Centre‐level variation in outcomes and treatment for otitis media with effusion and hearing loss and the association of hearing loss with developmental outcomes at ages 5 and 7 years in children with non‐syndromic unilateral cleft lip and palate: The Cleft Care <scp>UK</scp> study. Part 2

Hall, Amanda; Wills, Andrew K; Mahmoud, Osama; Sell, Debbie; Waylen, Andrea; Grewal, Sukhraj S; Sandy, Jonathan R; Ness, Andy R

doi:10.1111/ocr.12184

Cited by 23 publications

(41 citation statements)

References 39 publications

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“…In this supplement, we have explored centre‐level variability across a range of treatment and outcome measures. Our results, which are reported in full in each respective paper in this supplement, suggest that there was centre‐level variation in several of these treatment indicators and outcomes across the domains of oral health, audiology and speech . Describing and exploring these centre‐level variations is important for several reasons.…”

Section: Discussionmentioning

confidence: 67%

“…We have described a standard hierarchical statistical model to predict centre‐level means and centre‐level variation and highlighted how to interpret the output from these models using the expository examples of facial growth and appearance. We found modest differences between centres in the age at assessment and gender of the children over and above that which may be expected from sampling variation and so we controlled for these differences in the analysis presented in this paper and in the subsequent papers in this supplement . We found no evidence of centre‐level variation in dento‐alveolar relationships and facial appearance.…”

Section: Discussionmentioning

confidence: 75%

“…In this study, we outline the approach we have adopted to describe centre‐level variation and illustrate this by reporting the results for facial growth (dento‐alveolar relationship) and facial appearance. Subsequent papers in this supplement employ the same approach to describe centre‐level variation in audiology, oral health, speech and behavioural outcomes . The final paper summarizes the results of these analyses and discusses implications …”

Section: Introductionmentioning

confidence: 99%

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Centre‐level variation of treatment and outcome in 5‐year‐old children with non‐syndromic unilateral cleft lip and palate: The Cleft Care UK study. Part 1: Methodology and results for dento‐facial outcomes

Wills

Mahmoud

Hall

et al. 2017

Orthod Craniofacial Res

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Structured AbstractObjectivesOutline methods used to describe centre‐level variation in treatment and outcome in children in the Cleft Care UK (CCUK) study. Report centre‐level variation in dento‐facial outcomes.Setting and Sample PopulationTwo hundred and sixty‐eight five‐year‐old British children with non‐syndromic unilateral cleft lip and palate (UCLP).Materials and MethodsBetween January 2011 and December 2012, data were collected on a comprehensive range of outcomes. Child facial appearance and symmetry were assessed using photographic pictures. Dental arch relationships were assessed from standardized dental study models. Hierarchical statistical models were used to predict overall means and the variance partition coefficient (VPC)—a measure of amount of variation in treatment or outcome explained by the centre.ResultsData on dento‐alveolar arch relationships and facial appearance were available on 197 and 252 children, respectively. The median age of the children was 5.5 years, and 68% were boys. Variation was described across 13 centres. There was no evidence of centre‐level variation in good or poor dento‐alveolar arch relationships with a VPC of 4% and 3%, respectively. Similarly, there was no evidence of centre‐level variation in good or poor facial appearance with a VPC of 2% and 5%, respectively.ConclusionsThere was no evidence of centre‐level variation for dento‐facial outcomes although this study only had the power to detect large variation between sites.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 75%

Section: Introductionmentioning

confidence: 99%

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Centre‐level variation of treatment and outcome in 5‐year‐old children with non‐syndromic unilateral cleft lip and palate: The Cleft Care UK study. Part 1: Methodology and results for dento‐facial outcomes

Wills

Mahmoud

Hall

et al. 2017

Orthod Craniofacial Res

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“…Long-term hearing loss due to improper treatment for OME can negatively influence language development of children [45]. Hearing loss in children suffering from CLP can also affect their academic comprehension and learning performance [38,[45][46][47]. Bess et al reported that academic performance can be seriously affected in up to 33% of children including those suffering hearing loss in only one ear.…”

Section: Consequences Of Ome In Clpmentioning

confidence: 99%

Glue Ear in Children with Cleft Lip and Palate: An Update

Kuo¹

2018

CMT

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Cleft lip/palate (CLP) in children is psychologically stressful for family members and debilitating for the patients themselves. These children must undergo a series of major invasive surgeries, including cleft lip repair surgery, cleft palate repair surgery, bone grafting surgery, and/or dental implant surgery. Unfortunately, the clinical significance of otitis media with effusion (OME), a complication associated with CLP, is often overlooked and very few studies have explored this condition in depth. In this paper, the author reviews the pathogenesis, clinical manifestations, and diagnoses of OME in children with CLP as well as the controversies surrounding treatment. We also provide a flowchart to guide the management of OME in children with CLP.

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“…28 Hearing loss in children suffering from cleft palate can also affect their academic comprehension and learning performance. [28][29][30] Bess et al reported that academic performance can be seriously affected in up to a third of children including those suffering hearing loss in only one ear. They also reported that up to 40% of patients are unable to participate in regular activities or interactions due to hearing loss.…”

Section: Discussionmentioning

confidence: 99%

Ear Findings and Hearing analysis in cleft palate patients in Nepal

Thakur¹,

Yadav²,

Agrawal

et al. 2019

Asian J Med Sci

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Background: The orofacial cleft is the most common birth anomaly with a prevalence rate ranging from 1/1000 to 2.69/ 1000. The middle ear diseases are known to be associated with cleft palate, however, the prevalence and the magnitude of the condition is usually underestimated. Aims and Objectives: The purpose of this study was to find out the various exisiting ear abnormalities, to assess the middle ear function and hearing status in patients with cleft palate and confirm the existence of these manifestations and their significance. Materials and Methods: All the patients with cleft palate with or without cleft lip over a one-year duration from January to December 2018 at the teaching hospital were include after informed consent. The patients with only cleft lip were excluded. General ENT examination and Otoscopy was performed. Tympanometry and Pure tone Audiometry was done (in those above 5 years). The degree of hearing loss was categorized using the WHO guidelines. Results: Out of a total of 56 patients, there were 30(53.6%) male and 26(46.4%) female. The age range was from 2years to 31 years. The mean age was 12.8 years. Maximum number of patients were in the 10-20 years age group 29(51.8%) followed by 22 (39.3%) in the less than 10 years age group. 53 (47.3%) of 112 ears examined had dull tympanic membrane, followed by retraction of tympanic membrane in 42 (37.5%) ears. Other findings were central perforation in 5 (4.5%), bulging tympanic membrane in 2 (1.8%) and atticoantral disease in 1 (0.9%) ear. 8 (7.1%) ears had normal findings. There was one case with right ear atresia (0.9%). In Tympanometry findings, the maximum number of ears, 51 (48.1%) had type B curve, followed by 33 (31.2%) ears with type As curve. 16 (15%) of ears had type C curve. 6 (5.7%) ears had type A curve. B type curve was found more common in less than 10 years age group. A chi Square test was performed and the findings had statistically significant association. (P value: 0.03 for Right ear tympanometry ; P value: 0.043 for left ear tympanometry). In Pure tone audiometry findings of 105 ears, 72 (68.6%) ears had mild conductive hearing loss. 10 (9.5%) ears had moderate conductive hearing loss, while 1 (1%) ear had mixed hearing loss. 22 (20.9%) ears had normal hearing level. Conclusion: This study assessed the common ear problems prevalent in cleft patients, along with the hearing loss. Since, ear disease were quite common in these patients, these patients should be evaluated regularly by an otolaryngologist to detect, treat and prevent such problems in these patients so that long term morbidity could be avoided.

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Centre‐level variation in outcomes and treatment for otitis media with effusion and hearing loss and the association of hearing loss with developmental outcomes at ages 5 and 7 years in children with non‐syndromic unilateral cleft lip and palate: The Cleft Care UK study. Part 2

Cited by 23 publications

References 39 publications

Centre‐level variation of treatment and outcome in 5‐year‐old children with non‐syndromic unilateral cleft lip and palate: The Cleft Care UK study. Part 1: Methodology and results for dento‐facial outcomes

Centre‐level variation of treatment and outcome in 5‐year‐old children with non‐syndromic unilateral cleft lip and palate: The Cleft Care UK study. Part 1: Methodology and results for dento‐facial outcomes

Glue Ear in Children with Cleft Lip and Palate: An Update

Ear Findings and Hearing analysis in cleft palate patients in Nepal

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