{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:26:20Z","timestamp":1787765180043,"version":"build-2784847793"},"reference-count":39,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2018,12,13]],"date-time":"2018-12-13T00:00:00Z","timestamp":1544659200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To determine whether nonsupine sleep improves obstructive sleep apnea (OSA) in infants with cleft palate undergoing polysomnography (PSG).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Retrospective chart review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Tertiary care pediatric hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients:<\/jats:title>\n                    <jats:p>Twenty-seven infants (1 month to 1 year) with cleft palate with or without cleft lip (CP \u00b1 L) undergoing PSG testing for suspected OSA were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures:<\/jats:title>\n                    <jats:p>\n                      Polysomnography measures included obstructive apnea\u2013hypopnea index (OAHI), central apnea\u2013hypopnea index (CAHI), oxygen saturation (SpO\n                      <jats:sub>2<\/jats:sub>\n                      ) nadir, SpO\n                      <jats:sub>2<\/jats:sub>\n                      , and end-tidal carbon dioxide (ETCO\n                      <jats:sub>2<\/jats:sub>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Twenty-three PSGs with at least 20 minutes of sleep in both the supine and the nonsupine positions were analyzed. The supine OAHI (mean: 16.8 events\/hour; standard deviation [SD]: 18.5) and nonsupine OAHI (mean: 12.6 events\/hour; SD: 12.6) did not differ significantly (\n                      <jats:italic>P<\/jats:italic>\n                      = .10). The supine CAHI (mean: 1.9 events\/hour; SD: 2.7) and nonsupine CAHI (mean: 3.1 events\/hour; SD: 3.7;\n                      <jats:italic>P<\/jats:italic>\n                      = .15), the supine SpO\n                      <jats:sub>2<\/jats:sub>\n                      nadir (mean: 81.2%; SD: 6.3) and nonsupine SpO\n                      <jats:sub>2<\/jats:sub>\n                      nadir (mean: 81.8%; SD: 5.3;\n                      <jats:italic>P<\/jats:italic>\n                      = .70), the supine mean SpO\n                      <jats:sub>2<\/jats:sub>\n                      (mean: 95.5%; SD: 1.9) and nonsupine mean SpO\n                      <jats:sub>2<\/jats:sub>\n                      saturation (mean: 95.3%; SD: 2.4;\n                      <jats:italic>P<\/jats:italic>\n                      = .34), and the supine ETCO\n                      <jats:sub>2<\/jats:sub>\n                      (mean: 45.4 mm Hg; SD: 5.3) and nonsupine ETCO\n                      <jats:sub>2<\/jats:sub>\n                      (mean: 42.5 mm Hg; SD: 10.1;\n                      <jats:italic>P<\/jats:italic>\n                      = .24) were also similar.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>There were no significant improvements in OSA metrics during nonsupine sleep in infants with CP \u00b1 L. Prior to recommending nonsupine positioning which increases infant\u2019s exposure to sudden infant death syndrome risk, we advocate obtaining a PSG to verify an objective improvement in OSA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665618817664","type":"journal-article","created":{"date-parts":[[2018,12,13]],"date-time":"2018-12-13T23:07:57Z","timestamp":1544742477000},"page":"890-895","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Obstructive Sleep Apnea and Sleep Position: Does It Matter for Infants With a Cleft Palate?"],"prefix":"10.1177","volume":"56","author":[{"given":"Christopher J.","family":"Greenlee","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, University of Colorado School of Medicine, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa A.","family":"Scholes","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, University of Colorado School of Medicine, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dexiang","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Informatics, Colorado School of Public Health, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norman R.","family":"Friedman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, University of Colorado School of Medicine, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,12,13]]},"reference":[{"key":"e_1_3_2_2_1","volume-title":"International Classification of Sleep Disorders","author":"American Academy of Sleep Medicine","year":"2014","unstructured":"American Academy of Sleep Medicine. 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