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- ItemAcesso aberto (Open Access)Infraorbital nerve block for postoperative pain following cleft lip repair in children(Wiley, 2016) Feriani, Gustavo; Hatanaka, Eric [UNIFESP]; Torloni, Maria Regina [UNIFESP]; da Silva, Edina M. K. [UNIFESP]Background Postoperative pain is a barrier to the quality of paediatric care, the proper management of which is a challenge. Acute postoperative pain often leads to adverse functional and organic consequences that may compromise surgical outcome. Cleft lip is one of the most common craniofacial birth defects and requires surgical correction early in life. As expected after a surgical intervention in such a sensitive and delicate area, the immediate postoperative period of cleft lip repair may be associated with moderate to severe pain. Infraorbital nerve block associated with general anaesthesia has been used to reduce postoperative pain after cleft lip repair. Objectives To assess the effects of infraorbital nerve block for postoperative pain following cleft lip repair in children. Search methods We searched the following databases: Cochrane Central Register of Controlled Trials (CENTRAL, the Cochrane Library, Issue 6, 2015), MEDLINE, EMBASE, and Literatura Latino-Americana e do Caribe em Ciencias da Saude (LILACS) from inception to 17 June 2015. There were no language restrictions. We searched for ongoing trials in the following platforms: the metaRegister of Controlled Trials
- ItemAcesso aberto (Open Access)Oral appliances and functional orthopaedic appliances for obstructive sleep apnoea in children(Hospital Clinicas, Univ Sao Paulo, 2016) Carvalho, Fernando R. [UNIFESP]; Lentini-Oliveira, Debora A. [UNIFESP]; Prado, Lucila B. F. [UNIFESP]; Prado, Gilmar F. [UNIFESP]; Carvalho, Luciane B. C. [UNIFESP]Background Apnoea is a breathing disorder marked by the absence of airflow at the nose or mouth. In children, risk factors include adenotonsillar hypertrophy, obesity, neuromuscular disorders and craniofacial anomalies. The most common treatment for obstructive sleep apnoea syndrome (OSAS) in childhood is adeno-tonsillectomy. This approach is limited by its surgical risks, mostly in children with comorbidities and, in some patients, by recurrence that can be associated with craniofacial problems. Oral appliances and functional orthopaedic appliances have been used for patients who have OSAS and craniofacial anomalies because they hold the lower jaw (mandible) forwards which potentially enlarges the upper airway and increases the upper airspace, improving the respiratory function. Objectives To assess the effects of oral appliances or functional orthopaedic appliances for obstructive sleep apnoea in children. Search methods We searched the following electronic databases: Cochrane Oral Health's Trials Register (to 7 April 2016)