Middle ear disease in children with cleft palate: Protocols for management

Phua, Yun; Salkeld, Lesley; Chalain, Tristan M.B. de

doi:10.1016/j.ijporl.2008.10.026

Cited by 64 publications

(86 citation statements)

References 17 publications

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“…Researchers have previously shown that, regardless of whether they have undergone cleft palate repair surgery, as many as 90% of children with CLP suffer from OME or conductive hearing loss, while 50% suffer from recurrent otitis media [2,5,[18][19][20]. In comparison, the prevalence of conductive hearing loss among children without CLP is 12.9%.…”

Section: Consequences Of Ome In Clpmentioning

confidence: 99%

“…If OME is not treated properly, long-term hearing loss can negatively influence the language development of children [27]. Hearing loss in children suffering from CLP can also affect their academic comprehension and learning performance [20,27,28]. Bess et al indicated that even if children suffer hearing loss in only one ear, academic performance can still be seriously affected in up to 33% of patients and up to 40% of patients are unable to participate in regular activities or interactions due to hearing loss [29].…”

Section: Consequences Of Ome In Clpmentioning

confidence: 99%

“…Previous studies have shown that 90% or more of the children who undergo palatoplasty for CLP still suffer recurrent OME [20], which is a reflection of persistent poor Eustachian tube function after repair surgery [47]. Thus, many doctors prefer to perform the repair of cleft palate and ventilation tube surgery simultaneously when the child is 1 year old [2,17,[48][49][50].…”

Section: Ventilation Tube Insertion (Vti) For Omementioning

confidence: 99%

“…Several prospective [51,59,60] and retrospective [20,44,46,52,[61][62][63][64][65][66][67][68] cohort studies evaluated hearing outcomes. Among these cohort studies, several studies compared VTI with non-VTI (i.e., myringotomy alone, hearing aids, watchful waiting) [44,60,62,[64][65][66][67][68].…”

Section: Vti Versus Non-vtimentioning

confidence: 99%

“…These results are supported by Smith et al [43], who found that Eustachian tube function eventually returned to normal in most CLP children and that the age of Eustachian tube normalization was approximately 8 years (1.5-17.3). As for OME recurrence, a number of studies have reported that 17-45% of CLP children had OME recurrence 3-6 years after VTI, at a mean age of approximately 7 years [20,56,57,61].…”

Section: Comparative Effectiveness For Middle Ear Statusmentioning

confidence: 99%

See 4 more Smart Citations

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

Kuo¹,

Shiao²

2017

Designing Strategies for Cleft Lip and Palate Care

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The condition of cleft lip/palate (CLP) in children is psychologically stressful for family members and debilitating for the patients themselves. These children must undergo a series of major invasive surgeries following birth, including cleft lip repair surgery, cleft palate repair surgery, bone grafting surgery, and dental implant surgery. Unfortunately, the clinical significance of otitis media with effusion (OME), a complication associated with CLP, is often overlooked, and very few studies have explored this condition in depth. This chapter reviews pathogenesis, clinical manifestations, consequences, examination, and diagnosis related to OME in children with CLP. Controversies surrounding the treatment of OME in CLP children are also discussed. We also provide a flowchart for management guidance in OME in children with CLP.

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Section: Consequences Of Ome In Clpmentioning

confidence: 99%

Section: Consequences Of Ome In Clpmentioning

confidence: 99%

Section: Ventilation Tube Insertion (Vti) For Omementioning

confidence: 99%

Section: Vti Versus Non-vtimentioning

confidence: 99%

Section: Comparative Effectiveness For Middle Ear Statusmentioning

confidence: 99%

See 3 more Smart Citations

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

Kuo¹,

Shiao²

2017

Designing Strategies for Cleft Lip and Palate Care

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Eustachian tube dysfunction in children with cleft palate: A tympanometric time‐to‐event analysis

et al. 2019

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Objectives To characterize the duration of Eustachian tube dysfunction in children with cleft palate compared to those without cleft palate by performing time‐to‐event analysis on tympanometric data. To determine predictive characteristics of earlier achievement of normal tympanograms in children with cleft palate. Methods Longitudinal tympanometric data from a minimum of 10 years at a single center were reviewed for children with cleft palate born in the years 2003 through 2007. Children with cleft lip without cleft palate born in the same years were used as a reference group to compare children with similar length of follow‐up. The association between time to sustained normal (type A) tympanograms with patient demographics, clinical characteristics, and otologic history was evaluated using time‐to‐event analysis and compared with log rank tests. Adjusted and unadjusted hazard ratios were estimated using Cox proportional hazard models. Results The median age of achieving a type A tympanogram in children with cleft palate was 9.9 years for one and 12.1 years for both ears, compared to 7.1 and 7.4 years in children with cleft lip only (P < 0.0001). On multivariate analysis, clinical characteristics such as the severity of palatal clefting or the presence of a cleft‐associated syndrome/sequence were not predictors of a longer time to a type A tympanogram. Conclusion Our results help characterize the observation that there is delayed time to normal Eustachian tube function in children with cleft palate, which is not associated with the degree of palatal clefting. Level of Evidence 3b Laryngoscope, 130:1044–1050, 2020

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Conductive and Cochlear Hearing Loss

Kleinjung

2011

Textbook of Tinnitus

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Middle ear disease in children with cleft palate: Protocols for management

Cited by 64 publications

References 17 publications

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

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

Eustachian tube dysfunction in children with cleft palate: A tympanometric time‐to‐event analysis

Conductive and Cochlear Hearing Loss

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