Effects of rapid maxillary expansion on hearing loss and otitis media in cleft palate children

2021 ◽  
Author(s):  
Cecilia Rosso ◽  
Liliana Colletti ◽  
Martina Foltran ◽  
Alberto Maria Saibene ◽  
Antonia Pisani ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Cleft Palate ◽  
Otitis Media ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion

Orthodontic Treatment of a Cleft Palate Patient with Surgically Assisted Rapid Maxillary Expansion

1996 ◽  
Vol 33 (5) ◽  
pp. 445-449 ◽  
Author(s):  
Takafumi Susami ◽  
Takayuki Kuroda ◽  
Teruo Amagasa
Keyword(s):  
Case Report ◽  
Cleft Palate ◽  
Orthodontic Treatment ◽  
Rapid Maxillary Expansion ◽  
Third Molars ◽  
Maxillary Expansion ◽  
Anterior Maxilla ◽  
Posterior Crossbite ◽  
Palate Patient ◽  
Suture Opening

Some adult cleft palate patients show severe maxillary transverse contraction and posterior crossbite. This case report demonstrates successful surgical-orthodontic treatment of such a patient. Surgically assisted rapid maxillary expansion (SA-RME) was completed prior to comprehensive orthodontic treatment. The osteotomy was performed on both the buccal and lingual aspects of the posterior maxillary alveolus. A Hyrax-type maxillary-expansion appliance was used, and the screw (0.2 mm, one quarter turn) was turned two or three times per day. Comprehensive orthodontic treatment was initiated after extraction of the mandibular first premolars and four third molars. The maxillary lateral incisors were also extracted after active orthodontic treatment. The amount of expansion achieved using SA-RME was greater at the posterior than at the anterior maxilla. Midpalatal suture opening occurred. After orthodontic treatment, occlusal stability was satisfactory. This case demonstrates the effectiveness of SA-RME in adult cleft palate patients with severe posterior crossbite.

scholarly journals Efeitos da expansão rápida de maxila na audição: revisão sistemática da literatura

2016 ◽  
Vol 21 (0) ◽  
Author(s):  
Claudine Devicari Bueno ◽  
Camila Zander Neves ◽  
Pricila Sleifer ◽  
José Renato Prietsch ◽  
Erissandra Gomes
Keyword(s):  
Hearing Loss ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Palatal Expansion Technique ◽  
Palatal Expansion ◽  
Expansion Technique

RESUMO Objetivo Verificar os efeitos provocados pela expansão rápida de maxila na audição. Estratégia de pesquisa Conduziu-se uma busca no mês de janeiro de 2016, usando as palavras-chave “hearing loss”, “hearing”, “rapid maxillary expansion” e “palatal expansion technique” nas bases de dados MEDLINE, SciELO e Bibliografia Brasileira de Odontologia (BBO). Critérios de seleção Foram selecionados artigos em inglês, português e espanhol, publicados até janeiro de 2016, sem limitação de data inicial, cuja abordagem metodológica referisse os efeitos da expansão rápida de maxila na audição. Resultados A estratégia de busca resultou na seleção de oito artigos, classificados como ensaios clínicos. Os estudos constataram que a expansão rápida de maxila realizada em crianças e/ou adolescentes melhora os limiares de audibilidade e as medidas de imitância acústica. Conclusão A expansão rápida da maxila provocou melhora na audição, apesar da diversidade e das limitações metodológicas dos estudos analisados.

An Improved Method of Differential Rapid Maxillary Expansion in Cleft Palate

1982 ◽  
Vol 9 (3) ◽  
pp. 129-131 ◽  
Author(s):  
E. A. Devenish ◽  
T.D. Foster ◽  
D. Chinn
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Rapid Maxillary Expansion ◽  
Improved Method ◽  
Maxillary Expansion ◽  
Concomitant Increase ◽  
Maxillary Growth

A system of differential rapid maxillary expansion is described. This method is particularly useful in patients with cleft lip and palate who have severe defects of lateral maxillary growth, since it enables the maxillary segments to be rotated so that intercanine width increases without a concomitant increase in the intermolar width.

scholarly journals Effects of Rapid Maxillary Expansion on Conductive Hearing Loss

2008 ◽  
Vol 78 (3) ◽  
pp. 409-414 ◽  
Author(s):  
Nihat Kilic ◽  
Ali Kiki ◽  
Hüsamettin Oktay ◽  
Erol Selimoglu
Keyword(s):  
Hearing Loss ◽  
Conductive Hearing Loss ◽  
Normal Function ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Static Compliance ◽  
Fixed Appliance ◽  
Significant Difference ◽  
Conductive Hearing ◽  
Maxillary Deficiency

Abstract Objective: To test the null hypothesis that rapid maxillary expansion (RME) with a rigid bonded appliance has no effect on conductive hearing loss (CHL) in growing children. Materials and Methods: Fifteen growing subjects (mean age 13.43 ± 0.86 years) who had narrow maxillary arches and CHL participated in this study. Three pure-tone audiometric and tympanometric records were taken from each subject. The first records were taken before RME (T1), the second after maxillary expansion (T2) (mean = 0.83 months), and the third after retention (mean = 6 months) and fixed appliance treatment (approximately 2 years) periods (T3). The data were analyzed by means of analysis of variance (ANOVA) and least significant difference (LSD) tests. Results: Hearing levels of the patients were improved and air-bone gaps decreased at a statistically significant level (P < .001) during active expansion (T2–T1) and the retention and fixed appliance treatment (T2–T3) periods. Middle ear volume increased in all observation periods. However, a statistically significant increase was observed only in the T2–T3 period. No significant change was observed in the static compliance value. Conclusions: The hypothesis is rejected. RME treatment has a positive and statistically significant effect on both improvements in hearing and normal function of the eustachian tube in patients having transverse maxillary deficiency and CHL.

scholarly journals An alternative treatment approach for patients with resistant otitis media with effusion and dysfunctional Eustachian tube: A pilot study with rapid maxillary expansion

2021 ◽  
Author(s):  
Nihat Kılıç ◽  
Özgür Yörük ◽  
Songül Cömert Kılıç
Keyword(s):  
Otitis Media ◽  
Eustachian Tube ◽  
Otitis Media With Effusion ◽  
Rapid Maxillary Expansion ◽  
Eustachian Tube Dysfunction ◽  
Control Group ◽  
Maxillary Expansion ◽  
Tube Dysfunction ◽  
Maxillary Constriction ◽  
Observation Period

ABSTRACT Objectives To determine whether dysfunctional Eustachian tubes of children with resistant otitis media with effusion (OME), ventilation tube placement indication, and maxillary constriction will recover after rapid maxillary expansion (RME). Materials and Methods The RME group consisted of 15 children (mean age: 10.07 years) with maxillary constriction, Eustachian tube dysfunction (ETD), and resistant OME. The control group consisted of 11 healthy children (mean age: 8.34 years) with no orthodontic and/or rhinologic problems. Recovery of Eustachian tube dysfunction was evaluated by Williams' test at three timepoints: before RME/at baseline (T0); after RME (T1); and after an observation period of 10 months (T2). The control group was matched to all these periods, except T1. Results In the control group, functioning Eustachian tubes were observed in all ears at baseline (T0), and tubes showed no worsening and no change during the observation period (T2) (P > .05). In the RME group, functioning Eustachian tubes were observed in eight of 30 ears and ETD was observed in the remaining 22 ears at baseline (T0). The RME group showed significant improvements in tube functions after RME and the observation period (P < .05). Fifteen of 22 dysfunctional ears recovered (68.2%) and started to exhibit normal Eustachian tube function after RME (T1) and the observation period (T2). Conclusions The findings suggest that ears having poorly functioning Eustachian tubes are restored and recovered after RME in most of children with maxillary constriction and resistant OME. Thus, RME should be preferred as a first therapy alternative for children with maxillary constriction and serous otitis media.

Evaluating the Frequency of Ear Problems in Patients with Cleft Lip and Palate

2021 ◽  
Author(s):  
Fatemeh Mirashrafi ◽  
Babak Saedi ◽  
Mahtab Rabbani Anari ◽  
Gholamreza Garmaroudi ◽  
Roja Toosi ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Cleft Palate ◽  
Otitis Media ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Conductive Hearing Loss ◽  
Otitis Media With Effusion ◽  
Pure Tone Audiometry ◽  
Hearing Disorders ◽  
Conductive Hearing

Background: Orofacial cleft is one of the most common congenital malformations of craniofacial region. Otitis media with effusion causing conductive hearing loss is a considerable challenge for many children with cleft lip and palate. The aim of this study was to evaluate the prevalence of hearing disorders and associated malformations in these patients. Methods: The research population consisted of patients with cleft palate, between years 2012 and 2014, who were referred to Children’s Medical Center and Vali-e-Asr hospital in Tehran, Iran. Otoscopic examination, tympanometry, pure tone audiometry and echocardiography were performed for each patient. Results: Among patients with cleft palate, 73% suffered from hearing disorders. There was no relationship between prevalence of hearing loss and sex, presence of other congenital anomalies and degree of cleft, but middle ear diseases were significantly higher in children younger than 2 years. Among patients with cleft lip or palate, 10% suffered from cleft lip, 63% suffered from cleft palate and 27% suffered from cleft lip and palate. There was at least one congenital anomaly in 53% of patients. Conclusion: This study demonstrates high prevalence of otitis media with effusion and conductive hearing loss in patients with cleft. However, audiologic problems are alleviated when patients become older.

Comparison of the Hearing Histories of Children with and without Cleft Palate

1996 ◽  
Vol 33 (2) ◽  
pp. 127-133 ◽  
Author(s):  
Patricia A. Broen ◽  
Karlind T. Moller ◽  
Jane Carlstrom ◽  
Shirley S. Doyle ◽  
Monica Devers ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Cleft Palate ◽  
Otitis Media ◽  
Middle Ear ◽  
Medical Records ◽  
Otitis Media With Effusion ◽  
Hearing Screening ◽  
Tube Placement ◽  
Ventilation Tube ◽  
Ventilation Tubes

Aggressive otologic management has been recommended for children with cleft palate because of the almost universal occurrence of otitis media with effusion (OME) in these children and the association of OME with hearing loss and possible language, cognitive, and academic delays. In this study, 28 children with cleft palate and 29 noncleft children were seen at 3-month intervals from 9 to 30 months to compare otologic treatment and management. Hearing and middle ear function were tested at each session; information on ventilation tube placement was obtained from medical records. Ventilation tubes were placed earlier and more often in children with cleft palate, but children with cleft palates failed the hearing screening more often. The correlation between age at first tube placement and frequency of hearing screening failures was significant for the children with cleft palate, indicating that the later tubes were first placed, the poorer the child's hearing.

Differential Rapid Maxillary Expansion in Cleft Palate

1977 ◽  
Vol 4 (3) ◽  
pp. 139-141 ◽  
Author(s):  
T. D. Foster ◽  
D. Chinn
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Lateral Dimension ◽  
Growth Deficiency ◽  
Conventional Methods ◽  
Severe Growth

Conventional methods of rapid maxillary expansion using rigid mechanisms are not appropriate to patients with cleft lip and palate in whom there has been severe growth deficiency in the lateral dimension. In such patients, much more expansion is usually needed in the canine regions than in the molar regions. A method is described for producing differential rapid maxillary expansion in such patients.

Sign in / Sign up

Export Citation Format

Share Document