Tonsillectomy, adenoidectomy and the cleft palate clinic

Chalat, Ned I.

doi:10.1288/00005537-196503000-00002

Cited by 9 publications

(5 citation statements)

References 17 publications

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“…A single study [17] reported outcomes in terms of hypernasality, which was improved in 3 out of 15 patients and unchanged in the remaining 12 patients. The speech evaluation was performed either: via an informal unspecific qualitative interview with parents and speech therapist [16] or via a non-further-specified speech therapist evaluation for hypernasality and general speech quality [17].…”

Section: Search Resultsmentioning

confidence: 99%

Did we get lost in the Seventies? Adenoidectomy for middle ear disease in cleft palate children: a systematic review.

Rosso

Bulfamante

Pipolo

et al. 2021

Preprint

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OBJECTIVES: Cleft palate children have a higher incidence of otitis media with effusion, more frequent recurrent acute otitis media episodes, and worse conductive hearing losses than non-cleft children. Nevertheless, data on adenoidectomy for middle ear disease in this patient group is scarce, since many feared worsening of velopharyngeal insufficiency after the procedure. This review aims at filling this knowledge gap by collecting the available evidence on this subject, to frame possible further areas of research and interventions. DESIGN: A PRISMA-compliant systematic review was performed. Multiple databases were searched with criteria designed to include all studies focusing on the role of adenoidectomy in treating middle ear disease in cleft palate children. After duplicate removal, abstract and full-text selection, and quality assessment, we reviewed eligible articles for clinical indications and outcomes. RESULTS: Among 321 unique citations, 3 studies were deemed eligible (2 case series and a retrospective cohort study). The outcomes were positive in all three articles in terms of conductive hearing loss improvement, recurrent otitis media episodes reduction, and effusive otitis media resolution (this last result being not statistically significant). CONCLUSION: Despite promising results, research on adenoidectomy in treating middle ear disease in the cleft population has stopped in the mid-Seventies. No data is therefore available on the role of modern conservative adenoidectomy techniques (endoscopic and/or partial) in this context. Prospective studies are required to define the role of adenoidectomy in cleft children, most interestingly in specific subgroups such as patients requiring re-tympanostomy, given their known risk of otologic sequelae.

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Section: Search Resultsmentioning

confidence: 99%

Did we get lost in the Seventies? Adenoidectomy for middle ear disease in cleft palate children: a systematic review.

Rosso

Bulfamante

Pipolo

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…The author hypothesized that the removal of adenoid improved palatal muscle mobility, thus allowing for this unexpected reduction of hypernasality. The speech evaluation was performed either via an informal unspecific qualitative interview with parents and speech therapist [16] or via a non-further-specified speech therapist evaluation for hypernasality and general speech quality [17]. Finally, no reviewed study performed concurrent tympanostomy prior to or concurrent with adenoidectomy.…”

Section: Search Resultsmentioning

confidence: 99%

“…Two articles were case series [ 16 , 17 ] and one was a retrospective cohort study [ 18 ], all published from the mid-Sixties to the early Seventies. The resulting levels of evidence according to the OCEBM scale were rated 4 for two studies and 3 for the remaining one.…”

Section: Methodsmentioning

confidence: 99%

“…No study employed tympanograms. The outcomes were positive in all three articles in terms of improvement of ORCHL [ 16 , 17 ], reduction of acute otitis media episodes [ 16 , 17 ], and OME resolution [ 18 ], though this last result was not statistically significant when compared to no treatment in a control group of cleft palate children. Besides primary outcomes, two papers [ 16 , 17 ] reported positive outcomes in subjective perceptual speech.…”

Section: Methodsmentioning

confidence: 99%

“…The outcomes were positive in all three articles in terms of improvement of ORCHL [ 16 , 17 ], reduction of acute otitis media episodes [ 16 , 17 ], and OME resolution [ 18 ], though this last result was not statistically significant when compared to no treatment in a control group of cleft palate children. Besides primary outcomes, two papers [ 16 , 17 ] reported positive outcomes in subjective perceptual speech. A single study [ 17 ] reported outcomes in terms of hypernasality, which was improved in 3 out of 15 patients and unchanged in the remaining 12 patients.…”

Section: Methodsmentioning

confidence: 99%

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Adenoidectomy for middle ear disease in cleft palate children: a systematic review

Rosso

Bulfamante

Pipolo

et al. 2021

Eur Arch Otorhinolaryngol

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Purpose Cleft palate children have a higher incidence of otitis media with effusion, more frequent recurrent acute otitis media episodes, and worse conductive hearing losses than non-cleft children. Nevertheless, data on adenoidectomy for middle ear disease in this patient group are scarce, since many feared worsening of velopharyngeal insufficiency after the procedure. This review aims at collecting the available evidence on this subject, to frame possible further areas of research and interventions. Methods A PRISMA-compliant systematic review was performed. Multiple databases were searched with criteria designed to include all studies focusing on the role of adenoidectomy in treating middle ear disease in cleft palate children. After duplicate removal, abstract and full-text selection, and quality assessment, we reviewed eligible articles for clinical indications and outcomes. Results Among 321 unique citations, 3 studies published between 1964 and 1972 (2 case series and a retrospective cohort study) were deemed eligible, with 136 treated patients. The outcomes were positive in all three articles in terms of conductive hearing loss improvement, recurrent otitis media episodes reduction, and effusive otitis media resolution. Conclusion Despite promising results, research on adenoidectomy in treating middle ear disease in the cleft population has stopped in the mid-Seventies. No data are, therefore, available on the role of modern conservative adenoidectomy techniques (endoscopic and/or partial) in this context. Prospective studies are required to define the role of adenoidectomy in cleft children, most interestingly in specific subgroups such as patients requiring re-tympanostomy, given their known risk of otologic sequelae.

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Die angeborene Gaumensegelinsuffizienz aus der Sicht des Hals-Nasen-Ohrenarztes

Bauer

1966

Arch. Klin. Exp. Ohr.-, Nas.- U. Kehlk. Heilk.

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Tonsillectomy, adenoidectomy and the cleft palate clinic

Cited by 9 publications

References 17 publications

Did we get lost in the Seventies? Adenoidectomy for middle ear disease in cleft palate children: a systematic review.

Did we get lost in the Seventies? Adenoidectomy for middle ear disease in cleft palate children: a systematic review.

Adenoidectomy for middle ear disease in cleft palate children: a systematic review

Die angeborene Gaumensegelinsuffizienz aus der Sicht des Hals-Nasen-Ohrenarztes

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