The prevalence of otological manifestations in children with cleft palate

Abstract

Aims i) To determine the prevalence of the various otological manifestations that occured in children aged between 1 to 5 years, presenting to the Departments of ENT and Plastic Surgery with overt cleft palate. ii) To evaluate the possibility of the association of the different otological manifestations in relation to the various types of cleft. Results Prevalence of external ear abnormalities in the studied population was 13%. More than 55% of the participants' ears were diagnosed clinically with OME. There was no statistically signifi cant association between type and side of cleft with the presence of OME. Materials and methodsConclusion External ear deformities are more prevalent in the cleft palate population than the general population. There was a high prevalence of OME in concordance with previous studies. The prevalence of other otopathology was rare. There was no association of the type or side of palate cleft with OME.

Otological and audiological manifestations in cleft lip and cleft palate children: a clinical study

“…This is higher than that noted in previous studies which have reported the incidence of cholesteatoma in 1-5.9%. 12,13,16,17 Findings of this study are in concordance with earlier studies which reported hearing loss to be a common feature in CLP patients. 7,9,12,13,17,18 Fifty five percent of CLP patients had conductive hearing loss which varied from mild to moderately severe with mild hearing loss being the commonest.…”

“…CLP is reported to have male preponderance with male to female ratio being 2:1. 13,15 The same was observed in this study too with the male to female ratio being 2.1:1.…”

“…This is in agreement with previously reported studies from the Indian subcontinent. 12,13 Previous studies have reported a 5-6% prevalence of acute and chronic otitis media. The prevalence of chronic otitis media among CLP patients in this study was 32.5%.…”

“…1,2 Many studies have confirmed that patients with CLP are at greater risk for middle ear disorders and hearing loss, with the percentage of these problems varying between 50%-90%. [7][8][9][10][11][12][13][14] It is postulated that failure of palatal muscles to help in opening the Eustachian tube leads to its obstruction which results in middle ear disorders and hearing loss in these patients. 3 This study was conducted to determine the otological and audiological features in children in the age range 7-14 years with congenital cleft lip &/or palate and compare them with that of normal children.…”

Does Hamulotomy during Palatoplasty Have Any Effect on Hearing Ability in Nonsyndromic Cleft Palate Patients? A Prospective, Single Blind, Comparative Study

“…Therefore, otoscopy was used as a test of tympanic membrane appearance and mobility. Moreover, it is insurmountable to go the route of subjective hearing assessment test like pure tone audiometry in subjects of this age group [16]. However, a working idea of child's auditory status can be obtained by bringing objective hearing tests into play.…”