Internationally adopted children with cleft lip and/or cleft palate: Middle ear findings and hearing during childhood

Werker, Charlotte L.; Aardweg, Maaike T. A. van den; Coenraad, Saskia; Molen, Aebele B. Mink van der; Breugem, C.C.

doi:10.1016/j.ijporl.2018.05.019

Cited by 5 publications

(6 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…At the time of speech assessment, there was no difference between the groups in terms of hearing status (PTA), but it must be kept in mind that the NA children had had their hearing and ear status followed up and recorded on a regular basis since birth. The finding of similar ear and hearing results between IA and NA groups is in line with a recent study (Werker et al, 2018).…”

Section: Discussionsupporting

confidence: 92%

Internationally Adopted Children With Unilateral Cleft Lip and Palate—Consonant Proficiency and Perceived Velopharyngeal Competence at the Age of 5

Larsson

Miniscalco

Mark

et al. 2020

The Cleft Palate-Craniofacial Journal

View full text Add to dashboard Cite

Objective: To compare consonant proficiency, consonant errors, and the perceived velopharyngeal (VP) competence in internationally adopted (IA) children with unilateral cleft lip and palate (UCLP) and nonadopted (NA) children with the same cleft–palate type at age 5. Design: Case–control study based on phonetic transcriptions of standardized speech recordings of 5-year-olds at a tertiary hospital. Participants: Twenty-five IA children were compared to 20 NA children. All consecutive patients at a cleft lip and palate center participated. Main Outcome Measure(s): Consonant proficiency was measured using percentage consonants correct, percentage consonants correct–adjusted for age, percentage correct place, percentage correct manner, and consonant inventory. Cleft speech characteristics (CSCs), developmental speech characteristics (DSCs), and the perceived VP competence were also measured. Results: The IA children had significantly lower values for all consonant proficiency variables ( p < .05) and a smaller consonant inventory ( p = .001) compared to the NA children. The IA children had a higher frequency of CSCs (IA = 84%, NA = 50%, p < .05) and DSCs (IA = 92%, NA = 65%, p = .057), and twice as many IA children as NA children had perceived VP incompetence (IA = 52%, NA = 25%, p = .17). Conclusions: Severe speech disorder was more common in IA children than in NA children at age 5. Most importantly, the speech disorders seem to be not only cleft-related. More detailed speech assessments with a broader focus are needed for IA children with UCLP. Longitudinal studies are recommended to further investigate the impact of speech difficulties in IA children’s daily lives.

show abstract

Section: Discussionsupporting

confidence: 92%

Internationally Adopted Children With Unilateral Cleft Lip and Palate—Consonant Proficiency and Perceived Velopharyngeal Competence at the Age of 5

Larsson

Miniscalco

Mark

et al. 2020

The Cleft Palate-Craniofacial Journal

View full text Add to dashboard Cite

show abstract

“…Swanson et al showed in 2014 that 25% of IAC with CL/P in the years 1997-2011 had conductive hearing loss and 26% had a history of ear infections, but no group for comparison was described and age at assessment was missing [2]. A study by Werker et al [15] recently published a study on IAC versus nativeborn children with CL/P, middle ear findings, and hearing status during childhood [16]. No differences were found except for more tympanic membrane perforations in the IAC group.…”

Section: Introductionmentioning

confidence: 99%

Surgical, speech, and hearing outcomes at five years of age in internationally adopted children and Swedish-born children with cleft lip and/or palate

Schölin

Jonasson

Axelsson

et al. 2019

Journal of Plastic Surgery and Hand Surgery

View full text Add to dashboard Cite

Internationally adopted children (IAC) with a cleft lip and/or palate (CL/P) tend to arrive with un-operated palates at an age at which their Swedish-born peers have completed their primary palate surgery. Our aim of the present study was to analyze surgical, speech and hearing outcomes of IAC at age 5 and compare with those of a matched group of Swedish-born children. Fifty children with CL/P born in 1994-2005 participated in the study. Twenty-five IAC were matched according to age, sex and cleft type with 25 Swedish-born children. Audio recordings were perceptually analyzed by two experienced, blinded speech-language pathologists. Hearing and speech statuses were evaluated on the same day for all children. Surgical timing and complications as in fistulas and requirement for secondary velopharyngeal (VP) surgery, speech evaluation results, and present hearing status were analyzed for all children of age 5 years. Results showed that primary palatal surgery was delayed by a mean of 21 months in IAC. IAC had a higher prevalence of velopharyngeal impairment that was statistically significant, a higher fistula rate, and experienced more secondary surgery than Swedish-born peers. Hearing loss due to middle ear disease was slightly more common among IAC, whereas the rate of treatment with tympanostomy tubes was similar between the two groups. In conclusion, IAC with CL/P represent a challenge for CL/P teams because of the heterogeneous nature of the patient group and difficulties associated with delayed treatment, and the results show the importance of close follow-up over time. ARTICLE HISTORY

show abstract

“…5-10,25-27 There have also been efforts to identify risk factors associated with poorer otologic and audiologic outcomes, including age and technique of cleft palate repair, type of cleft, and social factors such as international adoption. 28-32…”

mentioning

confidence: 99%

“…[5][6][7][8][9][10][25][26][27] There have also been efforts to identify risk factors associated with poorer otologic and audiologic outcomes, including age and technique of cleft palate repair, type of cleft, and social factors such as international adoption. [28][29][30][31][32] The purpose of this study is to characterize the risk factors for, and long-term trajectory of, persistent otologic and audiologic issues among children with cleft palate. We aim to describe the proportion of children with tympanic membrane perforation and conductive hearing loss after a minimum of 10 years of longitudinal follow-up and to determine if specific demographic or clinical characteristics are associated with these findings.…”

mentioning

confidence: 99%

Children with Cleft Palate: Predictors of Otologic Issues in the First 10 Years

Funamura

Lee

McKinney

et al. 2019

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Objective To evaluate the characteristics of children with cleft palate associated with persistent otologic issues in the first 10 years of life. Study Design Case series with chart review. Setting Single academic center. Subjects and Methods Children born with cleft palate from 2003 to 2007 and treated by the UC Davis Cleft and Craniofacial Team between January 2003 and December 2017 were included in the study. Data from 143 patients were analyzed via Wilcoxon rank sum and Fisher exact tests for univariate analysis and logistic regression to determine adjusted odds ratios. Results The median length of follow-up was 9.9 years, and the age at last ear examination was 10.7 years. At the last evaluation, unresolved otologic issues were common, with at least 1 ear having a tympanic membrane (TM) perforation (16.1%), a tympanostomy tube (36.2%), or conductive hearing loss (23.1%). After adjusting for demographic and clinical characteristics, history of palate revision or speech surgery was associated with having a TM perforation (P = .02). The only clinical variables associated with conductive hearing loss was the presence of a TM perforation (P < .01) or a genetic abnormality (P = .02). Severity of palatal clefting was not associated with specific otologic or audiologic outcomes after adjusting for other characteristics. Conclusion A large proportion of children with cleft palate have persistent otologic issues at age 10 years and would benefit from continued close monitoring well after the age when most children have normalized eustachian tube function. Prolonged otologic issues were not found to be associated with cleft type.

show abstract

Internationally adopted children with cleft lip and/or cleft palate: Middle ear findings and hearing during childhood

Cited by 5 publications

References 58 publications

Internationally Adopted Children With Unilateral Cleft Lip and Palate—Consonant Proficiency and Perceived Velopharyngeal Competence at the Age of 5

Internationally Adopted Children With Unilateral Cleft Lip and Palate—Consonant Proficiency and Perceived Velopharyngeal Competence at the Age of 5

Surgical, speech, and hearing outcomes at five years of age in internationally adopted children and Swedish-born children with cleft lip and/or palate

Children with Cleft Palate: Predictors of Otologic Issues in the First 10 Years

Contact Info

Product

Resources

About