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Updated: Jun 25, 2026
07:54
Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Screening for obstructive sleep apnea in preschool children with cleft palate
J E Maclean1, K Waters, D Fitzsimons
1Department of Respiratory Medicine, University of Sydney, Sydney, NSW, Australia. JoannaM4@med.usyd.edu.au
Summary
Obstructive sleep apnea (OSA) affects over 30% of preschool children with cleft lip/palate, often unrecognized. Early identification and intervention are crucial for this high-risk group.
Area of Science:
- Pediatric Pulmonology
- Craniofacial Anomalies
- Sleep Medicine
Background:
- Children with cleft lip and/or palate (CLP) may have an increased risk of obstructive sleep apnea (OSA).
- Early identification of OSA is crucial for managing associated health issues in children with CLP.
Purpose of the Study:
- To determine the prevalence of OSA in preschool children with CLP.
- To identify common symptoms and clinical risk factors associated with OSA in this population.
Main Methods:
- Parental questionnaires were used to assess OSA symptoms in children aged 0-5 years followed by a cleft clinic.
- Data from 248 children were analyzed, including cleft classification and OSA risk factors.
Main Results:
- OSA was diagnosed in 31.4% of children with CLP; only 29.5% were investigated.
- Common symptoms included loud breathing, distractibility, and hyperactivity.
- Syndromic conditions were the only significant risk factor for OSA (p=0.05).
Conclusions:
- Preschool children with CLP have a significantly higher risk of OSA compared to the general population.
- OSA is underrecognized in children with CLP, highlighting the need for increased awareness and screening.
- Further research is necessary to elucidate specific risk factors for OSA in this vulnerable group.
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