{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T04:40:40Z","timestamp":1772080840738,"version":"3.50.1"},"reference-count":8,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2012,11,21]],"date-time":"2012-11-21T00:00:00Z","timestamp":1353456000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215112002563_sec1\"><jats:title>Introduction:<\/jats:title><jats:p>Infants are obligate nasal breathers. Cleft palate closure may result in upper airway compromise. We describe children undergoing corrective palatal surgery who required unplanned airway support.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112002563_sec2\"><jats:title>Setting:<\/jats:title><jats:p>Tertiary referral unit.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112002563_sec3\"><jats:title>Method:<\/jats:title><jats:p>Retrospective study (2007\u20132009) of 157 cleft palate procedures (70 primary procedures) in 43 patients. Exclusion criteria comprised combined cleft lip and palate, secondary palate procedure, and pre-existing airway support.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112002563_sec4\"><jats:title>Results:<\/jats:title><jats:p>The children's mean age was 7.5 months and their mean weight 7.72\u00a0kg. Eight children were syndromic, and eight underwent pre-operative sleep studies (five positive, three negative). Post-operatively, five developed respiratory distress and four required oxygen, both events significantly associated with pre-operative obstructive sleep apnoea (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.001 and 0.015, respectively). Four desaturated within 24 hours. Five required a nasopharyngeal airway. Hospital stay (mean, 4 days) was significantly associated with obstructive sleep apnoea (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.002) and nasopharyngeal airway insertion (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.017).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112002563_sec5\"><jats:title>Discussion:<\/jats:title><jats:p>Pre-operative obstructive sleep apnoea correlated significantly with post-operative respiratory distress, supplementary oxygen requirement, nasopharyngeal airway insertion and hospital stay. We recommend pre-operative sleep investigations for all children undergoing cleft palate repair, to enable appropriate timing of the procedure.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215112002563","type":"journal-article","created":{"date-parts":[[2012,11,21]],"date-time":"2012-11-21T08:40:38Z","timestamp":1353487238000},"page":"65-66","source":"Crossref","is-referenced-by-count":29,"title":["Post-operative respiratory distress following primary cleft palate repair"],"prefix":"10.1017","volume":"127","author":[{"given":"D","family":"Smith","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S E F H J","family":"Abdullah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Moores","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D M","family":"Wynne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2012,11,21]]},"reference":[{"key":"S0022215112002563_ref8","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569(1996)033<0057:CPCITN>2.3.CO;2"},{"key":"S0022215112002563_ref2","volume-title":"Cleft Lip and\/or Palate: Report of a CSAG Committee","year":"1998"},{"key":"S0022215112002563_ref1","doi-asserted-by":"publisher","DOI":"10.1093\/ortho\/26.2.121"},{"key":"S0022215112002563_ref6","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198708000-00010"},{"key":"S0022215112002563_ref5","first-page":"156","article-title":"Complications of primary palatoplasty: a twenty-one year review","volume":"25","author":"Moore","year":"1988","journal-title":"Cleft Palate J"},{"key":"S0022215112002563_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2005.00639.x"},{"key":"S0022215112002563_ref7","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569(2002)039<0145:AOFPAO>2.0.CO;2"},{"key":"S0022215112002563_ref3","first-page":"423","article-title":"Optimal timing of cleft palate","volume":"106","author":"Rohrich","year":"2000","journal-title":"Plast Reconstr Surg"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215112002563","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,24]],"date-time":"2019-04-24T16:28:00Z","timestamp":1556123280000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215112002563\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,11,21]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,1]]}},"alternative-id":["S0022215112002563"],"URL":"https:\/\/doi.org\/10.1017\/s0022215112002563","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,11,21]]}}}