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South European journal of orthodontics and dentofacial research, Vol. 1 No. 1, 2014.

Pregledni rad
https://doi.org/10.5937/sejodr1-15236

Evaluation of changes in sleep breathing patterns after primary palatoplasty in cleft children

David M. Wynne ; Royal Hospital for Sick Children, Yorkhill, Glasgow, Scotland
Reilly E. Justice ; Royal Hospital for Sick Children, Yorkhill, Glasgow, Scotland
Craig J. H. Russel ; Royal Hospital for Sick Children, Yorkhill, Glasgow, Scotland
Neil A. Gibson ; Royal Hospital for Sick Children, Yorkhill, Glasgow, Scotland
Tony Moores ; Royal Hospital for Sick Children, Yorkhill, Glasgow, Scotland
Arup K. Ray ; Royal Hospital for Sick Children, Yorkhill, Glasgow, Scotland
Mark F. Devlin ; Royal Hospital for Sick Children, Yorkhill, Glasgow, Scotland

Puni tekst: engleski, pdf (86 KB) str. 10-14 preuzimanja: 233* citiraj
APA 6th Edition
Wynne, D.M., Justice, R.E., Russel, C.J.H., Gibson, N.A., Moores, T., Ray, A.K. i Devlin, M.F. (2014). Evaluation of changes in sleep breathing patterns after primary palatoplasty in cleft children. South European journal of orthodontics and dentofacial research, 1 (1), 10-14. https://doi.org/10.5937/sejodr1-15236
MLA 8th Edition
Wynne, David M., et al. "Evaluation of changes in sleep breathing patterns after primary palatoplasty in cleft children." South European journal of orthodontics and dentofacial research, vol. 1, br. 1, 2014, str. 10-14. https://doi.org/10.5937/sejodr1-15236. Citirano 16.02.2019.
Chicago 17th Edition
Wynne, David M., Reilly E. Justice, Craig J. H. Russel, Neil A. Gibson, Tony Moores, Arup K. Ray i Mark F. Devlin. "Evaluation of changes in sleep breathing patterns after primary palatoplasty in cleft children." South European journal of orthodontics and dentofacial research 1, br. 1 (2014): 10-14. https://doi.org/10.5937/sejodr1-15236
Harvard
Wynne, D.M., et al. (2014). 'Evaluation of changes in sleep breathing patterns after primary palatoplasty in cleft children', South European journal of orthodontics and dentofacial research, 1(1), str. 10-14. doi: https://doi.org/10.5937/sejodr1-15236
Vancouver
Wynne DM, Justice RE, Russel CJH, Gibson NA, Moores T, Ray AK i sur. Evaluation of changes in sleep breathing patterns after primary palatoplasty in cleft children. South European journal of orthodontics and dentofacial research [Internet]. 2014 [pristupljeno 16.02.2019.];1(1):10-14. doi: https://doi.org/10.5937/sejodr1-15236
IEEE
D.M. Wynne, et al., "Evaluation of changes in sleep breathing patterns after primary palatoplasty in cleft children", South European journal of orthodontics and dentofacial research, vol.1, br. 1, str. 10-14, 2014. [Online]. doi: https://doi.org/10.5937/sejodr1-15236

Sažetak
Introduction: There is a need to more clearly understand the characteristics of breathing patterns in children with cleft palate in the first year of life, as there is little data available to guide current practice. Pierre Robin patients are known to have a higher incidence, however we hypothesised sleep breathing disturbance is not confined to this sub-group of cleft patient.
Methods: We conducted a prospective observational study of sleep disordered breathing patterns in a cohort of infants with oro-nasal clefts (cleft palate with or without cleft lip) to describe the spectrum of sleep breathing patterns both pre and post palate repair. Sleep breathing studies were performed pre- and post-operatively in sequential infants referred to a regional cleft lip and palate unit. Results of sleep breathing studies were analysed according to American Academy of Sleep Medicine scoring guidelines and correlated with clinical history and details of peri-operative respiratory compromise. The degree of sleep disordered breathing was characterised using desaturation indices (number of desaturations from baseline SpO2 of >=4%, per hour).
Results: Thirty-nine infants were included in this study, twenty-five female and fourteen male. Twelve had isolated Cleft Palate as part of an associated syndrome. Patients were categorised into Isolated Cleft Palate, Isolated Cleft Palate in the context of Pierre Robin Sequence, and those with Cleft Lip and Palate. All groups demonstrated some degree of sleep breathing abnormality. Not unsurprisingly the eight infants with Pierre Robin Sequence had a significantly higher desaturation index before surgical intervention (p=0.043), and were more likely to require a pre-operative airway intervention (p=0.009). Palate repair in this group did not alter the relative distribution of patients in each severity category of sleep disorder breathing. Surgical repair of the secondary palate in the remaining children was associated with some improvement but by no means complete resolution of their sleep disordered breathing patterns.
Conclusions: We conclude that sleep breathing disturbance is not confined to Pierre Robin patients alone and all cleft palate patients should undergo pre-operative and post-operative sleep breathing analysis.

Hrčak ID: 128233

URI
https://hrcak.srce.hr/128233

Posjeta: 376 *