• The Journal of pediatrics · Apr 1980

    Case Reports

    Obstructive sleep apnea and death associated with surgical correction of velopharyngeal incompetence.

    • R E Kravath, C P Pollak, B Borowiecki, and E D Weitzman.
    • J. Pediatr. 1980 Apr 1; 96 (4): 645-8.

    AbstractWe have observed three children who developed obstructive sleep apnea immediately following construction of pharyngeal flaps designed to improve the speech of these patients with velopharyngeal incompetence. Postoperatively the patients were noted to have repeated episodes during sleep of strong respiratory efforts without airflow. Sleep apnea can be debilitating and lethal, and should be looked for following surgery of the upper airway. Respiratory depressants should be avoided. Airway intubation, revision of the surgery, or tracheostomy may be necessary.

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