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Risk Assessment of Sleep Disordered Breathing in Cleft Lip and/or Palate.
Alec H Fisher1, Luke Stanisce2, Zach J Nelson3
1Division of Plastic Surgery, Cooper University Health Care, Camden, NJ, USA.
Summary
Pediatric screening for sleep disordered breathing (SDB) in children with cleft lip and/or palate (CL/P) identified a high rate of obstructive sleep apnea (OSA). Class III dental occlusion and maxillary retrusion were associated with SDB in this population.
Area of Science:
- Pediatric Sleep Medicine
- Craniofacial Anomalies
- Respiratory Disorders
Background:
- Children with cleft lip and/or palate (CL/P) face an elevated risk of sleep disordered breathing (SDB), including obstructive sleep apnea (OSA).
- Routine screening for SDB is crucial in this vulnerable pediatric population.
Purpose of the Study:
- To audit the outcomes of SDB screening using the Chevrin Pediatric Sleep Questionnaire (PSQ) in children with CL/P.
- To identify predictors of SDB in non-syndromic CL/P patients.
Main Methods:
- Retrospective analysis of 239 non-syndromic CL/P patients over 36 months.
- Univariate logistic regression assessed predictors for SDB (PSQ score > 8).
- Outcomes of screening and subsequent polysomnography (PSG) were tracked.
Main Results:
- 18% of patients (43/239) had positive PSQ scores.
- Positive PSQ was associated with class III dental occlusion and maxillary retrusion (OR=2.65).
- 84% of patients who completed PSG (21/25) were diagnosed with OSA.
Conclusions:
- Routine SDB screening effectively identifies children with CL/P at risk for OSA.
- Class III dental occlusion and maxillary retrusion are significant indicators of SDB in this cohort.
- High OSA prevalence necessitates further investigation and management in CL/P patients.
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