Myringoplasty in children with cleft palate and craniofacial anomaly

Knapik, Monika; Saliba, Issam

doi:10.1016/j.ijporl.2011.11.021

Cited by 8 publications

(18 citation statements)

References 22 publications

(28 reference statements)

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“…We tended to wait until patients were in their early teenage years before attempting closure. Similar closure rates have been reported in the literature 39 . The success rates of tympanoplasty in our small population were also similar to those reported in the noncleft pediatric population 39,40 .…”

Section: Discussionsupporting

confidence: 91%

“…Similar closure rates have been reported in the literature 39 . The success rates of tympanoplasty in our small population were also similar to those reported in the noncleft pediatric population 39,40 . Long‐term follow‐up for these patients is lacking given the later age for repair, but there is not suggestion from follow‐up visits that significant retraction occurred, and 6 of 9 have maintained aerated middle ears postoperatively.…”

Section: Discussionsupporting

confidence: 87%

“…Other authors advocate an aggressive approach with cartilage grafting using the same algorithm as for children without orofacial clefting. 39,41…”

Section: Discussionmentioning

confidence: 99%

“…Other authors advocate an aggressive approach with cartilage grafting using the same algorithm as for children without orofacial clefting. 39,41 As with any retrospective study, there are inherent limitations. Various practitioners examined the patients and performed audiometric testing, and different equipment was used.…”

Section: Discussionmentioning

confidence: 99%

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Long‐Term Otologic and Audiometric Outcomes in Patients with Cleft Palate

Imbery

Sobin

Commesso

et al. 2017

Otolaryngol.--head neck surg.

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Objective Describe longitudinal audiometric and otologic outcomes in patients with cleft palates. Study Design Case series with chart review. Setting Single academic medical center. Methods Charts of 564 patients with a diagnosis of cleft palate (59% syndromic etiology, 41% nonsyndromic) from 1998 to 2014 were reviewed. Patients without at least 1 audiometric follow-up were excluded from analysis. Patient demographics, surgeries, audiometric tests, and otologic data were recorded for 352 patients. Results Forty-five percent had isolated cleft palates, 34% had unilateral cleft lip and palate, and 21% had bilateral cleft lip and palate. Patients were followed for a mean of 50.3 months with a mean of 3.2 separate audiograms performed. Patients received a mean of 2.93 pressure equalization tubes. Increased number of pressure equalization tubes was not associated with incidence of cholesteatoma, which was identified in only 4 patients. Nine patients underwent eventual tympanoplasty with an 89% closure rate. Analysis of mean air-bone gap by cleft type did not reveal significant differences ( P = .08), but conductive losses and abnormal tympanometry persisted into teenage years. Conclusions Patients with cleft palates have eustachian tube dysfunction, which, in our cohort, resulted in persistent conductive hearing loss, highlighting the importance of long-term follow-up. Cholesteatoma incidence was low and not associated with number of tubes, which at our institution were placed prophylactically. Tympanoplasty was successful in those with persistent perforations.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 87%

“…Other authors advocate an aggressive approach with cartilage grafting using the same algorithm as for children without orofacial clefting. 39,41…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Long‐Term Otologic and Audiometric Outcomes in Patients with Cleft Palate

Imbery

Sobin

Commesso

et al. 2017

Otolaryngol.--head neck surg.

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show abstract

“…Em alguns casos eles ainda recomendam a colocação de tubo de ventilação em T subanular para manter a ventilação da orelha média. 17 Trabalho sistemático conduzido por Ponduri et al 18 teve como finalidade revisar todos os estudos que descreviam a associação entre a inserção precoce de tubos de ventilação e seus subsequentes resultados em crianças com FLP. Foram identificados 18 estudos, entre eles um ensaio randomizado controlado.…”

Section: Tratamento Das Perfurações Timpânicasunclassified