 152-6.
Liao YF, Noordhoff MS, Huang CS, et al. Comparison of obstructive sleep apnea syndrome in children with cleft palate following Furlow palatoplasty or pharyngeal flap for velopharyngeal insufficiency. Cleft Palate Craniofac J. 2004;41(2):152-6.
Liao, Y. F., Noordhoff, M. S., Huang, C. S., Chen, P. K., Chen, N. H., Yun, C., & Chuang, M. L. (2004). Comparison of obstructive sleep apnea syndrome in children with cleft palate following Furlow palatoplasty or pharyngeal flap for velopharyngeal insufficiency. The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 41(2), 152-6.
Liao YF, et al. Comparison of Obstructive Sleep Apnea Syndrome in Children With Cleft Palate Following Furlow Palatoplasty or Pharyngeal Flap for Velopharyngeal Insufficiency. Cleft Palate Craniofac J. 2004;41(2):152-6. PubMed PMID: 14989690.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of obstructive sleep apnea syndrome in children with cleft palate following Furlow palatoplasty or pharyngeal flap for velopharyngeal insufficiency. AU - Liao,Yu-Fang, AU - Noordhoff,M Samuel, AU - Huang,Chiung-Shing, AU - Chen,Philip K T, AU - Chen,Ning-Hung, AU - Yun,Claudia, AU - Chuang,Ming-Lung, PY - 2004/3/3/pubmed PY - 2004/4/28/medline PY - 2004/3/3/entrez SP - 152 EP - 6 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac J VL - 41 IS - 2 N2 - OBJECTIVE: To evaluate the incidence and severity of obstructive sleep apnea syndrome (OSAS) in patients with cleft palate having a Furlow palatoplasty or pharyngeal flap for correction of velopharyngeal insufficiency (VPI). PATIENTS: A total of 48 nonsyndromic children with repaired cleft palate with VPI were enrolled in the study. Twenty of the children had a Furlow palatoplasty (F group) and 28 children had a pharyngeal flap (P group) for correction of VPI. INTERVENTIONS: An overnight polysomnography evaluation was done to evaluate the incidence and severity of OSAS 6 months or more postoperatively. MAIN OUTCOME MEASURES: Symptoms of OSAS, respiratory disturbance index (RDI), oxyhemoglobin desaturation index (DI), and sleep stages were measured. RESULTS: In the P group, the mean percentage of stage 2 sleep was lower than the F group (p <.05). The mean RDI and DI were larger in the P group, compared with the F group (p <.001). The incidence and severity of OSAS were higher in the P group, compared with the F group (p <.001 and p = 0.05, respectively). CONCLUSIONS: A Furlow palatoplasty should be used in deference to a pharyngeal flap whenever possible on the basis of the preoperative evaluation of VPI because of the decreased incidence and severity of OSAS. SN - 1055-6656 UR - https://www.unboundmedicine.com/medline/citation/14989690/Comparison_of_obstructive_sleep_apnea_syndrome_in_children_with_cleft_palate_following_Furlow_palatoplasty_or_pharyngeal_flap_for_velopharyngeal_insufficiency_ L2 - https://journals.sagepub.com/doi/10.1597/02-162?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -