Longitudinal follow-up of obstructive sleep apnea following Furlow palatoplasty in children with cleft palate: a preliminary report

Yu-Fang Liao, Claudia Yun, Chiung-Shing Huang, Philip K T Chen, Ning-Hung Chen, Kai-Fong Hung, Ming-Lung Chuang

Research output: Contribution to journalArticlepeer-review

39 Citations (Scopus)

Abstract

OBJECTIVE: To longitudinally investigate the incidence and severity of obstructive sleep apnea (OSA) following Furlow palatoplasty for velopharyngeal insufficiency (VPI) in children with cleft palate.

SUBJECTS: Ten children, six boys and four girls, mean age 5.1 years, at Furlow palatoplasty.

DESIGN: Prospective analysis.

MAIN OUTCOME MEASURES: Overnight polysomnographic studies were used to determine the incidence and severity of sleep apneas 1 day prior to Furlow palatoplasty, 1 week postoperatively, and approximately 3 and 6 months postoperatively.

RESULTS: None of the patients suffered OSA prior to Furlow palatoplasty. A high incidence of mild OSA (100%) occurred during the early postoperative period (p <.001) but resolved within 3 months in all but two patients (20%). Only one OSA (10%) persisted 6 months postoperatively.

CONCLUSIONS: Furlow palatoplasty for VPI in children with cleft palate might induce temporary and mild OSA.

Original languageEnglish
Pages (from-to)269-73
Number of pages5
JournalCleft Palate-Craniofacial Journal
Volume40
Issue number3
DOIs
Publication statusPublished - May 2003
Externally publishedYes

Keywords

  • Analysis of Variance
  • Chi-Square Distribution
  • Child, Preschool
  • Cleft Palate/complications
  • Female
  • Humans
  • Male
  • Oral Surgical Procedures/adverse effects
  • Palate, Soft/surgery
  • Polysomnography
  • Prospective Studies
  • Sleep Apnea, Obstructive/etiology
  • Speech Articulation Tests
  • Statistics, Nonparametric
  • Velopharyngeal Insufficiency/surgery
  • Voice Quality

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