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Sleep-disordered Breathing in Children With Craniofacial Anomalies.
Juthamas Pongchangyoo1, Sumalee Hantragool2, Nond Rojvachiranonda3
1Department of Pediatrics, Faculty of Medicine, Chulalongkorn University.
The Journal of Craniofacial Surgery
|June 7, 2023
Summary
Sleep-disordered breathing (SDB) affects 15.4% of Thai children with craniofacial anomalies. Syndromic cases showed significantly higher SDB prevalence, highlighting the need for early screening in this vulnerable pediatric population.
Area of Science:
- Pediatric Pulmonology
- Craniofacial Medicine
- Sleep Medicine
Background:
- Sleep-disordered breathing (SDB) is prevalent in children with craniofacial anomalies.
- Limited data exists on SDB prevalence in Thai children with these conditions.
Purpose of the Study:
- To determine the prevalence of SDB in Thai children with craniofacial anomalies.
- To identify associated risk factors for SDB in this cohort.
Main Methods:
- Retrospective descriptive study of 512 Thai children (<15 years) with congenital craniofacial anomalies.
- Data collected from electronic medical records (2016-2021) at Princess Sirindhorn Craniofacial Center.
- Children classified into syndromic and nonsyndromic groups.
Main Results:
- Overall SDB prevalence was 15.4% (80/512 children).
- Obstructive sleep apnea was the most common diagnosis (10%).
- SDB prevalence was significantly higher in syndromic (46.7%) versus nonsyndromic (8.6%) groups (P <0.001).
- Risk factors included overweight, allergic rhinitis, tonsillar hypertrophy, high arch palate, micrognathia, and syndromic craniofacial anomalies.
Conclusions:
- SDB is a significant concern in Thai children with craniofacial anomalies, particularly those with syndromic conditions.
- Identifying risk factors aids in early detection and management.
- Improved screening and monitoring protocols are recommended for craniofacial patients.
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