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Incidence of New-Onset Obstructive Sleep Apnea After Posterior Flap Pharyngoplasty in Children.
- Source :
-
Annals of plastic surgery [Ann Plast Surg] 2022 Aug 01; Vol. 89 (2), pp. 180-184. Date of Electronic Publication: 2021 Oct 08. - Publication Year :
- 2022
-
Abstract
- Introduction: Obstructive sleep apnea (OSA) is a well-recognized complication of velopharyngeal insufficiency (VPI) surgery, but studies assessing OSA by means of a respiratory polygraphy (PG) are scarce. The aim of the study was to evaluate the incidence of new-onset OSA after posterior flap pharyngoplasty (PFP).<br />Materials: The postoperative PG of children with VPI who had a normal preoperative PG were analyzed.<br />Results: Eighteen patients (mean age, 9.8 ± 4.8 years; Pierre Robin sequence [n = 5], isolated cleft palate [n = 7], 22q11 deletion [n = 3], and 3 other diagnoses) were included in the study. Mean delay between surgery and the postoperative PG was 11.5 ± 13.5 months. Two patients (11%) developed severe OSA after PFP. One patient with 22q11 deletion developed overt OSA symptoms immediately after surgery with an apnea-hypopnea index (AHI) of 39 events per hour, requiring continuous positive airway pressure (CPAP) therapy. Obstructive sleep apnea improved spontaneously after 10 months, with an AHI of 2 events/h after CPAP weaning. The second patient had a cleft palate associated with a fetal alcohol syndrome and developed OSA symptoms after surgery with an AHI of 18 events/h requiring CPAP therapy. He could be weaned from CPAP 6 months later after a complete section of the pharyngeal flap with an AHI of 6 events/h during spontaneous breathing.<br />Conclusions: New-onset OSA after PFP in children with VPI who had a normal preoperative PG was uncommon (11%) in the present cohort.<br />Competing Interests: Conflicts of interest and sources of funding: none declared.<br /> (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
- Subjects :
- Adolescent
Child
Child, Preschool
Humans
Incidence
Male
Pharynx surgery
Cleft Palate surgery
Sleep Apnea, Obstructive epidemiology
Sleep Apnea, Obstructive etiology
Sleep Apnea, Obstructive surgery
Velopharyngeal Insufficiency epidemiology
Velopharyngeal Insufficiency etiology
Velopharyngeal Insufficiency surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1536-3708
- Volume :
- 89
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Annals of plastic surgery
- Publication Type :
- Academic Journal
- Accession number :
- 34670983
- Full Text :
- https://doi.org/10.1097/SAP.0000000000003026