Audiological Alterations in Patients With Cleft Palate

Rivelli, Ramiro Adrian; Casadio, Vanesa; Bennun, Ricardo D.

doi:10.1097/scs.0000000000004808

Cited by 18 publications

(14 citation statements)

References 22 publications

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“…TTS has shown itself to be an effective tool for treating middle ear effusion in cleft patients. 9,24 Some authors suggest TTS to be performed concomitant to palatoplasty, 9,14,25 as it can improve hearing development in the patient. Even early long-term tympanostomy tubes prior to palatoplasty are considered a treatment option for increasing middle ear ventilation.…”

Section: Discussionmentioning

confidence: 99%

“…13 In current literature, different approaches are presented for the treatment of patients with cleft palate and with conductive hearing loss due to effusion in the tympanic cavity. [14][15][16][17] Paracentesis and tympanostomy tube surgery (TTS) are the main treatment options for correcting middle ear dysfunction. This study evaluates the prevalence of tympanostomy tube placement in patients with cleft deformities in relation to the absolute and relative cleft width and cleft classification.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Tympanostomy Tube Placement in Relation to Cleft Width and Type

et al. 2021

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Objectives/Hypothesis: The prevalence of tympanostomy tube surgery (TTS) in patients with a cleft deformity was investigated, in relation to cleft width and cleft type.Study Design: Retrospective review of medical health records. Methods: Retrospective review of medical health records. Seventy-eight patients with non-syndromic cleft deformity of the palate and/or alveolus and lip between 2003 and 2017 were investigated. All available medical documents were analyzed. The study group was divided into subgroups: 1) patients with isolated cleft palate (CP) and patients with a cleft palate with cleft lip and alveolus (CLP). 2) According to Veau's classification (I-IV), further subgroups were defined. Cleft width was measured using plaster cast models.Results: TTS was performed in 55% of the patients (n = 43). Considering Veau's classification, TTS was conducted as follows: Veau I 65.2% (n = 15/23), Veau II 55.0% (n = 11/20), Veau III 47.6% (n = 10/21), and Veau IV 50.0% (n = 7/14). Cleft classifications, maxillary arch width, and absolute/relative cleft width had no statistical impact on TTS occurrence. Although no significant correlation could be found, patients in our study group with CP (Veau I and II) underwent TTS more often (60.5%, n = 26/43) than patients with CPL (Veau III and IV; 48.6%, n = 17/35) during a three-year follow-up.Conclusion: None of the cleft characteristics examined had a significant impact on the proportion of patients who received TTS. Nevertheless, patients with lower Veau classification and CP received tympanostomy tubes more often. Therefore, otolaryngologists and pediatricians treating children with cleft palate should maintain a high level of suspicion for chronic middle ear effusion, even in patients with small clefts.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence of Tympanostomy Tube Placement in Relation to Cleft Width and Type

et al. 2021

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“…Hypoacusis is a frequent comorbidity in patients with CL/P, especially in those with palatal involvement. Muscular alterations of the soft palate, which produce Eustachian tube dysfunctions, can derive in hearing loss ( Rivelli et al, 2018 ). Hypoacusis in our study population was the third most frequent clinical feature associated with CL/P, with 1.88% of patients.…”

Section: Discussionmentioning

confidence: 99%

Clinical and Descriptive Study of Orofacial Clefts in Colombia: 2069 Patients From Operation Smile Foundation

Espinosa

Martínez

Molina

et al. 2021

The Cleft Palate-Craniofacial Journal

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Objective: To describe the population of patients with cleft lip and/or palate (CL/P) in terms of cleft phenotypes, gender, age, ethnic group, family history, clinical presentation (syndromic vs nonsyndromic), some environmental and behavioral factors, and some clinical features. Design: Descriptive retrospective study. Setting: Patients attending the genetics counseling practice in Operation Smile Foundation, Bogotá, Colombia, for over 8 years. Participants: No screening was conducted. All patients requiring clinical genetics assessment in Operation Smile Foundation were included in the study. Results: Left cleft lip and palate (CLP) and nonsyndromic forms were the most frequent types of malformations in this population. Psychomotor retardation and heart disease were the most frequent comorbidities in these patients. A low proportion of mothers exposed to passive smoking during pregnancy was observed and low birth weight accounted for an important number of cases. Aarskog, velocardiofacial, and orofaciodigital syndromes were the most frequent syndromic forms of CLP in this population. Conclusions: In this study, the most frequent type of CL/P was the nonsyndromic complete left CLP. Aarskog, velocardiofacial, and orofaciodigital syndromes were the most frequent syndromic forms of CL/P in this population.

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“…5,6 In children with cleft palate, OME is typically more severe and more persistent. 17 This is thought to be primarily due to impaired formation and function of the eustachian tube, 18 as well as abnormal insertion of tensor veli palatini and levator veli palatini muscles. 19 These structures normally assist with clearance and drainage of middle ear fluid.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of ventilation tube insertion for conductive hearing loss in children with chronic otitis media with effusion and non-syndromic cleft palate: a systematic review protocol

Maina

Pollock

Lockwood

et al. 2022

JBI Evidence Synthesis

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This review will investigate the efficacy of ventilation tube insertion versus non-surgical options in the management of chronic otitis media with effusion in children with non-syndromic cleft palate by assessing the degree of conductive hearing loss.Introduction: Chronic otitis media with effusion is common in children with cleft palate due to associated eustachian tube dysfunction. It can lead to impaired hearing and can hinder speech and language development. The main treatment options are drainage of effusion with ventilation tubes, surveillance, or amplification with hearing aids. Each of these approaches has its advantages but there is currently no consensus on the most appropriate management in children with cleft palate.Inclusion criteria: Eligible studies will include children (<18 years) with cleft palate not associated with a genetic syndrome, diagnosed with chronic otitis media with effusion, who have undergone insertion of ventilation tubes compared with either surveillance or amplification with hearing aids.Methods: A comprehensive search of MEDLINE, CINAHL, Embase, and Scopus will be conducted to find published literature. Gray literature searches will be conducted through the Cochrane Central Register of Controlled Trials, ClinicalTrials.gov, and ProQuest Dissertations and Theses Global. Two reviewers will screen studies, conduct critical appraisal of eligible studies, assess the methodological quality, and extract the data. Where possible, studies will be pooled in statistical meta-analysis, with heterogeneity of data being assessed using the standard x 2 and I 2 tests. Systematic review registration number: PROSPERO CRD42021255861

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Audiological Alterations in Patients With Cleft Palate

Abstract: Hearing improvement prior to language acquisition is essential for a proper speech development. Early trans tympanic tubes implantation during cleft palate repair contributes to a correct short-term ventilation of the middle ear, being the T tubes the best option.

Cited by 18 publications

References 22 publications

Prevalence of Tympanostomy Tube Placement in Relation to Cleft Width and Type

Prevalence of Tympanostomy Tube Placement in Relation to Cleft Width and Type

Clinical and Descriptive Study of Orofacial Clefts in Colombia: 2069 Patients From Operation Smile Foundation

Effectiveness of ventilation tube insertion for conductive hearing loss in children with chronic otitis media with effusion and non-syndromic cleft palate: a systematic review protocol

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