Cleft lip and palate associated hearing loss in Brazilian children

Godinho, Ricardo; Sih, Tânia; Ibiapina, Cássio da Cunha; Oliveira, Márcia Helena Miranda de Freitas; Rezende, Ana Luiza de Freitas; Tassara, Renata Victória

doi:10.1016/j.ijporl.2018.08.038

Cited by 11 publications

(8 citation statements)

References 11 publications

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“…Study population included non-syndromic cleft lip, cleft lip and palate and cleft palate patients from newborns to patients aged up to 31 years. Twenty-one articles 19,22,27-45 evaluated otological challenges associated with cleft lip and palate, 7 articles 24,29,46-50 evaluated associated quality of life of patients with otological challenges and 9 articles 29,51-58 evaluated management of otological challenges. The study by Kwan et al 29 evaluated all 3 objectives and was included separately in each group.…”

Section: Resultsmentioning

confidence: 99%

“…29 However, the study by De Paepe et al, 24 reported that it is not the otological challenges that influence behavioral patterns but the associated speech defect including lack of intelligibility and eloquence of speech. 46,49,50 Hearing aids are one of the effective tools used to manage hearing loss in cleft lip and palate patients. However, it was considered to be unaesthetic and associated with poor quality of life of patients who made use of it.…”

Section: Risk Of Bias In Included Studiesmentioning

confidence: 99%

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Otological Challenges in Patients With Non-Syndromic Cleft Lip and Palate: A Systematic Review

James

Otoghile

Adamson

et al. 2023

FACE

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Objectives: To identify the various otological challenges associated with non-syndromic orofacial clefts, how these problems affect quality of life of patients with orofacial clefts and find out the perspectives and current trends in the management of otological problems. Design: We conducted systematic searches for retrospective studies, cross-sectional studies, case-control studies, cohorts’ longitudinal studies and prospective controlled trials in Medline and Google scholar databases. Identified studies were retrieved and assessed for eligibility. Results: Thirty-five articles met all inclusion criteria and were selected for qualitative analysis. Twenty-one articles evaluated otological challenges associated with cleft lip and palate, 7 articles evaluated associated quality of life of patients with otological challenges and 9 articles evaluated management of otological challenges. Based on the results from this review, otological challenges including otitis media with effusion, conductive and sensorineural hearing loss are commonly associated with cleft. The result is a reduced quality of life due to their negative effects on intelligibility and eloquence of speech. They can however be managed by various palatoplasty procedures, rapid maxillary expansion, and use of various otological aids performed at an early age. Conclusion: The prevalence otological challenges in the cleft population are high and these issues require early management due to their possible effects on quality of life. Hence, there is need to incorporate ear care in the routine management of cleft lip and palate.

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Section: Resultsmentioning

confidence: 99%

Section: Risk Of Bias In Included Studiesmentioning

confidence: 99%

Otological Challenges in Patients With Non-Syndromic Cleft Lip and Palate: A Systematic Review

James

Otoghile

Adamson

et al. 2023

FACE

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“…However, children with only cleft lip often have normal or near-normal middle ear function (Sheahan et al, 2003). This is because palatal clefting alters the normal anatomy of surrounding muscles, in particular the tensor veli palatini (TVP) and levator veli palatini (Godinho et al, 2018). The TVP is especially relevant, because it is involved in opening the Eustachian tube (Barsoumian et al, 1998).…”

Section: Introductionmentioning

confidence: 99%

Eustachian Tube Dysfunction in Children With Unilateral Cleft Lip and Palate: Differences Between Ipsilateral and Contralateral Ears

Shaffer

Jabbour

2019

The Cleft Palate Craniofacial Journal

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Objective: To evaluate Eustachian tube dysfunction in the ipsilateral and contralateral ears, in children with unilateral cleft lip and palate (UCLP). Design: Retrospective chart review. Setting: Tertiary care children’s hospital. Patients: Seventy-four consecutive patients with UCLP born between 2005 and 2011 and treated at UPMC Children’s Hospital of Pittsburgh Cleft-Craniofacial Center were included. Main Outcome Measures: Conductive hearing loss, tympanogram type, number of middle ear effusions, tympanostomy tubes, and complications. Hypothesis was formulated prior to data collection. Results: Conductive hearing loss was nearly twice as common in the ipsilateral ear (43.2%) compared with contralateral (23.0%; P = .001, McNemar test). There were no significant differences in the frequency of each type of tympanogram between the contralateral and ipsilateral ears. The proportions of ipsilateral (90.5%) and contralateral (91.9%) ears with effusion were not significantly different. The total number of tubes received was not significantly different between the 2 ears (median of 2 bilaterally). When combined, complications (retractions, perforations, and cholesteatomas) were significantly more common in the ipsilateral ear (29.7%) compared with the contralateral ear (18.9%; P = .039, McNemar test). Conclusion: In children with UCLP, there were significantly more instances of conductive hearing loss and complications on the cleft side compared to the noncleft side. This suggests that Eustachian tube dysfunction may indeed be more severe on the cleft side. Considering this information, clinicians may need to be especially observant of the ipsilateral ear.

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“… 3 However, in some children, these problems could persist into adulthood. 4 Several factors, including dysfunction of the palatal muscles, abnormalities and dysfunction of the eustachian tube (ET), and the abnormal anatomy of skull base, are considered to be associated with the audiological and otological problems in these children. 5 , 6 Considering the short-term effect of ventilation tube insertion and the accompanying complications, 7 , 8 some surgeons believed that correcting the anomalies of the palatal muscles, especially restoring the integrities of tensor veli palatini (TVP) and levator veli palatini (LVP), could improve the long-term outcome.…”

mentioning

confidence: 99%

“…Hearing loss and middle ear dysfunction could relive in most children in their teenage 3. However, in some children, these problems could persist into adulthood 4. Several factors, including dysfunction of the palatal muscles, abnormalities and dysfunction of the eustachian tube (ET), and the abnormal anatomy of skull base, are considered to be associated with the audiological and otological problems in these children 5,6.…”

mentioning

confidence: 99%

Impact of a Modified Restoration of Tensor Veli Palatini on Hearing and Middle Ear Function in Cleft Palate Children—a Retrospective Study

Shi

Zhou

Shang

et al. 2022

Journal of Craniofacial Surgery

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Background: Many children with cleft palate also exhibit hearing loss and middle ear dysfunction, which could last for years. There are still arguments on how to treat this problem. This study aimed to evaluate the impact of a modified restoration of tensor veli palatine (TVP) on hearing and middle ear function in the cleft palate children. Methods: This retrospective study was completed using records of the cleft palate children who received surgery in Peking Union Medical College Hospital from May 2013 to December 2020. They were divided into 2 groups: Group 1: children who received cleft palate surgery without specific restoration of TVP; Group 2: children who received palate surgery with a specific TVP restoration technique. Perioperative information was collected. The conductive auditory brainstem response and the 226-Hz tympanometry before and after the cleft surgery were compared intragroup and intergroup. Results: Totally 42 children were included in this study, 21 children in each group. There were no significant differences considering clinical characteristics between the 2 groups. The modified TVP restoration didn’t increase operation time or complication compared with no TVP restoration. Statistically, neither the auditory brainstem response air conduction hearing thresholds nor the 226-Hz tympanometry results had significant differences between the 2 groups after the surgery. Conclusions: This modified restoration of TVP was not time-consuming and did not increase complications. The beneficial effect of the modified TVP restoration on the hearing or the middle ear function of cleft palate children was uncertain around 6 months after surgery compared with no restoration.

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Cleft lip and palate associated hearing loss in Brazilian children

Cited by 11 publications

References 11 publications

Otological Challenges in Patients With Non-Syndromic Cleft Lip and Palate: A Systematic Review

Otological Challenges in Patients With Non-Syndromic Cleft Lip and Palate: A Systematic Review

Eustachian Tube Dysfunction in Children With Unilateral Cleft Lip and Palate: Differences Between Ipsilateral and Contralateral Ears

Impact of a Modified Restoration of Tensor Veli Palatini on Hearing and Middle Ear Function in Cleft Palate Children—a Retrospective Study

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