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Velopharyngeal Dysfunction and Sleep Apnea-A Survey to Ascertain Surgical Practice Patterns
Summary
Experienced cleft surgeons are less likely to screen for obstructive sleep apnea (OSA) in patients with clefts. This impacts the evaluation and treatment of velopharyngeal dysfunction (VPD).
Area of Science:
- Craniofacial Surgery
- Sleep Medicine
- Pediatric Surgery
Background:
- Obstructive sleep apnea (OSA) is a common concern in patients with clefts.
- Evaluation of OSA is crucial for managing velopharyngeal dysfunction (VPD).
Purpose of the Study:
- To assess if cleft surgeons uniformly evaluate patients for OSA.
- To determine if OSA is adequately considered in the treatment of VPD.
Main Methods:
- A 22-question survey was emailed to 1117 members of the American Cleft Palate-Craniofacial Association.
- Logistic regression analyzed the impact of years in practice, clinical volume, training, and region on surgical management.
Main Results:
- A 21% response rate (231 surgeons) was achieved.
- Surgeons with more years in practice were less likely to screen for OSA or use sleep study results in management.
- Otolaryngologists showed higher rates of referring for postoperative sleep studies.
Conclusions:
- Significant trends exist in OSA screening and testing for VPD patients.
- Older surgeons demonstrated reduced likelihood of investigating OSA.
- Referral patterns for postoperative sleep studies varied among surgical specialties.
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