Comparison of obstructive sleep apnea syndrome in children with cleft palate following Furlow palatoplasty or pharyngeal flap for velopharyngeal insufficiency.

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

Liao YF,Noordhoff MS,Huang CS,Chen PK,Chen NH,Yun C,Chuang ML

doi

10.1597/02-162

keywords:

subject

Has Abstract

pub_date

2004-03-01 00:00:00

pages

152-6

issue

2

eissn

1055-6656

issn

1545-1569

pii

02-162

journal_volume

41

pub_type

杂志文章
  • Differential growth among components of the palate in rhesus monkeys (Macaca mulatta).

    abstract::To understand the etiology of maxillary hypoplasia better, which is common in individuals with cleft palate and other craniofacial anomalies, the relative growth and contribution of the maxillary and palatine segments to enlargement of the hard palate was examined in rhesus monkeys. The purpose of the study was to ide...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1993_030_0302_dgacot_2.3.co_2

    authors: King AH,Schneiderman ED

    更新日期:1993-05-01 00:00:00

  • Use of the Sphenoid Flap in Repair of the Wide Cleft Palate.

    abstract:OBJECTIVE:In wide palatal defects, closure of the nasal layer can prove a considerable challenge. Mobilizing nasal flaps posteriorly usually facilitates soft palate closure. However, the defect is often too wide within the hard palate; hence, bilateral vomerine flaps are frequently required. Despite this, there is ofte...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章,多中心研究

    doi:10.1177/1055665617732781

    authors: Khan K,Hardwicke J,Seselgyte R,Morris P,Thorburn G,Kangesu L,Swan MC,Richard B

    更新日期:2018-03-01 00:00:00

  • Cephalometric analysis of the consolidation phase following bilateral pediatric mandibular distraction.

    abstract:OBJECTIVE:The goal of the consolidation phase of mandible distraction is to maintain the improvement in maxillomandibular form and relationship while the generated tissue ossifies. During this period, external deforming forces can act on the healing generated bone. The purpose of this study was to describe the potentia...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_2003_040_0233_caotcp_2.0.co_2

    authors: Hopper RA,Altug AT,Grayson BH,Barillas I,Sato Y,Cutting CB,McCarthy JG

    更新日期:2003-05-01 00:00:00

  • Craniofacial morphology in an unusual case with nasal aplasia studied by roentgencephalometry and three-dimensional CT scanning.

    abstract:OBJECTIVE:To examine the three-dimensional morphology of internal structures of the craniofacial region and present the orthodontic problems in an unusual case with nasal aplasia. PATIENT:The patient was an 11.5-year-old boy with aplasia of the nose and nasal cavity with extremely constricted nasopharyngeal airway. He...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/02-112

    authors: Kitai N,Iguchi Y,Takashima M,Murakami S,Kreiborg S,Kamiji T,Takada K

    更新日期:2004-03-01 00:00:00

  • Comparative assessment of dental arch relationships using Goslon Yardstick in patients with unilateral complete cleft lip and palate using dental casts, two-dimensional photos, and three-dimensional images.

    abstract:OBJECTIVE:Comparison of the use of two-dimensional (2D) and three-dimensional (3D) images for rating dental arch relationships. MATERIALS AND METHODS:The sample consists of pretreatment dental casts, 2D photographs, and 3D images of 70 patients with unilateral complete cleft lip and palate. Two experienced examiners u...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/10-269

    authors: Dogan S,Olmez S,Semb G

    更新日期:2012-05-01 00:00:00

  • Pneumatization of the skull base due to valsalva maneuver.

    abstract::Objectives : We herewith report the case of a 43-year-old patient who experienced a skull base fracture associated with minimal trauma. The computed tomography scan examination showed unusual extensive pneumatization of the skull base. This patient used to perform repeated Valsalva maneuvers on a daily basis sin...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/11-280

    authors: Lacout A,Marcy PY,Carlier RY,Thariat J

    更新日期:2013-01-01 00:00:00

  • Maxillary dental development in complete unilateral alveolar clefts.

    abstract:OBJECTIVE:This study was conducted to determine whether development of individual maxillary teeth in subjects with complete unilateral alveolar clefts was significantly different from that found in unaffected children. DESIGN:Retrospective, mixed longitudinal. SETTING:Craniofacial Center, university based. MATERIALS...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1998_035_0320_mddicu_2.3.co_2

    authors: Solis A,Figueroa AA,Cohen M,Polley JW,Evans CA

    更新日期:1998-07-01 00:00:00

  • About a "New" Technique for Uvular Repair.

    abstract::This letter is about a recent publication in the Cleft Palate Craniofacial Journal titled: "The significance of uvula after palatoplasty: A new technique to improve the aesthetic outcome" published by Elsherbiny et al (Cleft Palate Craniofacial J 2018;55(3):451-455). The authors present the use of one hemi-uvula for u...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 评论,信件

    doi:10.1177/1055665619893902

    authors: Rossell-Perry P

    更新日期:2020-05-01 00:00:00

  • The Trend of Cleft Care at a Children's Referral Center in Thailand.

    abstract:OBJECTIVE:To investigate the trend in cleft care at a major children's referral center in Bangkok, Thailand. STUDY DESIGN:Retrospective chart review. PATIENTS AND METHODS:A review of 129 patients under 18 years of age who had underwent care by the senior author for cleft treatment between January 2015 and October 201...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1177/1055665620922103

    authors: Setabutr D,Sathavornmanee T,Jitpakdee P,Nudchawong S,Krergmatukorn P

    更新日期:2020-09-01 00:00:00

  • Vocal Loudness as Contributory to the Occurrence of Obligatory Posterior Nasal Turbulence.

    abstract::Two cases are presented that show increased loudness as contributory to the occurrence of audible posterior nasal turbulence as an obligatory symptom. Case 1 was an 18-month-old boy with repaired cleft palate who exhibited sporadic posterior nasal turbulence with velar flutter that was associated with increased loudne...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1177/1055665617730366

    authors: Zajac DJ,Eshghi M

    更新日期:2018-02-01 00:00:00

  • Parent questionnaire for screening early language development in children with cleft palate.

    abstract::This study investigated the efficacy of a parent questionnaire as a component for screening early language development of children 16 to 30 months of age with cleft lip and palate. Thirty nonsyndromic children with cleft lip and palate and 30 children without clefts received the MacArthur Communicative Development Inv...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1995_032_0007_pqfsel_2.3.co_2

    authors: Scherer NJ,D'Antonio LL

    更新日期:1995-01-01 00:00:00

  • Evaluating Autologous Lipofilling for Parry-Romberg Syndrome-Associated Defects: A Systematic Literature Review and Case Report.

    abstract:BACKGROUND:Parry-Romberg syndrome (PRS) is a rare craniofacial disease that causes progressive hemifacial atrophy of the soft tissue before spontaneously entering remission. Autologous fat grafting may provide a less invasive alternative, producing aesthetically pleasing results while avoiding the need for traditional ...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章,评审

    doi:10.1597/14-232

    authors: Rodby KA,Kaptein YE,Roring J,Jacobs RJ,Kang V,Quinn KP,Antony AK

    更新日期:2016-05-01 00:00:00

  • Growth patterns of the nasolabial region: a morphometric study.

    abstract::Age-related growth changes in the nasolabial region were analyzed through six measurements taken between 1 year and 18 years of age in 1,593 North American Caucasians. By 1 year of age, the length of the cutaneous portion of the upper lip and the width of the nose showed the highest levels of development compared with...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1992_029_0318_gpotnr_2.3.co_2

    authors: Farkas LG,Posnick JC,Hreczko TM,Pron GE

    更新日期:1992-07-01 00:00:00

  • Team-oriented care for orofacial clefts: a review of the literature.

    abstract::Objective : To examine the process of team-oriented care for children with orofacial clefts. Design : Systematic review of available studies reporting team-oriented management of children and adults with orofacial clefts. We identified studies from OVID, PsychINFO, REHABDATA, PubMed, and The Cleft Pa...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章,评审

    doi:10.1597/11-137

    authors: McGrattan K,Ellis C

    更新日期:2013-01-01 00:00:00

  • Perceptions, expectations, and reactions to cleft lip and palate surgery in native populations: a pilot study in rural India.

    abstract:OBJECTIVE:Many charitable organizations conduct overseas missions to correct cleft lip and palate where surgical care is unavailable. However, little is known about cultural and societal attitudes regarding the cleft deformity. METHOD:A 15-item questionnaire was designed to elicit from parents general knowledge concer...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/04-003.1

    authors: Weatherley-White RC,Eiserman W,Beddoe M,Vanderberg R

    更新日期:2005-09-01 00:00:00

  • Effects of Surgical Intervention and Continuous Positive Airway Pressure Therapy on Velopharyngeal Structure and Function: A Case Report.

    abstract::Changes to the velum and velopharyngeal muscles following Furlow double-opposing Z-plasty in a 7-year-old female with submucous cleft palate and velopharyngeal dysfunction (VPD) were evaluated. Perceptual, instrumental (ie, nasometry and aerodynamic pressure flow), and research magnetic resonance imaging analyses were...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1177/1055665618787688

    authors: Schenck GC,Perry JL,Kollara L,Kuehn DP

    更新日期:2019-04-01 00:00:00

  • Congenital bilateral coronal suture synostosis in a rabbit and craniofacial growth comparisons with experimental models.

    abstract::Experimental rabbit models of postnatal coronal suture (CS) synostosis have helped make significant contributions towards the understanding and surgical management of human congenital craniosynostosis. The present study compares craniofacial growth patterns in animals with experimental CS immobilization and in a rabbi...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1993_030_0121_cbcssi_2.3.co_2

    authors: Mooney MP,Losken HW,Tschakaloff A,Siegel MI,Losken A,Lalikos JF

    更新日期:1993-03-01 00:00:00

  • Three-dimensional morphology of the palate in subjects with isolated cleft palate at the stage of permanent dentition.

    abstract:OBJECTIVE:Three-dimensional analysis of palate size and shape in patients with isolated cleft palate at the stage of permanent dentition. DESIGN:Cross-sectional study using Fourier transform profilometry. SUBJECTS:Twenty-nine randomly selected dental casts of approximately 15-year-old boys with isolated cleft palate ...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_2003_040_0577_tmotpi_2.0.co_2

    authors: Smahel Z,Trefný P,Formánek P,Müllerová Z,Peterka M

    更新日期:2003-11-01 00:00:00

  • Clinical applications of orthodontic microimplant anchorage in craniofacial patients.

    abstract::Microimplant anchors, also known as temporary anchorage devices, mini- and micro-screws, have been used to enhance orthodontic anchorage for difficult tooth movements. Here, the authors describe how microimplants can be used to help treat craniofacial patients by supporting distraction osteogenesis procedures, maxilla...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/06-219.1

    authors: Vachiramon A,Urata M,Kyung HM,Yamashita DD,Yen SL

    更新日期:2009-03-01 00:00:00

  • Intraoral fixation of endotracheal tubes using a suture in edentulous patients undergoing maxillofacial surgery.

    abstract::Securing an endotracheal tube in completely edentulous patients undergoing maxillofacial surgery can pose difficulties. In this report, a readily available and easy method of securing the endotracheal tube to gums of the teeth using the suture in such a circumstance is described. This technique has been used successfu...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/08-276.1

    authors: Xue FS,Luo MP,Liao X,Zhang YM

    更新日期:2010-05-01 00:00:00

  • Habilitation of patients with clefts: parent and child ratings of satisfaction with appearance and speech.

    abstract::This study examined ratings regarding satisfaction with facial appearance and speech performance from 495 parent-child pairs. Data were obtained from school-aged children (5-18 years old) and their parents using standardized independent interviews. Results revealed that 54 percent of the children with cleft lip (CL) o...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1992_029_0262_hopwcp_2.3.co_2

    authors: Broder HL,Smith FB,Strauss RP

    更新日期:1992-05-01 00:00:00

  • Premaxillary osteotomy and guided tissue regeneration in secondary bone grafting in children with bilateral cleft lip and palate.

    abstract:OBJECTIVE:To introduce a surgical technique for secondary alveolar bone grafting performed in conjunction with premaxillary osteotomy and guided tissue regeneration in children with bilateral clefts. This paper also looks at the outcomes of this surgery in a series of 15 consecutive patients. METHODS:Secondary alveola...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/06-032.1

    authors: Scott JK,Webb RM,Flood TR

    更新日期:2007-09-01 00:00:00

  • Physical Health in Adults Born With Cleft Lip and/or Palate: A Whole of Life Survey in the United Kingdom.

    abstract:OBJECTIVES:Previous research in the field of cleft lip and/or palate (CL/P) has indicated a high prevalence of common health concerns, functional difficulties, and additional conditions known to affect long-term physical health, cognitive development, and psychological well-being. The aim of the present study was to ex...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1177/1055665620944758

    authors: Ardouin K,Davis S,Stock NM

    更新日期:2021-02-01 00:00:00

  • Maxillary Protraction Therapy in Class III Patients With and Without Cleft Lip and Palate: An Interim Report of a Prospective Comparative Study.

    abstract:OBJECTIVE:To investigate and compare the effects of maxillary protraction therapy on Class III patients with unilateral cleft lip and palate (UCLP) and Class III patients with noncleft. DESIGN:Prospective controlled clinical trial. PATIENTS:Twenty-six Class III patients with UCLP (mean age: 10.32 ± 1.29 years) and 26...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1177/1055665620954058

    authors: Lin Y,Fu Z,Guo R,Ma L,Li W

    更新日期:2020-09-28 00:00:00

  • A three-dimensional computed tomographic analysis of the cervical spine in unoperated infants with cleft lip and palate.

    abstract:OBJECTIVE:To investigate anatomical variations and abnormalities of cervical spine morphology in unoperated infants with cleft lip and palate. DESIGN:Retrospective cross-sectional investigation of infants born with nonsyndromic cleft lip and palate using computed tomography scans acquired for investigation of a spectr...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/05-023

    authors: Rajion ZA,Townsend GC,Netherway DJ,Anderson PJ,Yusof A,Hughes T,Shuaib IL,Halim AS,Samsudin AR,David DJ

    更新日期:2006-09-01 00:00:00

  • Incidence of oronasal fistulae and velopharyngeal insufficiency after cleft palate repair: an audit of 211 children born between 1990 and 2004.

    abstract:OBJECTIVE:We present an audit of primary cleft palate surgery at our unit, including rates of oronasal fistula development, speech outcomes, and rates of velopharyngeal insufficiency requiring secondary surgery. DESIGN:A retrospective study of patients with all cleft palate types, born between January 1990 and Decembe...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/06-205.1

    authors: Phua YS,de Chalain T

    更新日期:2008-03-01 00:00:00

  • Cleft palate closure in the neonate: preliminary report.

    abstract::Our recent experience with cleft palate closure in the neonatal period (within 28 days of birth) is reviewed in this study. The research involved a series of 21 neonates who presented with untreated cleft palates and underwent a modified Veau-Wardill-Kilner palate closure by a single surgeon between 1991 and 1994. The...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/1545-1569_1996_033_0057_cpcitn_2.3.co_2

    authors: Denk MJ,Magee WP Jr

    更新日期:1996-01-01 00:00:00

  • Surgical navigation technology for treatment of pneumosinus dilatans.

    abstract::The objective of this study is to present the use of surgical navigation in the selective removal of the anterior table of the frontal sinus in a patient with pneumosinus dilatans. A 16-year-old boy presented with progressive deformity of the forehead and left postauricular sulcus due to pneumosinus dilatans. Reconstr...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/06-144.1

    authors: Taub PJ,Narayan P

    更新日期:2007-09-01 00:00:00

  • Incidence of cleft lip and palate in Uganda.

    abstract:OBJECTIVE:The purpose of the study was to estimate the need for resources for cleft repairs in Uganda by determining the overall incidence of oral-facial clefts and the ratio of isolated cleft lip to isolated cleft palate to cleft lip and palate. DESIGN:A 1-year prospective study was implemented in seven hospitals and...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/09-076

    authors: Dreise M,Galiwango G,Hodges A

    更新日期:2011-03-01 00:00:00

  • Saethre-Chotzen syndrome: a case report.

    abstract::Saethre-Chotzen syndrome (acrocephalosyndactyly type III) is a craniosynostosis syndrome inherited in an autosomal dominant manner. Although similar to the other craniosynostosis syndromes in its clinical presentation, this syndrome is caused by a mutation in the TWIST1 gene. The TWIST1 gene product is a transcription...

    journal_title:The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

    pub_type: 杂志文章

    doi:10.1597/07-202.1

    authors: Peña WA,Slavotinek A,Oberoi S

    更新日期:2010-05-01 00:00:00