Abstract
Upper airway obstruction is described as one of major complications of cleft palte repair, but the frequency is very low in the normal airway infant. However, upper airway obstruction is encountered after palatoplasty with certain craniofacial abnormalities (e.g., Treacher Collins syndrome, Turner's syndrome, Pierre-Robin syndrome, and Down's syndrome, etc.). In 254 cases with the palatoplasty between January 1996 and December 1997, we experience one obstructive sleep apnea after the palatoplasty in a child with Pierre-Robin sequence. Emergency intubation and nasal continuous positive airway pressure (CPAV) were required for restoration of spontaneous respiration. In this paper, we describe the protocol, airway management of cleft palate repair after 1995 and the treatment of the airway complication after palatoplasty in our hospital.
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