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The identification of children with cleft palate and sleep disordered breathing using a referral system

J E MacLean1, D Fitzsimons, P Hayward

  • 1Department of Respiratory Medicine, The Children's Hospital at Westmead, Westmead, New South Wales, Australia. joannam4@med.usyd.edu.au

Pediatric Pulmonology
|January 26, 2008
PubMed

Insights

Children with cleft palate have a high risk of sleep disordered breathing (SDB). Surgical status, particularly before palatoplasty, is linked to more severe SDB in these children.

Area of Science:

  • Pediatric Pulmonology
  • Craniofacial Anomalies
  • Sleep Medicine

Background:

  • Cleft palate increases the risk of sleep disordered breathing (SDB), but the extent and specific risk factors remain unclear.
  • Early identification of SDB in children with cleft palate is crucial for timely intervention.

Purpose of the Study:

  • To characterize the clinical features and sleep study outcomes in children with cleft palate.
  • To identify potential risk factors associated with SDB in this patient group.

Main Methods:

  • Retrospective chart review of sleep study results and clinical data from children with cleft palate.
  • Analysis of clinical features including age, gender, syndrome diagnosis, cleft classification, and surgical status.

Main Results:

  • 87% of children with cleft palate exhibited SDB, with 28% having severe SDB.
  • Surgical status was significantly associated with SDB severity, with pre-palatoplasty/pharyngoplasty linked to more severe SDB.

Conclusions:

  • Children with cleft palate face a substantial risk of SDB.
  • Further prospective studies are required to fully define SDB risk characteristics and key factors in this population.
Abstract

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