Cleft lip and/or palate and breathing during sleep

被引:59
作者
MacLean, Joanna E. [1 ,2 ]
Hayward, Peter [3 ]
Fitzgerald, Dominic A. [1 ,2 ]
Waters, Karen [1 ,2 ]
机构
[1] Univ Sydney, Fac Med, Discipline Paediat & Child Hlth, Sydney, NSW 2006, Australia
[2] Childrens Hosp Westmead, Dept Resp Med, Sydney, NSW, Australia
[3] Childrens Hosp Westmead, Dept Plast Surg, Sydney, NSW, Australia
关键词
Sleep apnoea; Palatoplasty; Pharyngoplasty; Pharyngeal flap; Velo-pharyngeal insufficiency; Prone positioning; Adenotonsillectomy; Continuous positive airway pressure; Mandibular distraction; UPPER AIRWAY-OBSTRUCTION; PIERRE-ROBIN-SEQUENCE; PHARYNGEAL FLAP SURGERY; VELOPHARYNGEAL INSUFFICIENCY; ROBIN; PIERRE SEQUENCE; ORTHOGNATHIC SURGERY; FURLOW PALATOPLASTY; FACIAL GROWTH; SPHINCTER PHARYNGOPLASTY; HOME MANAGEMENT;
D O I
10.1016/j.smrv.2009.03.001
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Cleft of the lip and/or palate (CL/P) is a common defect which is associated with changes in facial structures and a smaller upper airway. As a result, infants and children with CL/P have an increased risk of sleep disordered breathing (SDB). This paper will review the anatomical and functional factors which place infants and children with CL/P at increased risk of SDB as well as review the literature which defines the magnitude of this risk. The information available on treatment of SDB in infants and children with CL/P will be presented. Finally, outstanding issues relevant to SDB in children with CL/P are discussed with direction for future research. (c) 2009 Elsevier Ltd. All rights reserved.
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页码:345 / 354
页数:10
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