Conductive Hearing Loss and Otopathology in Cleft Palate Patients

Goudy, Steven L.; Lott, David G.; Canady, John W.; Smith, Richard J.H.

doi:10.1016/j.otohns.2005.12.020

Cited by 110 publications

(117 citation statements)

References 20 publications

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“…Therefore the sex distribution is likely due to the predomi- 123 nance of this type of cleft in the studied sample. This sex distribution does not correlate with that reported by other studies, which have reported a female preponderance [4][5][6]. The reason for this is likely to be a difference in the sample studied.…”

Section: Discussioncontrasting

confidence: 96%

“…2% ears were diagnosed with acute otitis media, and 1% had chronic otitis media of the squamous type. The prevalence of acute and chronic otitis media is less than 5 to 6% reported by other investigators [4,5]. This is probably explained by the fact that the studied sample consisted of children predominantly in the age group of one to three years.…”

Section: Discussionmentioning

confidence: 65%

“…We had noticed clinically a high number of children with non-syndromic cleft palate having external ear abnormalities. Existing studies do not document the status of the external ear in children with cleft palate [4][5][6] even though there have been case reports suggesting presence of external ear deformities in individuals with cleft palate [7]. Therefore, to obtain the relevant data and to systematically document the clinically signifi cant otopathology in the child with cleft palate, a cross sectional study was undertaken.…”

Section: Introductionmentioning

confidence: 99%

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The prevalence of otological manifestations in children with cleft palate

Zingade

Sanji²

2009

Indian J Otolaryngol Head Neck Surg

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Aims i) To determine the prevalence of the various otological manifestations that occured in children aged between 1 to 5 years, presenting to the Departments of ENT and Plastic Surgery with overt cleft palate. ii) To evaluate the possibility of the association of the different otological manifestations in relation to the various types of cleft. Results Prevalence of external ear abnormalities in the studied population was 13%. More than 55% of the participants' ears were diagnosed clinically with OME. There was no statistically signifi cant association between type and side of cleft with the presence of OME. Materials and methodsConclusion External ear deformities are more prevalent in the cleft palate population than the general population. There was a high prevalence of OME in concordance with previous studies. The prevalence of other otopathology was rare. There was no association of the type or side of palate cleft with OME.

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Section: Discussioncontrasting

confidence: 96%

Section: Discussionmentioning

confidence: 65%

Section: Introductionmentioning

confidence: 99%

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The prevalence of otological manifestations in children with cleft palate

Zingade

Sanji²

2009

Indian J Otolaryngol Head Neck Surg

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“…Although the likelihood of developing OME is reduced after reaching adulthood, it is estimated that 50% of these children suffer from permanent conductive hearing loss [21,22]. Additionally, 0.9-5.9% of patients with CLP develop primary acquired cholesteatoma, the probability of which is 100-200 times higher among those without CLP [23,24].…”

Section: Consequences Of Ome In Clpmentioning

confidence: 99%

“…Many studies have indicated that although reconstructive surgery for CLP improves linguistic ability, language development depends on the extent to which hearing ability is maintained [23,26]. If OME is not treated properly, long-term hearing loss can negatively influence the language development of children [27].…”

Section: Consequences Of Ome In Clpmentioning

confidence: 99%

Tympanostomy Tube Placement for Otitis Media with Effusion in Children with Cleft Lip and Palate

Kuo¹,

Shiao²

2017

Designing Strategies for Cleft Lip and Palate Care

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The condition of 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 following birth, including cleft lip repair surgery, cleft palate repair surgery, bone grafting surgery, and 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. This chapter reviews pathogenesis, clinical manifestations, consequences, examination, and diagnosis related to OME in children with CLP. Controversies surrounding the treatment of OME in CLP children are also discussed. We also provide a flowchart for management guidance in OME in children with CLP.

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Facial clefting and oroauditory pathway manifestations in ankyloblepharon–ectodermal defects‐cleft lip/palate (AEC) syndrome

Cole

Hatef

Kaufman

et al. 2009

American J of Med Genetics Pt A

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Ankyloblepharon–ectodermal defects‐cleft lip/palate (AEC) Syndrome is a rare disorder characterized by ectodermal dysplasia, along with other malformations such as cleft lip and palate, and various secondary issues such as chronic sinusitis, otitis media, and conductive hearing loss (CHL). The International Research Symposium for AEC Syndrome convened at Baylor College of Medicine in Houston, Texas. Patients with a suspected diagnosis of AEC syndrome attended, and members of the dental, dermatology, plastic surgery, otolaryngology, and audiology services examined each patient. Eighteen patients with a diagnosis of AEC were evaluated. Mean age was 7.5 years (range: 4 months–30 years). Fourteen of the 15 subjects tested (93.33%) demonstrated CHL, with seven showing moderate to severe hearing deficits (41–90 dB). Nine of 13 respondents reported hoareness or voice problems; 8 were noted to display this on examination. Fourteen of 16 subjects reported speech was below average for age; 8 were in speech therapy. All 18 subjects reported a history of otitis externa or otitis media. Eleven of the subjects (61.11%) required myringotomy and pressure equalizing (PE) tubes. All patients demonstrated cleft palate defects. Of these, 16 (94.11%) presented with clefting of the soft palate, and 10 (58.82%) showed hard palate defects. Three subjects (16.67%) were noted to have submucous clefts. Our experience leads us to propose that while the oroauditory problems in those with AEC syndrome is likely multifactorial, many issues may stem from palatal clefting. Despite this, some abnormalities persist following surgical cleft closure, which indicates other complicating factors are also involved. © 2009 Wiley‐Liss, Inc.

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Conductive Hearing Loss and Otopathology in Cleft Palate Patients

Abstract: C-4 SIGNIFICANCE: Cleft palate children requiring multiple tube insertions should be monitored closely for CHL.

Cited by 110 publications

References 20 publications

The prevalence of otological manifestations in children with cleft palate

The prevalence of otological manifestations in children with cleft palate

Tympanostomy Tube Placement for Otitis Media with Effusion in Children with Cleft Lip and Palate

Facial clefting and oroauditory pathway manifestations in ankyloblepharon–ectodermal defects‐cleft lip/palate (AEC) syndrome

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