Screening for Obstructive Sleep Apnea in Preschool Children with Cleft Palate

MacLean, Joanna E.; Waters, Karen A.; Fitzsimons, David; Hayward, Peter G.; Fitzgerald, Dominic A.

doi:10.1597/07-215.1

Cited by 49 publications

(67 citation statements)

References 47 publications

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“…d) One meta-analysis identified craniofacial characteristics consistent with OSAS [28], whereas a second meta-analysis suggested that the differences between children with SDB and controls are of marginal clinical significance [29]. e) All relevant publications are of class III or IV [30][31][32]. Not all studies concluded that repair of cleft palate increases the risk of OSAS [32][33][34].…”

Section: Literature Reviewmentioning

confidence: 99%

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Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

et al. 2015

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This document summarises the conclusions of a European Respiratory Society Task Force on the diagnosis and management of obstructive sleep disordered breathing (SDB) in childhood and refers to children aged 2-18 years. Prospective cohort studies describing the natural history of SDB or randomised, double-blind, placebo-controlled trials regarding its management are scarce. Selected evidence (362 articles) can be consolidated into seven management steps. SDB is suspected when symptoms or abnormalities related to upper airway obstruction are present (step 1). Central nervous or cardiovascular system morbidity, growth failure or enuresis and predictors of SDB persistence in the long-term are recognised (steps 2 and 3), and SDB severity is determined objectively preferably using polysomnography (step 4). Children with an apnoea-hypopnoea index (AHI) >5 episodes·h, those with an AHI of 1-5 episodes·h −1 and the presence of morbidity or factors predicting SDB persistence, and children with complex conditions (e.g. Down syndrome and Prader-Willi syndrome) all appear to benefit from treatment (step 5). Treatment interventions are usually implemented in a stepwise fashion addressing all abnormalities that predispose to SDB (step 6) with re-evaluation after each intervention to detect residual disease and to determine the need for additional treatment (step 7). @ERSpublications Management of obstructive sleep disordered breathing in childhood should follow a stepwise approach

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Section: Literature Reviewmentioning

confidence: 99%

“…e) All relevant publications are of class III or IV [30][31][32]. Not all studies concluded that repair of cleft palate increases the risk of OSAS [32][33][34].…”

Section: Literature Reviewmentioning

confidence: 99%

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

et al. 2015

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“…10,12,13 These anatomical differences may place these patients at increased risk of SDB, with studies estimating the risk of OSA to be between 22% and 65% in infants and children with CP/L. 7,14,15 In addition to being at risk of OSA because of congenital anatomical differences, patients with CP/L are at additional increased risk secondary to surgical procedures performed to help correct or repair the cleft and to improve speech. Approximately 10% to 35% of children with CP/L require surgery for velopharyngeal insufficiency (VPI), [16][17][18] usually through procedures such as palatoplasty, pharyngeal flap, and sphincter pharyngoplasty.…”

Section: Leep-disordered Breathingmentioning

confidence: 99%

“…3,4 The SDB prevalence in this study is consistent with the range of 22% to 65% reported in other studies. 7,14,15 The youngest age group, 0 to 2 years old, had the largest number of patients diagnosed as having SDB; however, this group had the fewest patients undergoing PSG. All the patients who underwent PSG from this age group had abnormal results.…”

Section: Commentmentioning

confidence: 99%

Increased Prevalence of Obstructive Sleep Apnea in Patients With Cleft Palate

Robison¹,

Otteson²

2011

Arch Otolaryngol Head Neck Surg

112

111

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“…Children with cleft lip and/or palate (CL/P) are known to be at increased risk for sleep disordered breathing and/or OSA [2][3][4][5][6][7][8][9], with a recent study showing that 14.7% of children with isolated CL/P screened positive for OSA [7]. Abnormal craniofacial structure and anatomic changes to the nose, nasopharynx, oropharynx, and/or palate associated with CL/P may contribute to airway obstruction.…”

Section: Introductionmentioning

confidence: 99%

Obstructive sleep apnea in children with cleft lip and/or palate: Results of an epidemiologic study

Carlson¹,

Sobol²,

Pien³

et al. 2017

Dent Oral Craniofac Res

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Introduction: Children with cleft lip and/or palate are at increased risk of obstructive sleep apnea. The prevalence of obstructive sleep apnea in this population is unknown. The purpose of this study was to assess the frequency of obstructive symptoms and obstructive sleep apnea diagnosis in the cleft population. We hypothesized that obstructive symptoms present more frequently in children with orofacial clefts than unaffected children, and that frequency varies by cleft sub-type.

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Screening for Obstructive Sleep Apnea in Preschool Children with Cleft Palate

Cited by 49 publications

References 47 publications

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management

Increased Prevalence of Obstructive Sleep Apnea in Patients With Cleft Palate

Obstructive sleep apnea in children with cleft lip and/or palate: Results of an epidemiologic study

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