Comparison Between the Frequency of Osahs in Children with Cleft Palates Before and After Primary Palatoplasty

Jose Rolando Prada Madrid; Diana Carolina Gómez Prada; Olga Patricia Panqueva Centanaro; Carlos Augusto Perez

doi:doi:10.11648/j.ijcoms.20251102.13

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| Peer-Reviewed

Comparison Between the Frequency of Osahs in Children with Cleft Palates Before and After Primary Palatoplasty

Jose Rolando Prada Madrid

, Diana Carolina Gómez Prada^*

, Olga Patricia Panqueva Centanaro

, Carlos Augusto Perez

Published in International Journal of Clinical Oral and Maxillofacial Surgery (Volume 11, Issue 2)

Received: 6 October 2025 Accepted: 17 October 2025 Published: 3 December 2025

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Abstract

Objective: To evaluate OSAHS in children with cleft palate aged 6 to 24 months, before and after primary palatoplasty, at two institutions in Bogotá, Colombia, over a period of 4 years. Materials and Methods: A prospective cohort study, before and after primary palatoplasty, in patients who consulted for cleft palate, underwent a polysomnography prior to the procedure, and were compared with another study conducted 6 to 12 months after the procedure. Additionally, follow-up was conducted through researcher-designed questionnaires to assess the presence and severity of OSAHS. Results: From January 2016 to January 2018, 43 patients were recruited. The most frequent symptoms prior to primary palatoplasty, measured by prevalence, were snoring and sweating, at 30.2% and 34.9%, respectively, both of which improved in the postoperative period. The prevalence of OSAHS was confirmed through pre and post surgical polysomnography, with no significant differences between the two. The evolution of OSAHS severity after surgery showed an increase in the number of patients classified as normal, mild, and moderate, with no cases of severe OSAHS in the postoperative period, indicating improvement. Conclusions: This study compares the presence of OSAHS before and after primary palatoplasty in patients with cleft palate, using polysomnography and surveys to evaluate symptoms of upper airway obstruction. The presence of OSAHS associated with the congenital malformation is identified during the preoperative period, where there are limited information and few studies at this age. However, improvement is most clearly identified during patient follow-up.

Published in	International Journal of Clinical Oral and Maxillofacial Surgery (Volume 11, Issue 2)
DOI	10.11648/j.ijcoms.20251102.13
Page(s)	69-81
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Cleft Palate, Apnea, OSAHS, Palatoplasty, Obstructive Sleep Apnea, Sleep Syndrome, Prevalence, Polysomnography

References

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APA Style

Madrid, J. R. P., Prada, D. C. G., Centanaro, O. P. P., Perez, C. A. (2025). Comparison Between the Frequency of Osahs in Children with Cleft Palates Before and After Primary Palatoplasty. International Journal of Clinical Oral and Maxillofacial Surgery, 11(2), 69-81. https://doi.org/10.11648/j.ijcoms.20251102.13

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ACS Style

Madrid, J. R. P.; Prada, D. C. G.; Centanaro, O. P. P.; Perez, C. A. Comparison Between the Frequency of Osahs in Children with Cleft Palates Before and After Primary Palatoplasty. Int. J. Clin. Oral Maxillofac. Surg. 2025, 11(2), 69-81. doi: 10.11648/j.ijcoms.20251102.13

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AMA Style

Madrid JRP, Prada DCG, Centanaro OPP, Perez CA. Comparison Between the Frequency of Osahs in Children with Cleft Palates Before and After Primary Palatoplasty. Int J Clin Oral Maxillofac Surg. 2025;11(2):69-81. doi: 10.11648/j.ijcoms.20251102.13

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@article{10.11648/j.ijcoms.20251102.13,
  author = {Jose Rolando Prada Madrid and Diana Carolina Gómez Prada and Olga Patricia Panqueva Centanaro and Carlos Augusto Perez},
  title = {Comparison Between the Frequency of Osahs in Children with Cleft Palates Before and After Primary Palatoplasty
},
  journal = {International Journal of Clinical Oral and Maxillofacial Surgery},
  volume = {11},
  number = {2},
  pages = {69-81},
  doi = {10.11648/j.ijcoms.20251102.13},
  url = {https://doi.org/10.11648/j.ijcoms.20251102.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcoms.20251102.13},
  abstract = {Objective: To evaluate OSAHS in children with cleft palate aged 6 to 24 months, before and after primary palatoplasty, at two institutions in Bogotá, Colombia, over a period of 4 years. Materials and Methods: A prospective cohort study, before and after primary palatoplasty, in patients who consulted for cleft palate, underwent a polysomnography prior to the procedure, and were compared with another study conducted 6 to 12 months after the procedure. Additionally, follow-up was conducted through researcher-designed questionnaires to assess the presence and severity of OSAHS. Results: From January 2016 to January 2018, 43 patients were recruited. The most frequent symptoms prior to primary palatoplasty, measured by prevalence, were snoring and sweating, at 30.2% and 34.9%, respectively, both of which improved in the postoperative period. The prevalence of OSAHS was confirmed through pre and post surgical polysomnography, with no significant differences between the two. The evolution of OSAHS severity after surgery showed an increase in the number of patients classified as normal, mild, and moderate, with no cases of severe OSAHS in the postoperative period, indicating improvement. Conclusions: This study compares the presence of OSAHS before and after primary palatoplasty in patients with cleft palate, using polysomnography and surveys to evaluate symptoms of upper airway obstruction. The presence of OSAHS associated with the congenital malformation is identified during the preoperative period, where there are limited information and few studies at this age. However, improvement is most clearly identified during patient follow-up.
},
 year = {2025}
}

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TY  - JOUR
T1  - Comparison Between the Frequency of Osahs in Children with Cleft Palates Before and After Primary Palatoplasty

AU  - Jose Rolando Prada Madrid
AU  - Diana Carolina Gómez Prada
AU  - Olga Patricia Panqueva Centanaro
AU  - Carlos Augusto Perez
Y1  - 2025/12/03
PY  - 2025
N1  - https://doi.org/10.11648/j.ijcoms.20251102.13
DO  - 10.11648/j.ijcoms.20251102.13
T2  - International Journal of Clinical Oral and Maxillofacial Surgery
JF  - International Journal of Clinical Oral and Maxillofacial Surgery
JO  - International Journal of Clinical Oral and Maxillofacial Surgery
SP  - 69
EP  - 81
PB  - Science Publishing Group
SN  - 2472-1344
UR  - https://doi.org/10.11648/j.ijcoms.20251102.13
AB  - Objective: To evaluate OSAHS in children with cleft palate aged 6 to 24 months, before and after primary palatoplasty, at two institutions in Bogotá, Colombia, over a period of 4 years. Materials and Methods: A prospective cohort study, before and after primary palatoplasty, in patients who consulted for cleft palate, underwent a polysomnography prior to the procedure, and were compared with another study conducted 6 to 12 months after the procedure. Additionally, follow-up was conducted through researcher-designed questionnaires to assess the presence and severity of OSAHS. Results: From January 2016 to January 2018, 43 patients were recruited. The most frequent symptoms prior to primary palatoplasty, measured by prevalence, were snoring and sweating, at 30.2% and 34.9%, respectively, both of which improved in the postoperative period. The prevalence of OSAHS was confirmed through pre and post surgical polysomnography, with no significant differences between the two. The evolution of OSAHS severity after surgery showed an increase in the number of patients classified as normal, mild, and moderate, with no cases of severe OSAHS in the postoperative period, indicating improvement. Conclusions: This study compares the presence of OSAHS before and after primary palatoplasty in patients with cleft palate, using polysomnography and surveys to evaluate symptoms of upper airway obstruction. The presence of OSAHS associated with the congenital malformation is identified during the preoperative period, where there are limited information and few studies at this age. However, improvement is most clearly identified during patient follow-up.

VL  - 11
IS  - 2
ER  -

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Author Information

Jose Rolando Prada Madrid

Plastic, Reconstructive, Aesthetic and Craniofacial Surgery Department, Fundacion Universitaria Ciencias de la Salud -FUCS, Bogota, Colombia; Plastic, Reconstructive, Aesthetic and Craniofacial Surgery Department, FISULAB, Bogota, Colombia

Contact Email

http://orcid.org/0009-0001-1983-9880
Diana Carolina Gómez Prada

Plastic, Reconstructive, Aesthetic and Craniofacial Surgery Department, Fundacion Universitaria Ciencias de la Salud -FUCS, Bogota, Colombia; Plastic, Reconstructive, Aesthetic and Craniofacial Surgery Department, FISULAB, Bogota, Colombia

Contact Email

http://orcid.org/0000-0001-8352-6531
Olga Patricia Panqueva Centanaro

Pediatric Department, Hospital Universitario San Ignacio – Pontificia Universidad Javeriana, Bogota, Colombia

Contact Email

http://orcid.org/0000-0003-1627-7971
Carlos Augusto Perez

Plastic, Reconstructive, Aesthetic and Craniofacial Surgery Department, Fundacion Universitaria Ciencias de la Salud -FUCS, Bogota, Colombia

Contact Email

http://orcid.org/0000-0001-8030-4247

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APA Style

Madrid, J. R. P., Prada, D. C. G., Centanaro, O. P. P., Perez, C. A. (2025). Comparison Between the Frequency of Osahs in Children with Cleft Palates Before and After Primary Palatoplasty. International Journal of Clinical Oral and Maxillofacial Surgery, 11(2), 69-81. https://doi.org/10.11648/j.ijcoms.20251102.13

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ACS Style

Madrid, J. R. P.; Prada, D. C. G.; Centanaro, O. P. P.; Perez, C. A. Comparison Between the Frequency of Osahs in Children with Cleft Palates Before and After Primary Palatoplasty. Int. J. Clin. Oral Maxillofac. Surg. 2025, 11(2), 69-81. doi: 10.11648/j.ijcoms.20251102.13

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AMA Style

Madrid JRP, Prada DCG, Centanaro OPP, Perez CA. Comparison Between the Frequency of Osahs in Children with Cleft Palates Before and After Primary Palatoplasty. Int J Clin Oral Maxillofac Surg. 2025;11(2):69-81. doi: 10.11648/j.ijcoms.20251102.13

Copy | Download

@article{10.11648/j.ijcoms.20251102.13,
  author = {Jose Rolando Prada Madrid and Diana Carolina Gómez Prada and Olga Patricia Panqueva Centanaro and Carlos Augusto Perez},
  title = {Comparison Between the Frequency of Osahs in Children with Cleft Palates Before and After Primary Palatoplasty
},
  journal = {International Journal of Clinical Oral and Maxillofacial Surgery},
  volume = {11},
  number = {2},
  pages = {69-81},
  doi = {10.11648/j.ijcoms.20251102.13},
  url = {https://doi.org/10.11648/j.ijcoms.20251102.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcoms.20251102.13},
  abstract = {Objective: To evaluate OSAHS in children with cleft palate aged 6 to 24 months, before and after primary palatoplasty, at two institutions in Bogotá, Colombia, over a period of 4 years. Materials and Methods: A prospective cohort study, before and after primary palatoplasty, in patients who consulted for cleft palate, underwent a polysomnography prior to the procedure, and were compared with another study conducted 6 to 12 months after the procedure. Additionally, follow-up was conducted through researcher-designed questionnaires to assess the presence and severity of OSAHS. Results: From January 2016 to January 2018, 43 patients were recruited. The most frequent symptoms prior to primary palatoplasty, measured by prevalence, were snoring and sweating, at 30.2% and 34.9%, respectively, both of which improved in the postoperative period. The prevalence of OSAHS was confirmed through pre and post surgical polysomnography, with no significant differences between the two. The evolution of OSAHS severity after surgery showed an increase in the number of patients classified as normal, mild, and moderate, with no cases of severe OSAHS in the postoperative period, indicating improvement. Conclusions: This study compares the presence of OSAHS before and after primary palatoplasty in patients with cleft palate, using polysomnography and surveys to evaluate symptoms of upper airway obstruction. The presence of OSAHS associated with the congenital malformation is identified during the preoperative period, where there are limited information and few studies at this age. However, improvement is most clearly identified during patient follow-up.
},
 year = {2025}
}

Copy | Download

TY  - JOUR
T1  - Comparison Between the Frequency of Osahs in Children with Cleft Palates Before and After Primary Palatoplasty

AU  - Jose Rolando Prada Madrid
AU  - Diana Carolina Gómez Prada
AU  - Olga Patricia Panqueva Centanaro
AU  - Carlos Augusto Perez
Y1  - 2025/12/03
PY  - 2025
N1  - https://doi.org/10.11648/j.ijcoms.20251102.13
DO  - 10.11648/j.ijcoms.20251102.13
T2  - International Journal of Clinical Oral and Maxillofacial Surgery
JF  - International Journal of Clinical Oral and Maxillofacial Surgery
JO  - International Journal of Clinical Oral and Maxillofacial Surgery
SP  - 69
EP  - 81
PB  - Science Publishing Group
SN  - 2472-1344
UR  - https://doi.org/10.11648/j.ijcoms.20251102.13
AB  - Objective: To evaluate OSAHS in children with cleft palate aged 6 to 24 months, before and after primary palatoplasty, at two institutions in Bogotá, Colombia, over a period of 4 years. Materials and Methods: A prospective cohort study, before and after primary palatoplasty, in patients who consulted for cleft palate, underwent a polysomnography prior to the procedure, and were compared with another study conducted 6 to 12 months after the procedure. Additionally, follow-up was conducted through researcher-designed questionnaires to assess the presence and severity of OSAHS. Results: From January 2016 to January 2018, 43 patients were recruited. The most frequent symptoms prior to primary palatoplasty, measured by prevalence, were snoring and sweating, at 30.2% and 34.9%, respectively, both of which improved in the postoperative period. The prevalence of OSAHS was confirmed through pre and post surgical polysomnography, with no significant differences between the two. The evolution of OSAHS severity after surgery showed an increase in the number of patients classified as normal, mild, and moderate, with no cases of severe OSAHS in the postoperative period, indicating improvement. Conclusions: This study compares the presence of OSAHS before and after primary palatoplasty in patients with cleft palate, using polysomnography and surveys to evaluate symptoms of upper airway obstruction. The presence of OSAHS associated with the congenital malformation is identified during the preoperative period, where there are limited information and few studies at this age. However, improvement is most clearly identified during patient follow-up.

VL  - 11
IS  - 2
ER  -

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