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

Kuo, Chin‐Lung

doi:10.24983/scitemed.cmt.2018.00062

Cited by 5 publications

(8 citation statements)

References 98 publications

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“…Studies have been able to establish a link between the severity of the cleft, type of ventilation tube placed, placement of ventilation tubes during the palatoplasty and the incidence of middle ear problems. As the male gender is linked to both a higher incidence of otitis media and to more severe forms of palatal clefting, it has also been described as a signifi cant factor [4,[28][29][30]. The results of our study, however, could not confi rm these previous fi ndings, but could only point out that a higher age was an independent risk factor for middle ear complications.…”

Section: Middle Ear Problems For the Different Age Categoriescontrasting

confidence: 97%

Middle ear problems in children with cleft palate: A cross-sectional study

Dochy¹,

Vanheule²,

Leenheer³

et al. 2019

Arch Otolaryngol Rhinold

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Background: Cleft lip and/or palate is the most common congenital craniofacial anomaly. Otitis media with effusion is almost universally present in young children with a cleft palate. OME results in a conductive hearing loss and-if persistent-often requires the placement of ventilation tubes or adjustment of hearing aids in selected cases. Also, a higher incidence of middle ear sequelae e.g. tympanic membrane perforation, chronic otitis media with or without cholesteatoma is reported in the cleft palate population. Objective: To determine the prevalence of middle ear problems in different age categories of children with cleft palate and to determine factors that may infl uence the middle ear status. Material and methods: Data for this cross-sectional study were obtained from the patient fi les of cleft palate children visiting the craniofacial team of the

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Section: Middle Ear Problems For the Different Age Categoriescontrasting

confidence: 97%

Middle ear problems in children with cleft palate: A cross-sectional study

Dochy¹,

Vanheule²,

Leenheer³

et al. 2019

Arch Otolaryngol Rhinold

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“…70 OME is known to have associated problems such as ossicular necrosis, tympanosclerosis, retraction pockets with cholesteatoma, atrophy of tympanic membrane and atelectasis as its possible sequelae. [71][72][73][74] Studies have recommended routine follow-up and audiologic assessments for patients with cleft palate for timely diagnosis and intervention of OMEs. [71][72][73][74] Timely evaluation and intervention can possibly avert or at least reduce associated problems and their possible effects on quality of life in the cleft population.…”

Section: Discussionmentioning

confidence: 99%

Otological Challenges in Patients With Non-Syndromic Cleft Lip and Palate: A Systematic Review

James

Otoghile

Adamson

et al. 2023

FACE

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Objectives: To identify the various otological challenges associated with non-syndromic orofacial clefts, how these problems affect quality of life of patients with orofacial clefts and find out the perspectives and current trends in the management of otological problems. Design: We conducted systematic searches for retrospective studies, cross-sectional studies, case-control studies, cohorts’ longitudinal studies and prospective controlled trials in Medline and Google scholar databases. Identified studies were retrieved and assessed for eligibility. Results: Thirty-five articles met all inclusion criteria and were selected for qualitative analysis. Twenty-one articles evaluated otological challenges associated with cleft lip and palate, 7 articles evaluated associated quality of life of patients with otological challenges and 9 articles evaluated management of otological challenges. Based on the results from this review, otological challenges including otitis media with effusion, conductive and sensorineural hearing loss are commonly associated with cleft. The result is a reduced quality of life due to their negative effects on intelligibility and eloquence of speech. They can however be managed by various palatoplasty procedures, rapid maxillary expansion, and use of various otological aids performed at an early age. Conclusion: The prevalence otological challenges in the cleft population are high and these issues require early management due to their possible effects on quality of life. Hence, there is need to incorporate ear care in the routine management of cleft lip and palate.

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“…Children born with CLP are faced with the physical and emotional challenges of undergoing several major operations early in life. Many of these children undergo ventilation tube insertion (VTI), also known as tympanostomy or grommet insertion, to mitigate eustachian tube dysfunction and resultant fluid accumulation within the middle ear (Kuo, 2018). If left untreated, this fluid can potentially cause severe otitis media with effusion (OME) and ensuing hearing loss.…”

Section: Introductionmentioning

confidence: 99%

“…OME occurs in at least 90% of patients with CLP in comparison with 5%–30% of patients without CLP (Stool and Randall, 1967; Daly et al, 1999). Sequelae of OME include hearing and speech impairments, which can have severe implications on a child's development, learning ability, social interactions, and overall mental and physical wellbeing (Kuo, 2018). Furthermore, OME and the ensuing complications greatly increase the burden of cleft care, both for the patients and healthcare system alike (Stool and Randall, 1967; Grant et al, 1988).…”

Section: Introductionmentioning

confidence: 99%

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Tympanostomy Tubes: Are They Necessary? A Systematic Review on Implementation in Cleft Care

Stanton

Kondra

Brahme

et al. 2022

The Cleft Palate Craniofacial Journal

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Objective To understand the indication for and the effects of early ventilation tube insertion (VTI) on hearing and speech for patients with cleft lip and/or palate (CLP). Design We conducted a Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA)-guided systematic review of relevant literature. Setting Setting varied by geographical location and level of clinical care across studies. Patients, Participants Patients with CLP who underwent VTI were included. Interventions No interventions were performed. Main Outcome Measure(s) Primary outcome measures were hearing and speech following VTI. Secondary outcome measures were tube-related and middle ear complications. Early VTI occurred before or at time of palatoplasty while late VTI occurred after palatoplasty. Results Twenty-three articles met inclusion criteria. Articles varied among study design, outcome measures, sample size, follow-up, and quality. Few studies demonstrated support for early VTI. Many studies reported no difference in hearing or speech between early and late VTI. Others reported worse outcomes, greater likelihood of complications, or needing repeat VTI following early tympanostomy placement. Several studies had significant limitations, including confounding variables, small sample size, or not reporting on our primary outcome. Conclusions No consistency was found regarding which patients would benefit most from early VTI. Given the aforementioned variability and sub-optimal methodologies, additional studies are warranted to provide stronger evidence regarding VTI timing in cleft care.

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

Cited by 5 publications

References 98 publications

Middle ear problems in children with cleft palate: A cross-sectional study

Middle ear problems in children with cleft palate: A cross-sectional study

Otological Challenges in Patients With Non-Syndromic Cleft Lip and Palate: A Systematic Review

Tympanostomy Tubes: Are They Necessary? A Systematic Review on Implementation in Cleft Care

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