The association of cleft severity and cleft palate repair technique on hearing outcomes in children in northern Finland

Lithovius, Riitta H.; Lehtonen, Ville; Autio, Timo J.; Harila, Virpi; Anttonen, Vuokko; Sándor, George K.B.; Ylikontiola, Leena P.

doi:10.1016/j.jcms.2015.08.013

Cited by 20 publications

(36 citation statements)

References 36 publications

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“…However, this issue requires further investigation. 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: 99%

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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Section: Frequency Of Grommet Insertionmentioning

confidence: 99%

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

Kuo¹

2018

CMT

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“…However, this issue requires further investigation. Lithovius et al reported that the severity of the cleft was not a significant factor related to the number of ventilation tubes required [90]. Surgical techniques used to repair the cleft palate are not significantly associated with the number of VTI required [90]; however, palatoplasty may indeed decrease the rate of ventilation tube reinsertion in children with cleft palate, as evidenced by a recent population-based study [91].…”

Section: Frequency Of Grommet Insertionmentioning

confidence: 99%

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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“…In 2 retrospective cohort studies, no difference in need for tympanostomy tube placement was found. 17,21 However, D'Andrea et al 28 reported a lower incidence of ventilation tube…”

Section: Tympanostomy Tubesmentioning

confidence: 99%

“…Most eligible studies (91.3%) were published in the past 2 decades 4,6,7,12,[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] (Table 2). Most studies were conducted in Europe (43.5%) and 26.2% were conducted in the United States.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Comparisons of incidence and prevalence of ventilation tube placement between different palatal closure techniques were performed in 6 retrospective cohort studies 7,17,19,21,28,29 and 1 prospective randomized controlled trial 18 (Table 4). Antonelli et al 18 reported no difference in the need for tympanostomy tubes at 5 to 6 years of age between the Furlow and von Langenbeck palatoplasties.…”

Section: Tympanostomy Tubesmentioning

confidence: 99%

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Effect of Cleft Palate Closure Technique on Speech and Middle Ear Outcome: A Systematic Review

Téblick

Ruymaekers

Casteele

et al. 2019

Journal of Oral and Maxillofacial Surgery

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Otitis media with effusion and disturbed speech are highly prevalent in children after cleft palate repair. Although many techniques for palatal closure have been described, no consensus has been reached on the most effective technique for these issues. The aim of this systematic review was to provide evidence-based information related to the effectiveness of different palatal closure techniques on middle ear and speech outcomes. Materials and Methods: A literature search in multiple electronic databases was performed: National Guidelines Clearinghouse, Trip Database, Cochrane Library, and Medline (PubMed). Potentially relevant articles were selected according to title and abstract and full-text eligibility. Then, quality control on the included articles was executed. Results: Twenty-three retrospective and prospective cohort studies were included in this systematic review. These studies compared at least 2 of the following techniques: von Langenbeck palatoplasty, 2-flap palatoplasty, Veau-Wardill-Kilner V-toY pushback technique, Kriens intravelar veloplasty, Sommerlad technique, Furlow double-opposing Z-plasties, and the Nadjmi modification of the Furlow palatoplasty. Their outcomes on the prevalence of otitis media with effusion, number of tympanostomy tubes placed, rates of hearing loss, and speech development were compared. Conclusions: The Sommerlad and Furlow palatoplasties were associated with the lowest prevalence of otitis media with effusion and the smallest number tympanostomy tubes needed. For hearing outcomes, the Furlow palatoplasty generated the best audiometric outcome. For speech outcomes, the Sommerlad and Furlow palatoplasties were more beneficial than the 2-flap palatoplasty, the Veau-Wardill-Kilner V-toY pushback technique, and the von Langenbeck palatoplasty. Additional randomized controlled trials are recommended to obtain evidence that can support these findings.

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The association of cleft severity and cleft palate repair technique on hearing outcomes in children in northern Finland

Cited by 20 publications

References 36 publications

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

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

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

Effect of Cleft Palate Closure Technique on Speech and Middle Ear Outcome: A Systematic Review

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