The Effect of Palatoplasty on Airway Patency and Growth in Infants With Clefts and Failure to Thrive

作者: J. Milerad , M. Ideberg , O. Larson

DOI: 10.3109/02844318909004502

关键词: Sleep apneaMedicineGas homeostasisRespiratory failureAnesthesiaHypoxemiaPalatoplastyHypoventilationAirwayFailure to thrive

摘要: We monitored respiratory patterns, transcutaneous PO2 (tcPO2) and PCO2 in three infants with clefts severe failure to thrive. Unexplained dysphagia, muscular weakness cardiac enlargement were other prominent symptoms. During sleep, repeated obstructive apneas accompanied by significant hypoxemia (tcPO2 less than 6 kPa) recorded all infants. Relief of the obstructions means nasopharyngeal intubation led rapid growth catch-up disappearance gastrointestinal This improvement clinical condition was paralleled an increase PO2. Palatal closure according Veau-Wardill-Killner a marked decrease number airway blood gas homeostasis. The equally improved. suggest that investigation should be performed poor spite adequate caloric intake. Early palate considered signs failure.

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