The Effects of Age at Cleft Palate Repair on Middle Ear Function and Hearing Level

Lou, Qun; Zhu, Haiyan; Luo, Yi; Zhou, Zhibo; Ma, Li; Ma, Xiaoran; Fu, Yunqi

doi:10.1177/1055665618754632

Cited by 15 publications

(24 citation statements)

References 24 publications

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“…Numerous factors have been cited in the development of OME in children suffering from CLP, including (1) immature development of the Eustachian tube, (2) abnormalities in the muscle associated with the Eustachian tube, and (3) craniofacial bone abnormalities [4].…”

Section: Pathogenesismentioning

confidence: 99%

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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: Pathogenesismentioning

confidence: 99%

“…Cleft lip/palate (CLP) is a congenital orofacial anomaly that is debilitating for patients and psychologically stressful for family members. Children with CLP are forced to undergo a series of major invasive surgeries, including surgery for cleft lip repair, bone grafting, and dental implants [1,2].…”

Section: Introductionmentioning

confidence: 99%

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

Kuo¹

2018

CMT

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“…5-10,25-27 There have also been efforts to identify risk factors associated with poorer otologic and audiologic outcomes, including age and technique of cleft palate repair, type of cleft, and social factors such as international adoption. 28-32…”

mentioning

confidence: 99%

“…[5][6][7][8][9][10][25][26][27] There have also been efforts to identify risk factors associated with poorer otologic and audiologic outcomes, including age and technique of cleft palate repair, type of cleft, and social factors such as international adoption. [28][29][30][31][32] The purpose of this study is to characterize the risk factors for, and long-term trajectory of, persistent otologic and audiologic issues among children with cleft palate. We aim to describe the proportion of children with tympanic membrane perforation and conductive hearing loss after a minimum of 10 years of longitudinal follow-up and to determine if specific demographic or clinical characteristics are associated with these findings.…”

mentioning

confidence: 99%

Children with Cleft Palate: Predictors of Otologic Issues in the First 10 Years

Funamura

Lee

McKinney

et al. 2019

Otolaryngol.--head neck surg.

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Objective To evaluate the characteristics of children with cleft palate associated with persistent otologic issues in the first 10 years of life. Study Design Case series with chart review. Setting Single academic center. Subjects and Methods Children born with cleft palate from 2003 to 2007 and treated by the UC Davis Cleft and Craniofacial Team between January 2003 and December 2017 were included in the study. Data from 143 patients were analyzed via Wilcoxon rank sum and Fisher exact tests for univariate analysis and logistic regression to determine adjusted odds ratios. Results The median length of follow-up was 9.9 years, and the age at last ear examination was 10.7 years. At the last evaluation, unresolved otologic issues were common, with at least 1 ear having a tympanic membrane (TM) perforation (16.1%), a tympanostomy tube (36.2%), or conductive hearing loss (23.1%). After adjusting for demographic and clinical characteristics, history of palate revision or speech surgery was associated with having a TM perforation (P = .02). The only clinical variables associated with conductive hearing loss was the presence of a TM perforation (P < .01) or a genetic abnormality (P = .02). Severity of palatal clefting was not associated with specific otologic or audiologic outcomes after adjusting for other characteristics. Conclusion A large proportion of children with cleft palate have persistent otologic issues at age 10 years and would benefit from continued close monitoring well after the age when most children have normalized eustachian tube function. Prolonged otologic issues were not found to be associated with cleft type.

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“…Copyright@2020 Prodi Sistem Informasi Universitas Dharma Andalas 218 satu jenis penyakit telinga yang bernama Otitis Media dengan Efusi (OME) menjadi penyebab umum berkurangnya kualitas pendengaran [10]. Pasien yang lahir dengan bibir sumbing juga memiliki resiko tinggi kehilangan pendengaran akibat Otitis Media dengan Efusi, faktor utama yang menyebabkan efusi telinga tengah adalah disfungsi terhadap Tuba Eustachius [11]. Berdasarkan hal tersebut peneliti mencoba membuat Aplikasi Sistem Pakar dalam mengidentifikasi penyakit telinga untuk mempermudah masyarakat untuk mengetahui kemungkinan penyakit telinga yang diderita Metode yang digunakan pada penelitian ini adalah metode Forward Chaining dan Certainty Factor.…”

Section: Issn : 2655-8238unclassified

Tingkat Akurasi dalam Mengidentifikasi Penyakit Telinga Menggunakan Metode Forward Chaining dan Certainty Factor

Aldyno

Sumijan²,

Yuhandri

2020

JTEKSIS

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Telinga merupakan organ yang berfungsi untuk mendengar dan menjaga keseimbangan tubuh karena letaknya yang berdekatan dengan otak dan saraf keseluruh tubuh. Telinga dikenal sensitif dan rentan mengingat ukuran telinga dan organ pendukung lain disekitarnya berukuran kecil serta faktor kelembaban yang dapat memicu jamur. Pada sebagian masyarakat dalam menjaga kesehatan telinga sering menyepelekan hal tersebut, oleh karena itu untuk membantu dan mempermudah masyarakat dibuat aplikasi sistem pakar. Sistem pakar merupakan kumpulan pengetahuan dan pengalaman dari seorang pakar yang diadopsi kedalam komputer sehingga dapat menyelesaikan permasalahan seperti seorang pakar. Pada pembahasan ini tujuan sistem pakar adalah mengukur tingkat akurasi dalam mengidentifikasi penyakit telinga sehingga menjadi referensi awal ketika berkonsultasi dengan dokter. Metode yang digunakan yaitu, metode Forward Chaining dan Certainty Factor. Hasil penelitian ini menggunakan Metode Forward Chaining untuk menata rule dan Certainty Factor (CF) untuk pembobotan dalam perhitungan akurasi dari masing-masing gejala. Data uji terhadap 10 orang memberikan nilai akurasi 80% kemudian diolah dengan memberikan hasil. Berdasarkan hasil yang diperoleh dari aplikasi sistem pakar untuk mengukur tingkat akurasi dalam mengidentifikasi penyakit telinga dapat memberikan solusi sehingga memudahkan user untuk melakukan konsultasi penyakit telingga, sehingga dapat mengetahui lebih dini dalam penanganannya.

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The Effects of Age at Cleft Palate Repair on Middle Ear Function and Hearing Level

Cited by 15 publications

References 24 publications

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

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

Children with Cleft Palate: Predictors of Otologic Issues in the First 10 Years

Tingkat Akurasi dalam Mengidentifikasi Penyakit Telinga Menggunakan Metode Forward Chaining dan Certainty Factor

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