Impedance audiometry in infants with a cleft palate: The standard 226-Hz probe tone has no predictive value for the middle ear condition

2010 ◽  
Vol 74 (6) ◽  
pp. 586-590 ◽  
Author(s):  
Eva Wimmer ◽  
Birgit Toleti ◽  
Alexander Berghaus ◽  
Uwe Baumann ◽  
Ilona Nejedlo
Keyword(s):  
Cleft Palate ◽  
Middle Ear ◽  
Predictive Value ◽  
Probe Tone ◽  
Impedance Audiometry

EFFECTS OF VELOPHARYNGEAL DYSFUNCTION ON MIDDLE EAR OF REPAIRED CLEFT PALATE PATIENTS

2009 ◽  
pp. 091202121239062
Author(s):  
Daniela da Silva ◽  
Marcus Vinicius Collares ◽  
Sady da Costa
Keyword(s):  
Cleft Palate ◽  
Middle Ear

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

2021 ◽  
Author(s):  
Cecilia Rosso ◽  
Antonio Mario Bulfamante ◽  
Carlotta Pipolo ◽  
Emanuela Fuccillo ◽  
Alberto Maccari ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cleft Palate ◽  
Otitis Media ◽  
Middle Ear ◽  
Acute Otitis Media ◽  
Case Series ◽  
Velopharyngeal Insufficiency ◽  
Middle Ear Disease ◽  
Conductive Hearing

Abstract 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.

THE UNIVERSALITY OF OTITIS MEDIA IN 50 INFANTS WITH CLEFT PALATE

PEDIATRICS ◽  
1969 ◽  
Vol 44 (1) ◽  
pp. 35-42
Author(s):  
Jack L. Paradise ◽  
Charles D. Bluestone ◽  
Herman Felder
Keyword(s):  
Adverse Effects ◽  
Cleft Palate ◽  
Otitis Media ◽  
Middle Ear ◽  
Emotional Development ◽  
Well Being ◽  
Suppurative Otitis Media ◽  
Middle Ear Disease ◽  
And Function ◽  
Irreparable Damage

Bilateral secretory (serous) or suppurative otitis media was found without exception in 50 infants with cleft palate who were 20 months of age or younger. Middle ear disease probably develops in all cleft palate infants during the first few months of life, and appears to be best managed by myringotomy with insertion of plastic tubes. Unless drainage and aeration of the middle ear are accomplished, irreparable damage to middle ear structures may develop in some patients; and, in all of them, hearing impairment will probably persist throughout infancy or longer, with adverse effects on well-being and function and with serious implications for intellectual, speech, and emotional development. Further studies are required to assess the long-range effectiveness of surgical management.

Impedance audiometry: Is it a wise investment?

PEDIATRICS ◽  
1976 ◽  
Vol 58 (2) ◽  
pp. 151-153
Author(s):  
Edward A. Mortimer
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Impedance Audiometry ◽  
Diagnosis And Management ◽  
Middle Ear Pressure ◽  
External Pressures ◽  
Serous Otitis Media

In this issue of Pediatrics there is a report1 of a method by which abnormalities of the middle ear that affect mobility of the drum, and therefore hearing, may be assessed quantitatively. In brief, the technique, called tympanometry, measures the compliance of the ear drum and, by ascertaining compliance at different external pressures, estimates pressures in the middle ear. The value to pediatricians and their patients of a means by which ear drum compliance and middle ear pressure can be measured lies primarily in the diagnosis and management of serous otitis media. Clearly, the data presented in this report indicate that this technique will usually discriminate between ears with middle ear effusions and normal ears.

Tympanometry Revealing Middle Ear Pathology

1976 ◽  
Vol 85 (2_suppl) ◽  
pp. 209-215 ◽  
Author(s):  
Ulf Renvall ◽  
Jörgen Holmquist
Keyword(s):  
Middle Ear ◽  
Pure Tone ◽  
Screening Method ◽  
Initial Study ◽  
Predisposing Factor ◽  
Pilot Studies ◽  
Impedance Audiometry ◽  
Middle Ear Pressure ◽  
Stapedius Reflex ◽  
Temporal Bones

In order to evaluate the usefulness of impedance audiometry as a screening method for school children, two different pilot studies were performed. The results indicated that impedance audiometry (tympanometry and stapedius reflex test) was more efficient than otoscopy and pure tone screening in the detection of ears with secretory otitis media (SOM). In order to gain some more experience, an extended study of 800 7-year-olds was performed. The results from this investigation showed 6.5% pathological values with pure tone screening, 13.5% pathological values with tympanometry and 32% elevated or nonelicitable stapedius reflexes. Analysis of our observations indicates that the stapedius reflex may be too sensitive a test to be used as a screening method. Tympanometry, however, is recommended as a complement to pure tone screening in screening of children. A 6–12 months follow-up was also performed on 357 ears in which an initial study had shown a middle ear pressure of ≤ −100 mm H2O. At the repeated test 20% had pathological pure tone screening, 40% had a middle ear pressure of ≤ −100 mm H2O, 57% had elevated or nonelicitable stapedius reflexes, and 14% had middle ear effusion. The high frequency of persisting abnormal middle ear pressure and effusion in these 357 ears suggests that a middle ear pressure of ≤ −100 mm H2O can be a predisposing factor for SOM. In an experimental study on human temporal bones it was demonstrated that the tympanogram preserves its original appearance when the water level is low in the middle ear, while a higher level gives rise to a pathological tympanogram. It is also demonstrated that there is a discrepancy between the tympanometrically, indirectly recorded middle ear pressure and the middle ear pressure as measured manometrically, directly from the middle ear.

scholarly journals Gas Exchange Function of the Middle Ear Mucosa in Patients with Cleft Palate.

1998 ◽  
Vol 91 (3) ◽  
pp. 227-231
Author(s):  
Makito TANABE ◽  
Haruo Takahashi ◽  
Iwao HONJI ◽  
Masaki SAWADA
Keyword(s):  
Gas Exchange ◽  
Cleft Palate ◽  
Middle Ear ◽  
Middle Ear Mucosa ◽  
Exchange Function

Effect of Certain Head and Neck Tumors and Their Treatment on the Ventilatory Function of the Eustachian Tube and Hearing Loss

1983 ◽  
Vol 92 (6_suppl) ◽  
pp. 24-25
Author(s):  
E. N. Myers ◽  
Q. C. Beery ◽  
C. D. Bluestone ◽  
M. B. Möller ◽  
B. A. Sigler ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Animal Models ◽  
Cleft Palate ◽  
Head And Neck ◽  
Middle Ear ◽  
Clinical Condition ◽  
Ventilatory Function ◽  
Neck Tumors ◽  
Pathological Conditions ◽  
Middle Ear Disease

The management of patients with middle ear disease should be based on an understanding of the pathogenesis of the disease and its course. In this group of investigations, patients with pathological conditions such as cleft palate, which affects ET function, are studied. Animal models are then developed to simulate the clinical condition, thus providing a method of isolating the variables.

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