Otologic, audiometric and speech findings in patients undergoing surgery for cleft palate

被引:7
作者
Garcia-Vaquero, Cristina [1 ]
Mir, Cristina [2 ]
Graterol, Domingo [1 ]
Ortiz, Nuria [1 ]
Isabel Rochera-Villach, Maria [1 ]
LLeonart, Matilde E. [2 ]
Lorente, Juan [1 ]
机构
[1] Vall dHebron Res Inst, Biomed Res Canc Stem Cells, Passeig Vall dHebron 119-129, Barcelona 08035, Spain
[2] Vall dHebron Univ Hosp, Otolaryngol Dept, Passeig Vall dHebron 119-129, Barcelona 08035, Spain
来源
BMC PEDIATRICS | 2018年 / 18卷
关键词
Cleft palate; Otology; Hearing loss; Audiometry; EUSTACHIAN-TUBE FUNCTION; MIDDLE-EAR DISEASE; OTITIS-MEDIA; HEARING OUTCOMES; TYMPANOMETRIC FINDINGS; REPAIR TECHNIQUE; CHILDREN; LIP; PALATOPLASTY; MANAGEMENT;
D O I
10.1186/s12887-018-1312-7
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
BackgroundAlthough considerable progress has been made in the last 30years in the treatment of cleft palate (CP), a multidisciplinary approach combining examinations by a paediatrician, maxillofacial surgeon, otolaryngologist and speech and language pathologist followed by surgical operation is still required. In this work, we performed an observational cross-sectional study to determine whether the CP grade or number of ventilation tubes received was associated with tympanic membrane abnormalities, hearing loss or speech outcomes.MethodsOtologic, audiometric, tympanometric and speech evaluations were performed in a cohort of 121 patients (children >6years) who underwent an operation for CP at the Vall d'Hebron Hospital, Barcelona from 2000 to 2014.ResultsThe most and least frequent CP types evaluated according to the Veau grade were type III (55.37%) and I (8.26%), respectively. A normal appearance of the membrane was observed in 58% individuals, of whom 55% never underwent ventilation ear tube insertion. No statistically significant associations were identified between the CP type and number of surgeries for insertion of tubes (p=0.820). The degree of hearing loss (p=0.616), maximum impedance (p=0.800) and tympanic membrane abnormalities indicative of chronic otitis media (COM) (p=0.505) among examined patients revealed no statistically significant association with the grade of CP. However, an association was identified between hypernasality and the grade of CP (p=0.053), COM (p=0.000), hearing loss (p=0.000) and number of inserted ventilation tubes.ConclusionAlthough the placement of tympanic ventilation tubes has been accompanied by an increased rate of COM, it is still important to assess whether this is a result of the number of ventilation tubes inserted or it is intrinsic to the natural history of middle ear inflammatory disease of such patients.Our results do not support improvements in speech, hearing, or tympanic membrane abnormalities with more aggressive management of COM with tympanostomy tubes.
引用
收藏
页数:9
相关论文
共 36 条
  • [1] Clinical manifestation and risk factors of children with cleft palate receiving repeated ventilating tube insertions for treatment of recurrent otitis media with effusion
    Ahn, Joong Ho
    Kang, Woo Seok
    Kim, Ji Heui
    Koh, Kyung S.
    Yoon, Tae Hyun
    [J]. ACTA OTO-LARYNGOLOGICA, 2012, 132 (07) : 702 - 707
  • [2] Postpalatoplasty Eustachian Tube Function in Young Children With Cleft Palate
    Alper, Cuneyt M.
    Losee, Joseph E.
    Mandel, Ellen M.
    Seroky, James T.
    Swarts, J. Douglas
    Doyle, William J.
    [J]. CLEFT PALATE-CRANIOFACIAL JOURNAL, 2012, 49 (04) : 504 - 507
  • [3] Pre- and post-palatoplasty Eustachian tube function in infants with cleft palate
    Alper, Cuneyt M.
    Losee, Joseph E.
    Mandel, Ellen M.
    Seroky, James T.
    Swarts, J. Douglas
    Doyle, William J.
    [J]. INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2012, 76 (03) : 388 - 391
  • [4] Aydnl FE, 2015, J VOICE, V30, P763
  • [5] Otologic Concerns for Cleft Lip and Palate Patient
    Berryhill, Wayne
    [J]. ORAL AND MAXILLOFACIAL SURGERY CLINICS OF NORTH AMERICA, 2016, 28 (02) : 177 - +
  • [6] BLUESTONE CD, 1986, PEDIATRICS, V77, P57
  • [7] Brgoch M S, 2015, Eplasty, V15, pe32
  • [8] Cable Benjamin B, 2003, Ear Nose Throat J, V82, P56
  • [9] The effect of cleft palate repair technique on hearing outcomes in children
    Carroll, Daniel J.
    Padgitt, Noelle R.
    Liu, Meixia
    Lander, Timothy A.
    Tibesar, Robert J.
    Sidman, James D.
    [J]. INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2013, 77 (09) : 1518 - 1522
  • [10] DOYLE WJ, 1986, CLEFT PALATE J, V23, P63