Impact of pharyngofixation in cleft palate repair surgery on the development of chronic adhesive otitis media

2017 ◽  
Vol 131 (7) ◽  
pp. 645-649
Author(s):  
L Otruba ◽  
P Schalek ◽  
Z Hornáčková
Keyword(s):  
Cleft Palate ◽  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Significant Percentage ◽  
Sinus Tympani ◽  
Retraction Pockets ◽  
Cleft Palate Repair ◽  
Palate Repair ◽  
Adhesive Otitis Media

AbstractBackground:A significant percentage of children with cleft palate suffer from otitis media with effusion and its consequences, such as deafness, chronic adhesive otitis and cholesteatoma. This study aimed to determine whether these effects can be minimised by selecting pharyngofixation as the surgical technique for cleft palate correction.Methods:A retrospective study was performed of 155 patients (308 ears) who underwent surgery from age 5 months to 8 years and were followed up for 36–84 months.Results:In all, 125 ears (41 per cent) had epitympanic retraction, 45 ears (14 per cent) had sinus tympani retraction and 5 patients (3 per cent) had cholesteatoma. Use of the pharyngofixation technique did not significantly correlate with (1) the severity of otological findings or (2) the incidence of retraction pockets in the epitympanum and sinus tympani (p = 0.53).Conclusion:Pharyngofixation did not significantly alter the severity of long-term otological findings.

scholarly journals Long-term Speech Outcomes of Cleft Palate Repair in Robin Sequence versus Isolated Cleft Palate

2021 ◽  
Vol 9 (1) ◽  
pp. e3351
Author(s):  
Robrecht J. H. Logjes ◽  
Susanna Upton ◽  
Bryce A. Mendelsohn ◽  
Ryan K. Badiee ◽  
Corstiaan C. Breugem ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Robin Sequence ◽  
Sequence Versus ◽  
Cleft Palate Repair ◽  
Palate Repair ◽  
Isolated Cleft Palate

Parental perceptions of grommet insertion in children with cleft palate

1999 ◽  
Vol 113 (12) ◽  
pp. 1068-1071 ◽  
Author(s):  
A. V. H. Greig ◽  
M. E. Papesch ◽  
A. R. Rowsell
Keyword(s):  
Hearing Loss ◽  
Cleft Palate ◽  
Educational Development ◽  
Otitis Media With Effusion ◽  
Postal Questionnaire ◽  
Parental Perceptions ◽  
Language Delay ◽  
Middle Ear Ventilation ◽  
Cleft Palate Repair ◽  
Palate Repair

AbstractOtitis media with effusion is almost universal in children with cleft palate and can delay speech, language and educational development by causing hearing loss. Grommet insertion at the time of cleft palate repair is common. There is debate about whether the benefits of grommets outweigh the risk of complications. A postal questionnaire was used to investigate parental perceptions of middle-ear ventilation via grommet insertion in children attending the multidisciplinary cleft palate clinic. These children's case notes were reviewed. Many children had speech and language delay, but parents thought this improved after grommet insertion. Overall parents were pleased with the results. This confirms that grommets have an important part to play in the management of children with cleft palate.

Effect of Veau-Wardill-Kilner Type of Cleft Palate Repair on Long-Term Midfacial Growth

2003 ◽  
Vol 111 (2) ◽  
pp. 576-582 ◽  
Author(s):  
Sunil Choudhary ◽  
Michael A. M. Cadier ◽  
David L. Shinn ◽  
Kishore Shekhar ◽  
Robert A. W. McDowall
Keyword(s):  
Cleft Palate ◽  
Cleft Palate Repair ◽  
Palate Repair

Long term speech outcomes following late cleft palate repair using the modified Furlow technique

2014 ◽  
Vol 78 (12) ◽  
pp. 2275-2280 ◽  
Author(s):  
Christina M. Pasick ◽  
Paul L. Shay ◽  
Carrie A. Stransky ◽  
Cynthia B. Solot ◽  
Marilyn A. Cohen ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Cleft Palate Repair ◽  
Palate Repair

scholarly journals The Middle Ear in Cleft Palate Children Pre and Post Palatal Closure

1988 ◽  
Vol 81 (12) ◽  
pp. 710-713 ◽  
Author(s):  
R S Dhillon
Keyword(s):  
Cleft Palate ◽  
Otitis Media ◽  
Middle Ear ◽  
Otitis Media With Effusion ◽  
Prospective Trial ◽  
Ventilation Tube ◽  
Long Term Ventilation ◽  
Palatal Surgery

A multicentre prospective trial was commenced in July 1984 to establish the incidence of otitis media with effusion (OME) in children born with a cleft of the palate. Additionally, the data recorded would allow an assessment of the effect of palatal closure on middle ear function. Prior to palatal closure, 97% of ears in a group of 50 patients had otitis media with effusion (OME). The insertion of a long-term ventilation tube provided a means of aeration of one ear with the non-ventilated ear acting as a control. Eighty percent of control ears had persistent OME during a 24-month follow-up period post palatal repair. It would seem that OME is universally present in children with a cleft palate prior to 4 months of age and this incidence is only marginally diminished by palatal surgery. The liaison between plastic surgical and ENT units should be even closer than before in order to manage these patients satisfactorily.

Subannular Tubes in Children With Cleft Palate

2021 ◽  
pp. 105566562199017
Author(s):  
Sónia Pires Martins ◽  
Pedro Lopes Alexandre ◽  
Margarida Santos ◽  
Carla Pinto Moura
Keyword(s):  
Cleft Palate ◽  
Otitis Media ◽  
Middle Ear ◽  
Otitis Media With Effusion ◽  
Tube Obstruction ◽  
Tube Extrusion ◽  
Tertiary Center ◽  
Retraction Pockets ◽  
Middle Ear Disease

Objective: To investigate subannular tube (SAT) placement as an alternative treatment of chronic middle ear disease in children with cleft palate. Design: Retrospective cohort study. Participants: All children with cleft palate with intractable otitis media with effusion and/or with tympanic membrane retraction, operated for insertion of 1 or more sets of transtympanic tubes followed by SAT in a tertiary center. Main Outcome Measures: Audiological outcomes, average duration of tubes, and postoperative complications were analyzed. Results: This study included 21 children with cleft palate, aged 3 to 14 years. A total of 38 ears was evaluated. The median time of follow-up was 42 months. During follow-up, 69.2% of the patients had no complications. Observed complications were otorrhea (13.5%) and tube obstruction (7.7%). In 7.9% of the cases, otitis media with effusion relapsed after tube extrusion. By the end of the study, 76.3% of the tubes remained in situ and 68.4% of the tympanic membranes had the SAT in place and had no significant alterations. The mean duration of SATs was 16 months, which was significantly superior to transtympanic tube duration. A significant sustained improvement in the hearing of children with SATs was observed. Conclusion: Subannular tube insertion results in hearing improvement to normal range and tympanic retraction pockets reversion in children with cleft palate with persistent otitis media with effusion and tympanic retraction/atelectasis. This surgery appears to be safe and provides long-term efficient middle ear aeration. Strict postoperative follow-up is crucial for the success of the treatment.

scholarly journals Long-term Outcome of the Management of Otitis Media with Effusion in Children with and Without Cleft Palate Using the House-brand Polyethylene Ventilation Tube Insertion

2021 ◽  
Vol 73 ◽  
pp. 245-251
Author(s):  
Kitirat Ungkanont ◽  
Alisa Tabthong ◽  
Chulaluk Komoltri ◽  
Amornrut Leelaporn ◽  
Vannipa Vathanophas ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Ventilation Tube ◽  
Tube Insertion ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Hearing Outcome

Objective: To study the long-term outcome of otitis media with effusion in children with and without cleft palate treated with the same protocol of ventilation tube insertion. Materials and Methods: A retrospective cohort study was conducted in eighty-five children with cleft palate and 80 children without cleft palate who had otitis media with effusion and had follow-up between 2001 and 2019. Both groups were treated with ventilation tube insertion for longstanding middle ear effusion more than 90 days. The main outcome was the cumulative incidence of surgical management, time of the indwelling ventilation tubes, conditions of the tympanic membrane, and the hearing outcome. Results: At 24 months old, 63.5% of children with cleft palate and 11.3% of children without cleft palate had their first ventilation tube insertion. Repeated surgery was done in 81.2% of children with cleft palate and 50% of children without cleft palate (p < 0.001). The median duration of the indwelling tube was 11.3 months in the children with cleft palate and 12.4 months in the non-cleft children (p = 0.82). At the end of the study, 63.7% of children without cleft palate and 43.5% of children with cleft palate had normal tympanic membrane (p = 0.009). The hearing outcomes of children with and without cleft palate were 20.7 dB and 19.3 dB, respectively. Conclusion: Children with and without cleft palate were managed under the same guideline and the hearing outcome was favorable in both groups.

EARLY TREATMENT OF THE UNIVERSAL OTITIS MEDIA OF INFANTS WITH CLEFT PALATE

PEDIATRICS ◽  
1974 ◽  
Vol 53 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Jack L. Paradise ◽  
Charles D. Bluestone
Keyword(s):  
Cleft Palate ◽  
Otitis Media ◽  
Middle Ear ◽  
Intellectual Development ◽  
Middle Ear Effusion ◽  
Suppurative Otitis Media ◽  
Tympanostomy Tubes ◽  
Palate Repair ◽  
Ear Effusion

In 138 infants with cleft palate, secretory or suppurative otitis media was a universal complication. Middle ear aeration was instituted by means of myringotomy, aspiration of middle ear liquid, and insertion of tympanostomy tubes, and this procedure was repeated whenever recurrence of middle ear effusion followed blockage or extrusion of the tubes. In infants with either complete or incomplete clefts of the palate, satisfactory middle ear status could usually be maintained. Otorrhea through tympanostomy tubes occurred frequently, but usually responded promptly to treatment. Palate repair resulted in sharp improvement in middle ear status. Early relief of middle ear effusion anti establishment and maintenance of middle ear aeration in infants with cleft palate may help maintain normal hearing acuity throughout infancy, with favorable implications for language and intellectual development, and may reduce the risk of permanent middle ear damage and hearing impairment. Further study is necessary to determine the long-term efficacy of this regimen.

Long-term outcomes in children with and without cleft palate treated with tympanostomy for otitis media with effusion before the age of 2 years

2020 ◽  
Vol 140 (12) ◽  
pp. 982-989
Author(s):  
Maki Inoue ◽  
Mariko Hirama ◽  
Shinji Kobayashi ◽  
Noboru Ogahara ◽  
Masahiro Takahashi ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Long Term Outcomes
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