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Methods

For a 13-year period, 146 patients with idiopathic VPI, submucous cleft palate, cleft palate only, or cleft lip and palate underwent DSP for VPI. The diagnosis of OSA was defined as the prescription of continuous positive airway pressure therapy by a pediatric sleep medicine physician. The incidence of OSA preoperatively and postoperatively was compared using Fisher exact test. When available, preoperative and postoperative apnea–hypopnea indices (AHIs) were compared using the pairwise, 2-tailed, Student’s t-test. Patient factors, such as obesity (body mass index≥ 95th percentile), the presence of a craniofacial syndrome, surgical history, and a preexisting OSA diagnosis, were noted. A multiple logistic regression was performed to elucidate risk factors for the development of OSA.

Results

The average age at surgery was 9.2 years (range, 4–40 y), and the mean follow-up time was 4.5 years (range, 1 …