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NPA
Indications for inserting an NPA
Pierre Robin Sequence (Stickler, Treacher Collins, and Velo-cardiofacial syndromes)
Apert, Crouzon, Pfeiffer, for the treatment of obstructive sleep apnoea.
Post cranio fronto-facial surgery
Post adenotonsillectomy
Post cleft lip and palate repair
Emergency airway
Sizing of the nasopharangeal airway
In respiratory children only
The size and length of NPA is determined by:
obtaining the childs crown to heel length as there is a positive correlation between this and the length of the NPA (see
Crown heel length 30cm 3.5cm, add 1.5cm for each 10cm increase in CHL.
2.