Cleft lip and/or palate and breathing during sleep

  • MacLean J
  • Hayward P
  • Fitzgerald D
 et al. 
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Abstract

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. © 2009 Elsevier Ltd. All rights reserved.

Author-supplied keywords

  • Adenotonsillectomy
  • Continuous positive airway pressure
  • Mandibular distraction
  • Palatoplasty
  • Pharyngeal flap
  • Pharyngoplasty
  • Prone positioning
  • Sleep apnoea
  • Velo-pharyngeal insufficiency

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