Acute obstructive sleep apnea as a complication of sphincter pharyngoplasty

Cleft Palate-Craniofacial Journal

Volumn 33, Issue 3, 1996, Pages 183-189

  Witt, Peter D ^a   Marsh, Jeffrey L ^a   Muntz, Harlan R ^a   Marty Grames, Lynn ^a   Watchmaker, Greg P ^a  

^a ST LOUIS CHILDREN S HOSPITAL   (United States)

Author keywords

continuous positive airway pressure; Pierre Robin sequence; sphincter pharyngoplasty obstructive sleep apnea; velopharyngeal; velopharyngeal dysfunction

Indexed keywords

ADOLESCENT; ARTICLE; CHILD; HUMAN; MAJOR CLINICAL STUDY; MICROGNATHIA; PALATOPHARYNGEAL INCOMPETENCE; PHARYNX RECONSTRUCTION; PIERRE ROBIN SYNDROME; POSITIVE END EXPIRATORY PRESSURE; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; SLEEP APNEA SYNDROME; SPEECH; SURGICAL TECHNIQUE; TREATMENT OUTCOME;

ADOLESCENT; CHILD; CHILD, PRESCHOOL; FEMALE; HUMANS; MALE; MICROGNATHISM; PALATE; PHARYNGEAL MUSCLES; PHARYNX; PIERRE ROBIN SYNDROME; POSITIVE-PRESSURE RESPIRATION; POSTOPERATIVE COMPLICATIONS; RETROSPECTIVE STUDIES; SLEEP APNEA SYNDROMES; SURGICAL FLAPS; TREATMENT OUTCOME; VELOPHARYNGEAL INSUFFICIENCY;

EID: 0029947507     PISSN: 10556656     EISSN: None     Source Type: Journal    
DOI: 10.1597/1545-1569(1996)033<0183:AOSAAA>2.3.CO;2     Document Type: Article

References (36)

1. CADIEUX RJ, KALES A, MCGLYNN TJ, JACKSON D, MANDERS EK, SIMMONDS MA. Sleep apnea precipitated by pharyngeal surgery in a patient with myotonic dystrophy. Arch Otolaryngol 1984;110:611-613.
2. CAOUETTE-LABERGE L, EGERSZEGI EP, DE REMONT AM, OTTENSEYER I. Long term follow-up after division and a pharyngeal flap for severe nasal obstruction. Cleft Palate Craniofac J 1992;29:27-31.
3. D'ANTONIO LL. Evaluation and management of velopharyngeal dysfunction: a speech pathologist's viewpoint. In: Lehman JA, ed. Cleft palate surgery. Hagerstown, MD: JB Lippincott, 1992:86-111.
4. EVERETT AD, KOCH WC, SAULSBURY FT. Failure to thrive due to obstructive sleep apnea. Clin Pediatr 1987;26:90-92.
5. FREDRICKSON JM, GOEBEL JA Obstructive sleep apnea. In: Insights in otolaryngology. St. Louis, MO: CV Mosby, 1986:Vol. 1.
6. GRAHAM WP, HAMILTON RK, RANDALL P, WINCHESTER R, STOOL S. Complications following posterior pharyngeal flap surgery. Cleft Palate Craniofac J 1973;10:176-180.
7. GREENBERG G, WATSON R, DEPTULA D. Neuropsychological dysfunction in sleep apnea. Sleep 1987;10:254-262.
8. GUILLEMINAULT C. Obstructive sleep apnea syndrome and its treatment in children: areas of agreement and controversy. Pediatr Pulmonol 1987;3:429-436.
9. GUILLEMINAULT C, CONNELLY S, WINKLE R. Cardiac arrhythmias during sleep in 400 patients with sleep apnea syndrome. Am J Cardiol 1983;52:490-494.
10. GUILLEMINAULT C, NINO-MURCIA G, HELDT G, BALDWIN R, HUTCHINSON D. Alternative treatment to tracheostomy in obstructive sleep apnea syndrome: nasal CPAP in young children. Pediatrics 1986;78:797-802.
11. GUILLEMINAULT C, STOOHS R. Chronic snoring and obstructive sleep apnea syndrome in children. Lung 1990;(Suppl):912-919.
12. HOFFMAN S, KAHN S, SEITCHAK M. Late problems in the management of the Pierre Robin syndrome. Plast Reconstr Surg 1960;36:504-510.
13. JACKSON I. Sphincter pharyngoplasty. Clin Plast Surg 1985;12:711-717.
14. JACKSON P, WHITAKER L, RANDALL P. Airway hazards associated with pharyngeal flaps in patients who have the Pierre Robin syndrome. Plast Reconstr Surg 1976;58:184-186.
15. KELLEHER JF. Pulse oximetry. J Clin Monitor 1989;5:37-62.
16. KONNO A, HOSHINO T, TOGAWA K. Influence of upper airway obstruction by enlarged tonsils and adenoids upon recurrent infection of the lower airway in childhood. Laryngoscope 1980;90:1709-1716.
17. KRAVATH RE, POLLAK CP, BOROWIEECKI B, WEITZMAN FD. Obstructive sleep apnea and death associated with surgical correction of velopharyngeal incompetence. J Pediatr 1980;96:645-648.
18. KUNA ST, SANT'AMBROGIO G. Pathophysiology of upper airway closure during sleep. JAMA 1991;266:1384-1389.
19. LEHMAN JA, FISHMAN JRA, NEIMAN GS. Treatment of cleft palate associated with Robin sequence: appraisal of risk factors. Cleft Palate Craniofac J 1995;32:25-29.
20. MOLL KL, HUFFMAN WC, LIERLE DM, SMITH JK. Factors related to the success of PF procedures. Plast Reconstr Surg 1963;32:581-588.
21. ORR WC, LEVINE NS, BUCHANAN RT. Effect of cleft palate repair and pharyngeal flap surgery on upper airway obstruction during sleep. Plast Reconstr Surg 1987;80:226-232.
22. ROBSON MC, STANKIEWICZ JA, MENDELSOHN JS Cor pulmonale secondary to cleft palate repair. Plast Reconstr Surg 1977;59:754.
23. ROSEN GM, MUCKLE RP, MAHOWALD MW, GODING GS, ULLEVIG C. Postoperative respiratory compromise in children with obstructive sleep apnea syndrome: can It be anticipated? Pediatrics 1994;93:784-788.
24. RUDDY J, STOKES M, PEARMAN K. Pharyngoplasty surgery and obstructive sleep apnoea. J Laryngol Otol 1991;105:195-197.
25. SHER AE, SHPRINTZEN RJ, THORPY MJ. Endoscopic observations of obstructive sleep apnea in children with anomalous upper airways: predictive and therapeutic value. Int J Pediatr Otorhinolaryngol 1986;11:135-146.
26. SHPRINTZEN RJ. Pharyngeal flap surgery and the pediatric upper airway. Int Anesthesiol Clin 1988;26:79.
27. SIROIS M, CAOUETTE-LABERGE L, SPIER S, LAROCQUE Y, EGERSZEGI EP. Sleep apnea following a pharyngeal flap: a feared complication. Plast Reconstr Surg 1994;93:943-947.
28. SLOAN GM, REINISCH JR, NICHTER LS. Surgical treatment of velopharyngeal insufficiency: pharyngoplasty vs. pharyngeal flap. Plast Surg Forum 1990;13:128.
29. SPIER S, RIVLIN J, ROWE RD, EGAN T. Sleep in Pierre Robin syndrome. Chest 1986;90:711-715
30. SUKERMAN S, HEALY GB. Sleep apnea syndrome associated with upper airway obstruction. Laryngoscope 1979;89:878-884.
31. SULLIVAN CE, ISSA FG, BERTHON-JONES M, EVES L. Reversal of obstructive sleep apnoea by CPAP applied through the nares. Lancet 1981;1:862-865.
32. THURSTON JB, LARSON DI, SHANKS JC, BENNELL JE, PARSONS RW. Nasal obstruction as a complication of pharyngeal flap surgery. Cleft Palate Craniofac J 1980;17:148-154.
33. VALNICEK SM, ZUKER RM, HALPERN LM, ROY WL. Perioperative complications of superior pharyngeal flap surgery in children. Plast Reconstr Surg 1994;98:954-958.
34. WATSON RK, THOMPSON AS. Treatment of sleep apnea. Conn Med 1992;56: 125-129.
35. WITT PD, MARSH JL, GRAMES LM, MUNTZ HR. Revision of the failed sphincter pharyngoplasty an outcome assessment. Plast Reconstr Surg 1995a;96:126-138.
36. WITT PD, MARSH JL, GRAMES LM, MUNTZ HR, GAY WD. Management of the hypodynamic velopharynx. Cleft Palate Craniofac J 1995b;32:179-187.