Snoring Research Today is a free monthly online journal that collates and summarizes the latest research about Snoring, including details on treatment, remedy, causes, prevention. | ||||||
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Treatment of Velopharyngeal Insufficiency After Cleft Palate Repair Depending on the Velopharyngeal Closure Pattern.Abdel-Aziz M, El-Hoshy H, Ghandour H From the *Department of Otolaryngology, Faculty of Medicine, Cairo University; and †Department of Otolaryngology, Phoniatric Unit, Faculty of Medicine, Ain Shams University, Cairo, Egypt. Velopharyngeal insufficiency (VPI) is a common problem after cleft palate repair; secondary surgery may be needed to treat this condition. Pharyngeal flap is usually selected for cases with sagittal closure pattern, and sphincter pharyngoplasty is used for cases with coronal closure pattern, whereas cases with circular closure pattern may be puzzling. The objective of this prospective study was to assess the efficacy of tailoring the surgical technique to the preoperative velopharyngeal closure (VPC) pattern and to determine the success of sphincter pharyngoplasty for cases with circular closure pattern.This study was conducted on 48 patients, who presented with postpalatoplasty VPI; the cases were classified into 3 groups according to the VPC: group A of coronal VPC was treated with sphincter pharyngoplasty, group B of sagittal VPC was treated with pharyngeal flap, and group C that exhibited circular VPC was treated with sphincter pharyngoplasty. Speech analysis, nasalance score, and nasopharyngoscopic data were recorded preoperatively and 6 months postoperatively. Also, snoring and sleep apnea were assessed.There were no significant differences between the groups regarding the speech, nasometric, and nasopharyngoscopic data. Although snoring was significantly higher after pharyngeal flap, there was no significant difference regarding apnea.Selection of the surgical procedure depending on the type of preoperative VPC pattern for treatment of postpalatoplasty VPI is an appropriate method. In case of circular closure pattern, sphincter pharyngoplasty is the operation of choice as it has a lower incidence of postoperative snoring than pharyngeal flap. Published 11 May 2011 in J Craniofac Surg. Articles on Snoring published 6 May 2011: Parental Knowledge of Healthy Sleep in Young Children: Results of a Primary Care Clinic Survey. J Dev Behav Pediatr. OBJECTIVE:: The purpose of this study was to examine the associations among parental knowledge and beliefs about healthy sleep, sleep practices, and insufficient sleep in a pediatric primary care clinic sample. METHODS:: A convenience sample of caregivers of patients between 3 months and 12 years attending a hospital-based pediatric primary care clinic in an academic center completed a brief survey on (1) child sleep habits, (2) basic sleep knowledge, and (3) beliefs and attitudes regarding ... [Abstract] [Full-text] Articles on Snoring published 4 May 2011: Structural characteristics of the soft palate and meatus nasopharyngeus in brachycephalic and non-brachycephalic dogs analysed by CT. J Small Anim Pract, 52(5): 232-9. Objectives: The goal of this study was to compare the dimensions of the soft palate and cross-sectional area of the meatus nasopharyngeus in non-brachycephalic dogs and brachycephalic dogs with different degrees of severity of brachycephalic airway syndrome using computed tomography. Methods: A total of 26 brachycephalic dogs that had at least one of four major symptoms of snoring, inspiratory effort, stress or exercise intolerance, and syncope were included in this prospective study. The dogs ... [Abstract] [Full-text] Articles on Snoring published 3 May 2011: Snoring is not associated with adverse effects on blood pressure, arterial structure or function in 8-year-old children: The Childhood Asthma Prevention Study (CAPS). J Paediatr Child Health. Aims: To study the association between childhood snoring and cardiovascular risk factors. Methods: Cross-sectional analyses of a population-based birth cohort, who had been participants in a randomised controlled trial of interventions to prevent asthma and who were assessed at age 8 years. The presence and frequency of snoring were assessed by parent-completed questionnaire. We measured a wide range of cardiovascular function markers including non-fasting serum lipoproteins, blood ... [Abstract] [Full-text] Effects of soft palate implants on acoustic characteristics of voice and articulation. J Voice, 25(3): 381-6. Articles on Snoring published 2 May 2011: Hearing others' pain: neural activity related to empathy. Cogn Affect Behav Neurosci. The human voice is one of the principal conveyers of social and affective communication. Recent neuroimaging studies have suggested that observing pain in others activates neural representations similar to those from the first-hand experience of pain; however, studies on pain expressions in the auditory channel are lacking. We conducted a functional magnetic resonance imaging study to examine brain responses to emotional exclamations of others' pain. The control condition comprised positive ... [Abstract] [Full-text] Radiofrequency treatment in simple snoring: tolerance, safety and results. Acta Otorrinolaringol Esp. OBJECTIVE: Snoring is a non-pathologic social problem. In the search for non-aggressive efficacious treatment, we introduce our experience in using temperature-controlled radiofrequency treatment for snoring. METHODS: A 6-month follow-up revision of thirty-seven patients that received a mean of 1.1 radiofrequency treatment sessions at turbinates, soft palate, tonsils and/or tongue-base. RESULTS: Mean sample age was 39.6+-9 years; mean BMI was 29.5±4. Good tolerance was presented by 78% of our ... [Abstract] [Full-text] Articles on Snoring published 27 April 2011: Clinical Equipoise in Sleep Surgery: Investigating Clinical Trial Targets. Otolaryngol Head Neck Surg. Objective. Surgical approaches for alleviating snoring and/or obstructive sleep apnea (OSA) have been questioned because of a lack of evidence from high-quality randomized controlled trials (RCTs). An ethical requirement for RCTs is that they must test questions where community equipoise (ie, uncertainty) exists as to the correct treatment. We aimed to measure perceived importance, community equipoise, and willingness to enroll patients in 5 potential trial targets among members of the ... [Abstract] [Full-text] Cognitive and academic functions are impaired in children with all severities of sleep-disordered breathing. Sleep Med, 12(5): 489-96. © 2005-2011 Snoring Research Today. All Rights Reserved. |
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