Obstructive sleep apnea in obese children and adolescents, treatment methods and outcome of treatment – A systematic review

Author(s):  
Ida Gillberg Andersen ◽  
Jens-Christian Holm ◽  
Preben Homøe
2015 ◽  
Vol 16 (11) ◽  
pp. 1409-1412 ◽  
Author(s):  
Annelies Van Eyck ◽  
Chinouk Lambrechts ◽  
Liesbeth Vanheeswijck ◽  
Kim Van Hoorenbeeck ◽  
Dominique Haentjens ◽  
...  

Author(s):  
Monique Slaats ◽  
Wim Vos ◽  
Cedric Van Holsbeke ◽  
Jan De Backer ◽  
Kim Van Hoorenbeeck ◽  
...  

2021 ◽  
Author(s):  
Luisa Pedrada de Sousa ◽  
Fernanda Mayrink Gonçalves Liberato ◽  
Fernanda Maria Vendrusculo ◽  
Márcio Vinícius Fagundes Donadio ◽  
Roberta Ribeiro Batista Barbosa

Author(s):  
Annelies Van Eyck ◽  
Liesbeth Vanheeswijck ◽  
Chinouk Lambrechts ◽  
Kim Van Hoorenbeeck ◽  
An Boudewyns ◽  
...  

Author(s):  
Emily Concepcion ◽  
Suzanne Burke-McGovern ◽  
A. Mercado ◽  
Ahsan Bashir ◽  
Haesoon Lee

2019 ◽  
Vol 4 (5) ◽  
pp. 878-892
Author(s):  
Joseph A. Napoli ◽  
Linda D. Vallino

Purpose The 2 most commonly used operations to treat velopharyngeal inadequacy (VPI) are superiorly based pharyngeal flap and sphincter pharyngoplasty, both of which may result in hyponasal speech and airway obstruction. The purpose of this article is to (a) describe the bilateral buccal flap revision palatoplasty (BBFRP) as an alternative technique to manage VPI while minimizing these risks and (b) conduct a systematic review of the evidence of BBFRP on speech and other clinical outcomes. A report comparing the speech of a child with hypernasality before and after BBFRP is presented. Method A review of databases was conducted for studies of buccal flaps to treat VPI. Using the principles of a systematic review, the articles were read, and data were abstracted for study characteristics that were developed a priori. With respect to the case report, speech and instrumental data from a child with repaired cleft lip and palate and hypernasal speech were collected and analyzed before and after surgery. Results Eight articles were included in the analysis. The results were positive, and the evidence is in favor of BBFRP in improving velopharyngeal function, while minimizing the risk of hyponasal speech and obstructive sleep apnea. Before surgery, the child's speech was characterized by moderate hypernasality, and after surgery, it was judged to be within normal limits. Conclusion Based on clinical experience and results from the systematic review, there is sufficient evidence that the buccal flap is effective in improving resonance and minimizing obstructive sleep apnea. We recommend BBFRP as another approach in selected patients to manage VPI. Supplemental Material https://doi.org/10.23641/asha.9919352


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