Palatoplasty decreases the re-insertion rate of middle ear ventilation tube in cleft palate children – A population-based birth cohort study

Huang, Chii Yuan; Wu, Cheng-Shong; Tang, Chao Hsiun; Wang, Mao Che; Kuo, Ting Yu; Tu, Tzong Yang

doi:10.3109/00016489.2016.1165352

Cited by 8 publications

(6 citation statements)

References 18 publications

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“…It is presumed that tension-free reconstruction of the levator using DOZ coupled with RI might be more important than any potential effect of RI on middle ear function. This agrees with previous studies suggesting that palatoplasty might improve ET dilatation during swallowing through levator muscle reconstruction 8,33–35…”

Section: Discussionsupporting

confidence: 93%

The Impact of Lateral Relaxing Incision on Middle Ear Function in Cleft Palate Repair

Jeon

Choe

et al. 2023

Journal of Craniofacial Surgery

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Children with cleft palate are susceptible to otitis media with effusion. This study aimed to investigate the effect of lateral relaxing incision (RI) on middle ear function in cleft palate patients who underwent palatoplasty using double-opposing Z-plasty (DOZ). This is a retrospective study of patients who underwent bilateral ventilation tube insertion concurrently with DOZ, wherein RI was selectively performed on the right side of the palate (Rt-RI group) or not (No-RI group). The frequency of VTI, duration of the first ventilation tube retention, and hearing outcomes at the last follow-up were reviewed. Outcomes were compared using the χ2 test and t test. A total of 126 treated ears from 63 non-syndromic children (18 male, 45 female) with cleft palate were reviewed. The mean age at surgery was 15.8±6.17 months. There were no significant differences in the frequency of ventilation tube insertion between the right and left ears within the Rt-RI group or between the Rt-RI and no-RI groups in the right ear. Subgroup analysis for ventilation tube retention time, auditory brainstem response thresholds, and air-conduction pure tone averages showed no significant differences. In the DOZ, the use of RI had no significant effects on middle ear outcomes during 3 years of follow-up. Relaxing incision seems to be safe without concern for middle ear function in children with cleft palate.

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Section: Discussionsupporting

confidence: 93%

The Impact of Lateral Relaxing Incision on Middle Ear Function in Cleft Palate Repair

Jeon

Choe

et al. 2023

Journal of Craniofacial Surgery

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“…In our study, 70% of the children with cleft palate had their first myringotomy before they were 3 years old, while 62.5% of the children without cleft palate had their first ventilation tubes within their first 5 years. From the study of Huang et al, 16 the mean age at first myringotomy in children with cleft palate was 1.3 years old, which was about the same age as in our study. The age of the first myringotomy had no effect on the long-term hearing outcome.…”

Section: Discussionsupporting

confidence: 80%

Long-term Outcome of the Management of Otitis Media with Effusion in Children with and Without Cleft Palate Using the House-brand Polyethylene Ventilation Tube Insertion

Ungkanont

2021

Smj

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Objective: To study the long-term outcome of otitis media with effusion in children with and without cleft palate treated with the same protocol of ventilation tube insertion. Materials and Methods: A retrospective cohort study was conducted in eighty-five children with cleft palate and 80 children without cleft palate who had otitis media with effusion and had follow-up between 2001 and 2019. Both groups were treated with ventilation tube insertion for longstanding middle ear effusion more than 90 days. The main outcome was the cumulative incidence of surgical management, time of the indwelling ventilation tubes, conditions of the tympanic membrane, and the hearing outcome. Results: At 24 months old, 63.5% of children with cleft palate and 11.3% of children without cleft palate had their first ventilation tube insertion. Repeated surgery was done in 81.2% of children with cleft palate and 50% of children without cleft palate (p < 0.001). The median duration of the indwelling tube was 11.3 months in the children with cleft palate and 12.4 months in the non-cleft children (p = 0.82). At the end of the study, 63.7% of children without cleft palate and 43.5% of children with cleft palate had normal tympanic membrane (p = 0.009). The hearing outcomes of children with and without cleft palate were 20.7 dB and 19.3 dB, respectively. Conclusion: Children with and without cleft palate were managed under the same guideline and the hearing outcome was favorable in both groups.

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“…Lithovius et al reported that the severity of the cleft was not a significant factor in determining the number of required ventilation tubes [107]. The choice of surgical technique for the repair of cleft palate is not significantly associated with the number of VTIs required [107]; however, palatoplasty may indeed decrease the likelihood of ventilation tube re-insertion in children with cleft palate, as evidenced by a recent population-based study [108].…”

Section: Frequency Of Grommet Insertionmentioning

confidence: 98%

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

Kuo¹

2018

CMT

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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, including cleft lip repair surgery, cleft palate repair surgery, bone grafting surgery, and/or 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. In this paper, the author reviews the pathogenesis, clinical manifestations, and diagnoses of OME in children with CLP as well as the controversies surrounding treatment. We also provide a flowchart to guide the management of OME in children with CLP.

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Palatoplasty decreases the re-insertion rate of middle ear ventilation tube in cleft palate children – A population-based birth cohort study

Cited by 8 publications

References 18 publications

The Impact of Lateral Relaxing Incision on Middle Ear Function in Cleft Palate Repair

The Impact of Lateral Relaxing Incision on Middle Ear Function in Cleft Palate Repair

Long-term Outcome of the Management of Otitis Media with Effusion in Children with and Without Cleft Palate Using the House-brand Polyethylene Ventilation Tube Insertion

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

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