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Adults born with OA/TOF may have many different reasons to sleep poorly, both anatomical related to their congenital anomalies and the long-term possible sequelae of these. GORD is well recognised to affect sleep – 79% of those with GORD report nocturnal symptoms, 63% poor sleep quality due to heartburn and 40% poor daytime functioning the next day after night-time symptoms. (135) Chronic cough, aspiration and choking episodes and chronic rhinosinusitis symptoms secondary to reflux may also affect sleep in this group of patients.


  • Identify and address underlying causes – GORD, LPR, respiratory.
  • Treat as for other patients with sleep disorders if underlying causes addressed and sleep problems continue.