{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:39:57Z","timestamp":1777523997810,"version":"3.51.4"},"reference-count":46,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:00Z","timestamp":1738281600000},"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":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To analyze the prevalence of obstructive sleep apnea (OSA) in children aged 6 to 12 years with nonsyndromic Robin sequence (NSRS) and in those with nonsyndromic cleft palate (NSCP). All patients presented complete cleft palate (Veau II).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary public hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>A total of 146 children divided into 2 groups: (1) NSRS (n\u2009=\u200969), (2) NSCP (n\u2009=\u200977).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>(1) Anthropometric assessment, dentoskeletal, and facial analysis. (2) Clinical interview with \u201cSleep Disturbance Scale for Children\u201d and \u201cCongestion Quantifier Five-Item\u201d (CQ5); and (3) 48 patients: Type IV polysomnography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Frequency of OSA in children with NSRS and NSCP, assessed by Type IV polysomnography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Positive scores for OSA were found in 59.42% of children with NSRS and 46.75% of those with NSCP (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&gt;\u2009.05). Excessive daytime sleepiness was observed in 23.19% of the NSRS group and 9.01% of the NSCP group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&gt;\u2009.05). Positive scores for nasal obstruction were noted in 14.49% with NSRS and 20.78% of those with NSCP (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&gt;\u2009.05). In polysomnography IV subgroups, an Oxygen Desaturation Index compatible with mild to moderate OSA was observed in 89.65% of the NSRS group and 78,94% of the NSCP group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&gt;\u2009.05). Also, facial and pharyngeal alterations, such as Angle Class II malocclusion, Mallampati classifications III and IV, and deep crossbite, were associated with OSA.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both children with NSRS and NSCP have a high frequency of mild to moderate OSA, highlighting the need for systematic evaluation of the presence of sleep-disordered breathing in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251316409","type":"journal-article","created":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T06:11:15Z","timestamp":1738303875000},"page":"828-837","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Robin Sequence and Isolated Cleft Palate are Associated With a High Prevalence of Obstructive Sleep Apnea in School-Aged Children"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9429-8298","authenticated-orcid":false,"given":"F\u00e1bio Luiz","family":"Banhara","sequence":"first","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies (HRAC), Univerity of S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9420-1118","authenticated-orcid":false,"given":"Ivy Kiemle","family":"Trindade-Suedam","sequence":"additional","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies (HRAC), Univerity of S\u00e3o Paulo"},{"name":"Bauru School of Dentistry, FOB-USP, Univerity of S\u00e3o Paulo, Bauru, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inge Elly Kiemle","family":"Trindade","sequence":"additional","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies (HRAC), Univerity of S\u00e3o Paulo"},{"name":"Bauru School of Dentistry, FOB-USP, Univerity of S\u00e3o Paulo, Bauru, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lais Mota Furtado","family":"Sena","sequence":"additional","affiliation":[{"name":"Bauru School of Medicine, FMBRU-USP, University of S\u00e3o Paulo, Bauru, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7642-0146","authenticated-orcid":false,"given":"Sergio Henrique Kiemle","family":"Trindade","sequence":"additional","affiliation":[{"name":"Hospital for Rehabilitation of Craniofacial Anomalies (HRAC), Univerity of S\u00e3o Paulo"},{"name":"Bauru School of Medicine, FMBRU-USP, University of S\u00e3o Paulo, Bauru, Brazil"},{"name":"Hospital for Rehabilitation of Craniofacial Anomalies (HRAC), University of S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,1,31]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2016.0796"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2018.11.010"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1159\/000513217"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000009090"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1183\/16000617.0133-2023"},{"issue":"6","key":"e_1_3_2_7_2","first-page":"955","article-title":"Pediatric sleep respiratory disorders: a narrative review of epidemiology and risk factors","volume":"10","author":"Piotto M","year":"2023","unstructured":"Piotto M, Gambadauro A, Rocchi A, et al. 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