The effect of early routine grommet insertion on management of otitis media with effusion in children with cleft palate

Kuşçu, Oğuz; Günaydın, Rıza Önder; Icen, Mehtap; Ergün, Onur; Kayikci, Mavis Emel Kulak; Yılmaz, Taner; Özgür, Figen

doi:10.1016/j.jcms.2015.09.008

Cited by 13 publications

(9 citation statements)

References 25 publications

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“…These results were supported by Goudy et al, who reported a median resolution time of conductive hearing loss of approximately 5 years [41]. Kuşcu et al observed that normal otoscopic examination findings were higher in CLP children without VTI than in those with VTI [106].…”

Section: Comparative Effectiveness For Middle Ear Statussupporting

confidence: 53%

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: Comparative Effectiveness For Middle Ear Statussupporting

confidence: 53%

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

Kuo¹

2018

CMT

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“…These results were supported by Goudy et al, who reported a median resolution time of conductive hearing loss of approximately 5 years [23]. Kuscu et al observed that normal otoscopic examination findings were higher in CLP children without VTI than in those with VTI [89].…”

Section: Comparative Effectiveness For Middle Ear Statussupporting

confidence: 53%

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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“…Similarly, Robson et al (1992) reported no statistically significant difference in audiological outcomes between children with CL/P who did or did not have tympanostomy tubes placed. Two studies retrospectively compared routine placement at palate repair to deferral of tube placement on an as-needed basis and found no hearing benefit with earlier placement (Phua et al, 2009; Kuscu et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Change in Initial Tympanostomy Tube Placement Timing Yields Decreased Burden of Care Without Increased Complications in Patients With Cleft Lip and Palate

Davis

Cohen

Matthews

2020

The Cleft Palate-Craniofacial Journal

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Objective: To report a practice audit of the consequences of a change in protocol in the timing of placement of tympanostomy tubes in infants with cleft lip and palate. Participants: All children with a diagnosis of cleft lip and palate, treated between November 1998 and May 2006 under the old protocol, and between December 2012 and July 2016 under a new protocol. Under the old protocol, tympanostomy tubes were first inserted at the time of lip repair at around age 2 months. Under the new protocol, tympanostomy tubes were deferred until the time of palate repair around the age of 9 months. Children with syndromic diagnoses other than Stickler syndrome and Van der Woude syndrome, and children who failed newborn hearing screen were excluded. Main Outcome Measures: Incidence of otorrhea from birth to 6 months after palate repair and presence of hearing loss at ages 1 and 2. Results: Deferral of tympanostomy tubes until the time of palate repair decreases the burden of care due to otorrhea as compared to early tympanostomy tubes at the time of lip repair. There was no significant difference in the incidence of hearing thresholds at or below 15 dB at age 1 or 2. Conclusions: Placement of tympanostomy tubes at the time of palate repair balances the goals of minimizing the adverse effects from middle ear effusion and minimizing the burden of care on our patients and their families.

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The effect of early routine grommet insertion on management of otitis media with effusion in children with cleft palate

Cited by 13 publications

References 25 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

Change in Initial Tympanostomy Tube Placement Timing Yields Decreased Burden of Care Without Increased Complications in Patients With Cleft Lip and Palate

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