Int J Stomatol

Int J Stomatol ›› 2024, Vol. 51 ›› Issue (2): 233-240.doi: 10.7518/gjkq.2024028

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Management of ventilatory dysfunction associated with posterior pharyngeal flap pharyngoplasty

Yanan Li(),Bing Shi,Jingtao Li()   

  1. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2023-07-01 Revised:2023-11-08 Online:2024-03-01 Published:2024-03-11
  • Contact: Jingtao Li E-mail:liyanan990813@163.com;lijingtao86@163.com

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Abstract:

Posterior pharyngeal flap pharyngoplasty corrects velopharyngeal insufficiency by mechanically occluding the airway. Speech is improved in sacrifice of partial ventilation, increasing perioperative and long-term airway risks. Effective prevention and intervention of airway complications are critical to patient safety and life quality and cannot be ignored in sequence therapy. However, pharyngeal flap-related airway issues await further clarification. This paper focuses on the epidemiological characteristics, pathological mechanism, evaluation and diagnosis methods, and prevention and treatment of ventilation complications of posterior pharyngeal flap pharyngoplasty to provide reference for further optimization of the sequence treatment of cleft lip and palate related to airway problems.

Key words: cleft palate, velopharyngeal insufficiency, pharyngoplasty, nasal ventilation, sleep apnea

CLC Number: 

  • R782.2

TrendMD: 

Tab 1

The incidence and diagnostic criteria of ventilation dysfunction after PPF"

项目n诊断方法发生率参考文献
主观客观
Hirschberg（2012）1 064-多导睡眠监测

6.2%严重鼻气道阻塞

0.5%OSA

[32]
Rochlin（2021）670-分析数据库已诊断数据7.2%OSA[33]
Ysunza（1993）585-多导睡眠监测和鼻咽镜2.6%OSA[34]
Cole（2008）222-多导睡眠监测

8%氧饱和度下降

3.33%OSA

[6]
Reddy（2016）133-血氧饱和度监测1.5%[35]
Yamashita（2008）58自我报告睡眠通气障碍事件-55%（术后5个月）[28]
36%（术后1年）
Griner（2013）18-多导睡眠监测50%[7]
de Blacam（2022）109-多导睡眠监测6.4%OSA[36]
Yamaguchi（2016）38医生评估-

18.4%打鼾

5.3%睡眠障碍

-多导睡眠监测2.6%OSA[37]
Liao（2002）38-多导睡眠监测

成人90%OSA

儿童93%OSA

[31]
Luo（2020）30

主观量表

问卷调查

-

60%鼾症

33.3%通气障碍

[14]
Trabelsi（2021）18-呼吸多功能图11%OSA[38]
Orr（1987）10-多导睡眠监测90%OSA[30]

"

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