Chinese Journal of Stomatological Continuing Education ›› 2023, Vol. 26 ›› Issue (3): 227-232.DOI: 10.12337/zgkqjxjyzz.2023.03.012

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Cleft palate in patient with congenital heart disease and breath-holding spells: a case report

Lanrui Luo, Nan Li, Shuang Yang, Keying Liu, Hongping Zhu*   

  1. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center for Stomatology &National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing 100081, China.
  • Online:2023-05-31 Published:2023-08-01
  • Contact: Hongping Zhu. Tel: 010-82195938. Email: zhuhongping@cndent.com. Address: No.22, Zhongguancun South Avenue, Haidian District, Beijing, 100081, P.R. China.istrict, Shenyang 110002, Liaoning
  • Supported by:
    Chinese Association of Stomatology Orthodontic Special Committee of Young and Middle-aged Clinical Research Project Fund (No. COS-C2021-04)

Abstract: Objective: Exploring the key points of perioperative clinical management for children with cleft palate accompanied by breath holding syndrome and congenital heart disease. Diagnosis and treatment: After conducting specialized examinations on the child with cleft palate and congenital heart disease, it was confirmed that his heart function was normal and that he was accompanied by breath holding syndrome. After analyzing the condition, a treatment plan was developed and cleft palate repair surgery was performed. Results: The surgery was successful. At 8 months of follow-up, the velar morphology was good and the patient had a clear articulation. Conclusions: Surgical operation can be considered in cleft palate patient with breath-holding syndrome and congenital heart disease under strict evaluation, delicate surgical manipulation and close protection.

Key words: breath-holding spells, congenital heart disease, cleft palate, syncope, cleft palate repair