title: The Management of Iatrogenic Obstructive Sleep Apnoea Syndrome Following Bimaxillary Surgery in a Patient with Cleft Lip and Palate.
abstract: A 26-year-old man presented with a 6-year history of severe obstructive sleep apnoea syndrome followed a bimaxillary osteotomy procedure for a class III skeletal pattern. The patient was born with a unilateral cleft lip and palate and underwent primary lip and palate repair and later a pharyngeal flap for severe velopharyngeal insufficiency. Surgical management of obstructive sleep apnoea syndrome with conventional osteotomy, in cleft lip and palate patients, is a difficult problem. Distraction osteogenesis may provide a safer alternative. The authors describe and discuss the indications and the technical challenge of a multistage treatment protocol with distraction osteogenesis.
authors.affiliation: *Department of Surgical Sciences, Maxillofacial Surgery Section (Head: Prof G. Ramieri)†Department of Surgical Sciences, ENT Section (Head: Prof R. Albera), San Giovanni Battista Hospital, University of Turin, Turin, Italy‡European Face Centre (Head: Prof M. Mommaerts), University Hospital of Brussels, Brussels, Laarbeeklaan, Belgium.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Gerbino
authors.forename: Fernando Carmine
authors.initials: FC
authors.lastname: Gervasio
authors.forename: John
authors.initials: J
authors.lastname: Blythe
authors.forename: Francesca Antonella
authors.initials: FA
authors.lastname: Bianchi
mesh_terms: D000328:Adult; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008437:Maxilla / Q000601:surgery*; D019857:Osteogenesis, Distraction / Q000009:adverse effects*; D010027:Osteotomy / Q000379:methods*; D020181:Sleep Apnea, Obstructive / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome