Impact of Sleep and Breathing in Infants with Cleft Lip And/or Palate
نویسنده
چکیده
919 Outcomes of SDB in High Risk Infants at Three Years—Smith et al. INTRODUCTION Structural and functional changes present in the upper airway of infants with cleft lip and/or palate (CL/P) confer an increased risk of sleep disordered breathing (SDB).1 The changes in facial structures include decreased length and height of the maxilla, basal maxillary retrognathia, decreased length of the mandible, and mandibular retrognathia, which all result in a reduced size of the upper airway.2 Disturbance of the structure of the palate and altered insertions of the palatal muscles leads to dis-coordination of palatal movement with laryngeal muscles and also predisposes to airway obstruction.3,4 In both animal models and studies of newborn infants, these structural and functional changes are associated with a spectrum of airway compromise from life threatening airway obstruction to the intermittent airway obstruction during sleep of obstructive sleep apnea (OSA).5-8 In a study of 52 infants with CL/P who underwent PSG at a mean age of 2.7 ± 2.3 months, we demonstrated that 40% of infants had more than 10 obstructive IMPACT OF SLEEP AND BREATHING IN INFANTS WITH CLEFT LIP AND/OR PALATE
منابع مشابه
Evaluation of changes in sleep breathing patterns after primary palatoplasty in cleft children
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 cond...
متن کاملThe Prevalence of Different Types of Cleft Lip and Palate and Related Factors Among Newborns in North Khorasan Province, 2016 - 2017
Introduction: Cleft lip/palate is the most prevalent congenital anomaly of the head and neck area. This problem has a multifactorial nature and the causing factors have not yet been fully known. 60 percent of cleft lip is accompanied with cleft palate. The prevalence rate of this anomaly is estimated 1 in 700 people due to several studies. Methods: In this cross-sectional study data of the neon...
متن کاملThe Prevalence of Cleft Lip and Cleft Palate and Related Risk Factors among Iranian Children from 2000 to 2016: a Literature Review
BackgroundCleft lip and cleft palate (also, known as or facial clefts), are amongst the most common congenital deformities affecting the jaw and face as well as the most common defects associated with lip and palate. Thus, the current study was an attempt to investigate the prevalence and risk factors of or facial clefts in Iranian children.Materials and Methods:The present study, was conducted...
متن کاملCleft lip and Palate: A 30-year Epidemiologic Study in North-East of Iran
Introduction: Cleft lip and palate are among the most common congenital anomalies worldwide. This study was conducted in order to explore the incidence and related factors of cleft lip and/or palate (CL/P) among live births in Mashhad, North-Eastern Iran. Materials and Methods: In this cross-sectional study, records of 28,519 infants born between March 1982 and March 2011 at three major hospi...
متن کاملPrevalence of Associated Anomalies in Cleft Lip and/or Palate Patients
Introduction: Orofacial clefts are among the most common congenital anomalies. Patients presenting with orofacial clefts often require surgery or other complex procedures. A cleft lip or palate can be a single anomaly or a part of multiple congenital anomalies. The reported prevalence of cleft disease and associated anomalies varies widely across the literature, and is dependent on the diagnost...
متن کامل