School of of Stomatology, Qingdao University, Qingdao 266555, China.
Dept. of Otolaryngology, Head and Neck Surgery, West Coast Hospital, the Affiliated Hospital of Qingdao University, Qingdao 266555, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2021 Oct 1;39(5):566-569. doi: 10.7518/hxkq.2021.05.011.
This study aims to investigate the incidence and severity of obstructive sleep apnea (OSA) in cleft patients with velopharyngeal insufficiency (VPI) after pharyngeal flap surgery (PFS) and explore the influence of operation age.
A retrospective study was conducted in 82 cleft patients after PFS. The patients were divided into two groups according to their age at the time of surgery. The incidence and severity of OSA were assessed at least 1.2 years (mean 6.0 years) postoperatively by polysomnography (PSG).
The incidence rates of OSA were 20% in the adult group and 31% in the child group. No significant difference was found between the two groups (=0.289). Patients with OSA in the adult and child groups were classified into different levels of severity (mild, moderate, severe) according to the apnea hypoventilation index (AHI). No statistically significant difference in the severity of OSA was found between the two groups (=0.079).
Some patients still have OSA average of 6.0 years after PFS, and operation ageis unrelated to the incidence and severity of OSA.
本研究旨在探讨腭裂伴咽腔瓣后发语音闭不全（VPI）患者阻塞性睡眠呼吸暂停（OSA）的发生率和严重程度，并探讨手术年龄的影响。
回顾性分析 82 例行咽腔瓣后腭裂患者的临床资料，根据手术年龄将患者分为两组，术后至少 1.2 年（平均 6.0 年）行多导睡眠监测（PSG）评估 OSA 的发生率和严重程度。
成人组 OSA 发生率为 20%，儿童组为 31%，两组间差异无统计学意义（=0.289）。成人组和儿童组 OSA 患者根据呼吸暂停低通气指数（AHI）分为不同严重程度（轻度、中度、重度），两组间 OSA 严重程度差异无统计学意义（=0.079）。
咽腔瓣后腭裂患者术后平均 6.0 年仍存在 OSA，手术年龄与 OSA 的发生率和严重程度无关。
