Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2006-1-24
pubmed:abstractText
Sleep apnea in craniofacial surgery was investigated. Between January 1999 and December 2003, 18 patients were measured at an at least 6-month interval before and after surgery. Eight patients underwent palatoplasty for cleft palate, and the other 10 patients underwent orthognathic surgery, syndromic craniosynostosis, and postpharyngeal flap surgery. All patients included in the study demonstrated clinical signs of obstructive sleep apnea, such as snoring and cessation of breathing during sleep. An apnomonitor was used for presurgical and postsurgical sleep apnea status by measuring: 1) position during sleep; 2) percutaneous oxygen saturation; 3) respiratory analysis, such as the type of apnea-hypopnea, frequency of the events, and duration of apnea-hypopnea; 4) heart rate; and 5) snore analysis, such as trains, time, mean, and minimal and maximal amplifications. The apnea-hypopnea index (AHI) was significantly improved after surgery, especially in cases other than palatoplasty (7.4 +/- 8.73/h and 1.6 +/- 0.43/h, before and after surgery, respectively; P < 0.05 excluding palatoplasty). The percentage of snoring to total sleep was also improved significantly (22.4 +/- 19.74% and 9.0 +/- 8.54%, before and after surgery, respectively; P < 0.01 in all patients). Therefore, changes in sleep apnea parameters were elucidated in craniofacial surgery. Palatoplasty did not necessarily worsen the sleep apnea status, although there were snoring and anatomic abnormalities. Detachment of the pharyngeal flaps improved sleep apnea, and bimaxillary advancement was effective in normalizing sleep apnea.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
D
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
1049-2275
pubmed:author
pubmed:issnType
Print
pubmed:volume
17
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
44-9
pubmed:dateRevised
2009-11-3
pubmed:meshHeading
pubmed-meshheading:16432406-Adolescent, pubmed-meshheading:16432406-Adult, pubmed-meshheading:16432406-Child, pubmed-meshheading:16432406-Cleft Palate, pubmed-meshheading:16432406-Craniosynostoses, pubmed-meshheading:16432406-Female, pubmed-meshheading:16432406-Follow-Up Studies, pubmed-meshheading:16432406-Heart Rate, pubmed-meshheading:16432406-Humans, pubmed-meshheading:16432406-Infant, pubmed-meshheading:16432406-Male, pubmed-meshheading:16432406-Mandible, pubmed-meshheading:16432406-Maxillofacial Abnormalities, pubmed-meshheading:16432406-Oxygen, pubmed-meshheading:16432406-Pharynx, pubmed-meshheading:16432406-Posture, pubmed-meshheading:16432406-Respiration, pubmed-meshheading:16432406-Sleep, pubmed-meshheading:16432406-Sleep Apnea, Obstructive, pubmed-meshheading:16432406-Snoring, pubmed-meshheading:16432406-Surgical Flaps, pubmed-meshheading:16432406-Velopharyngeal Insufficiency
pubmed:year
2006
pubmed:articleTitle
Sleep disturbances detected by a sleep apnea monitor in craniofacial surgical patients.
pubmed:affiliation
Division of Plastic and Reconstructive Surgery, Department of Developmental and Reconstructive Medicine, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan. akitas@hf.rim.or.jp
pubmed:publicationType
Journal Article, Case Reports, Research Support, Non-U.S. Gov't