Comparison of Eustachian tube ventilation function between cleft palate and normal patients using sonotubometry

Abstract

Objective To compare Eustachian tube ventilation function between cleft palate subjects and normal subjects using sonotubometry. Method A comparative cross-sectional study was conducted at the Department Otolaryngology-Head and Neck Surgery of Ciptomangunkusumo National Hospital, Universitas Indonesia, Jakarta, from June 2013 to January 2014.There were 31 subjects with cleft palate and 62 healthy subjects aged ≤18 years, and both groups were matched according to age. Each subject underwent ear, nose, and throat examination with Veau classification and sonotubometry, a new assembly test in Indonesia. The results of the sonotubogram (the number of Eustachian tube openings, amplitude enhancement in dB, and the duration of Eustachian tube opening in ms) were then analyzed with SPSS using chi-square and Mann–Whitney tests. Results Subjects with cleft palate had lower Eustachian tube function than healthy subjects using three sonotubometry parameters ( p < 0.001). The proportion of Eustachian tube dysfunction based on the Veau classification was significant ( p < 0.001). In multivariate analysis, several determinant factors of Eustachian tube dysfunction were found, such as adenoid hypertrophy (risk factor6.46), the number of Eustachian tube openings (risk factor 36.21), and higher Veau classification (risk factor 10.41). Conclusion Sonotubometry could be used to assess parameters of Eustachian tube function. Subjects with cleft palate have a higher risk of having Eustachian tube dysfunction, as do subjects with adenoid hypertrophy.

Application of B-ultrasound for localization and its impact on first-attempt success rates of nasogastric tube insertion in critically ill patients

“…This involves the delivery of sufficient nutrients to the patient's body via nasal feeding or oral feeding, thereby facilitating the recovery of intestinal peristalsis, regulating immune function, and providing the necessary cellular metabolic capabilities. [11][12][13] To expedite patient progress towards target nutritional values and minimize adverse reactions, a safe, convenient, and effective method for inserting nasointestinal tubes is required. With the advent of medical science and technology, B-ultrasound has increasingly been applied to nasointestinal tube indwelling, yielding remarkable results.…”

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

“… 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. 9 , 10 In particular, the contraction of TVP is believed to have an important role in the opening of the ET.…”