Comparison of Obstructive Sleep Apnea Syndrome in Children with Cleft Palate Following Furlow Palatoplasty or Pharyngeal Flap for Velopharyngeal Insufficiency

Yu Fang Liao, M. Samuel Noordhoff, Chiung Shing Huang, Philip K.T. Chen, Ning Hung Chen, Claudia Yun, Ming Lung Chuang

研究成果: 雜誌貢獻文章同行評審

62 引文 斯高帕斯(Scopus)

摘要

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.

原文英語
頁(從 - 到)152-156
頁數5
期刊Cleft Palate-Craniofacial Journal
41
發行號2
DOIs
出版狀態已發佈 - 3月 1 2004
對外發佈

ASJC Scopus subject areas

  • 口腔外科
  • 耳鼻咽喉科

指紋

深入研究「Comparison of Obstructive Sleep Apnea Syndrome in Children with Cleft Palate Following Furlow Palatoplasty or Pharyngeal Flap for Velopharyngeal Insufficiency」主題。共同形成了獨特的指紋。

引用此