Critical reassessment of the probability of receiving additional ventilation tube insertion for recurrent otitis media with effusion in children with cleft palate

Glue Ear in Children with Cleft Lip and Palate: An Update

“…Despite considerable research into the subgroups of CLP children with regard to the effectiveness of grommets for OME, heterogeneity in the design of studies has proven a formidable barrier to the synthesis of evidence [10,14]. Most previous studies failed to clearly describe their criteria in the definition of OME.…”

“…The clinical significance of OME is often overlooked and very few studies have explored this condition in depth, despite the fact that it is commonly associated with CLP. The author summarizes and updates his previous work with the article partly borrowing from the author's earlier publications [4,[9][10][11][12][13][14][15][16][17][18][19][20][21]. This paper presents a review of the pathogenesis, clinical manifestations, and diagnoses of OME in children with CLP as well as the controversies surrounding treatment.…”

Evaluation of Ventilation Tube Placement and Long-term Audiologic Outcome in Children with Cleft Palate

“…Previous studies have failed to reach concrete conclusions regarding the effect of early tube placement, use of multiple tubes, and long-term outcomes. Some studies emphasize the negative impact of hearing loss on speech and language development and the role of VT in alleviating conductive hearing loss (Valtonen et al, 2005;Merrick et al, 2007); conversely, other studies have recorded no difference in long-term hearing outcomes in conservative versus prophylactic tube placement and higher rates of complications in prophylactic tube placement (Sheahan et al, 2002;Tuncbilek et al, 2003;Kuo et al, 2015). Overall, many studies assessing tube function are either underpowered or limited to short-term outcomes (Ponduri et al, 2009;Szabo et al, 2010).…”

Tympanostomy Tube Placement for Otitis Media with Effusion in Children with Cleft Lip and Palate

“…Despite considerable research into subgroups of CLP children with regard to the effectiveness of grommets for OME, heterogeneity in the design of studies has proven a formidable barrier to the synthesis of evidence [92,93]. Most previous studies failed to clearly describe their criteria in the definition of OME.…”