Obstructive Sleep Apnea Following Pharyngeal Flap Surgery for Velopharyngeal Insufficiency: A Prospective Polysomnographic and Aerodynamic Study in Middle-Aged Adults

The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
Letícia Dominguez CamposInge Elly Kiemle Trindade

Abstract

To compare the frequency and severity of obstructive sleep apnea (OSA) in middle-aged adults who underwent pharyngeal flap surgery for velopharyngeal insufficiency (VPI) with matched subjects who did not undergo pharyngeal flap surgery and to verify the relationship between OSA severity and internal pharyngeal dimensions. National referral care center for cleft lip and palate. Prospective study on 42 nonsyndromic subjects with repaired cleft palate with flap (F group, n = 22) and without flap (NF group, n = 20), aged 40 to 58 years. The main outcome measure was the apnea-hypopnea index (AHI), measured by in-lab nocturnal polysomnography (PSG). The OSA-related symptoms were investigated by Pittsburgh, Epworth, and Berlin questionnaires. The nasopharyngeal or velopharyngeal (NP/VP) cross-sectional area was measured by modified anterior rhinomanometry in subgroups of the F (n = 14) and NF (n = 10) groups at rest and during speech. Differences were considered significant at P < .05. Questionnaire scores and frequency of self-reported symptoms of snoring, nasal obstruction, and breathing interruptions during sleep did not differ between groups. OSA was diagnosed by PSG in 60% and 77% of the NF and F subjects, respectively. The diffe...Continue Reading

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Citations

Jul 29, 2016·Plastic and Reconstructive Surgery·Kazuaki YamaguchiLun-Jou Lo
Jan 31, 2018·The Journal of Craniofacial Surgery·Mosaad Abdel-AzizMohamed Fawaz
May 6, 2016·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Ivy Kiemle Trindade-SuedamInge Elly Kiemle Trindade
May 31, 2018·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Marilia Sayako Yatabe-IoshidaIvy Kiemle Trindade-Suedam
Sep 15, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Mosaad Abdel-AzizAssem Abdel-Wahid
Jan 25, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Alfred LeeOksana A Jackson
May 29, 2019·Plastic and Reconstructive Surgery·Danielle H RochlinRobert M Menard
Sep 19, 2019·Cranio : the Journal of Craniomandibular Practice·Leticia Dominguez CamposIvy Kiemle Trindade-Suedam
Aug 19, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Kiyoko NakagawaMikihiko Kogo
May 1, 2019·American Journal of Medical Genetics. Part a·Oksana JacksonDonna McDonald-Mcginn
Jan 24, 2021·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Michele Garcia-UsóIvy Kiemle Trindade-Suedam
May 7, 2021·International Journal of Pediatric Otorhinolaryngology·Rebecca BellAlexander P Marston

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