Does Type of Cleft Palate Repair Influence Postoperative Eustachian Tube Dysfunction?

Wilson, Alexander T.; Grabowski, Graham M.; Mackey, Wendy; Steinbacher, Derek M.

doi:10.1097/scs.0000000000003185

Cited by 11 publications

(11 citation statements)

References 23 publications

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“…[9] The physiological status of the ET becomes stable at the time of complete anatomical maturation. Hence, ETD is blamed for the development of chronic otitis media, tympanic membrane retraction, and progression of the latter to chronic cholesteatomatous otitis media [10][11][12][13] and might affect the success rate of middle ear surgery. [14] Vila et al [15] reported that ETD is associated with 2 million visits per annum among those >20 years of age and 2.6 million visits among those <20 years.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Turkish version of the Eustachian Tube Dysfunction Questionnaire

Güneş¹

2017

Kulak Burun Bogaz Ihtis Derg

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Objectives: This study aims to determine the value and discriminative power of the validated translation of the Eustachian Tube Dysfunction Questionnaire-7 (ETDQ-7) in a Turkish speaking population with and without Eustachian tube dysfunction (ETD). Materials and Methods:The ETDQ-7 was completed by 38 patients with ETD and 47 healthy individuals. The internal consistency was evaluated using the Cronbach's alpha coefficient. The receiver operating characteristic (ROC) curve was determined as an accuracy measure. Results:The Turkish version of the ETDQ-7's Cronbach's alpha value of 0.89. In the comparison of case and control groups, there was a significant change in the total scoring. There was a significant positive correlation between the test and retest using the Spearman's correlation test (p<0.05). In the discrimination of the ETD and control groups, curve area under 14, the highest cut-off value, was used. Sensitivity was 97.4%, positive predictive value was 88.1%, specificity was 89.4%, and negative predictive value was 97.7%. Conclusion:The Turkish version of the ETDQ-7 demonstrated acceptable levels of reliability and validity to be used for Turkish speaking individuals with ETD. Test-retest reliability for the Turkish version of the ETDQ-7 was also excellent.Keywords: Eustachian tube; eustachian tube dysfunction questionnaire-7; dysfunction; reliability. ÖZAmaç: Bu çalışmada östaki tüp disfonksiyonu (ÖTD) olan ve olmayan Türkçe konuşan bir popülasyonda Östaki Tüp Disfonksiyonu Anketi-7'nin (ETDQ-7) doğrulanmış çevirisinin değeri ve ayırıcı gücü belirlendi. Gereç ve Yöntemler:Östaki Tip Disfonksiyonu Anketi-7 38 ÖTD hastası ve 47 sağlıklı birey tarafından tamamlandı. İç tutarlılık Cronbach alfa katsayısı kullanılarak değerlendirildi. Alıcı işletim karakteristik (ROC) eğrisi, doğruluk ölçütü olarak belirlendi. Bulgular: Türkçe ETDQ-7 versiyonunun Cronbach alfa değeri 0.89 idi. Olgu ve kontrol gruplarının karşılaştırılmasında, total puanlamada anlamlı değişim saptandı. Spearman korelasyon testi ile test ve yeniden test arasında anlamlı pozitif bir ilişki vardı (p<0.05). ÖTD ve kontrol gruplarının ayrımında, en yüksek kesme değeri 14 altındaki eğri alanı kullanıldı. Duyarlılık %97.4, pozitif öngörü değeri %88.1, özgüllük %89.4 ve negatif öngörü değeri %97.7 idi.Sonuç: Türkçe ETDQ-7 versiyonu ÖTD'li Türkçe konuşan bireylerde kullanılmak üzere kabul edilebilir düzeyde güvenirlik ve geçerlilik göstermiştir. Türkçe ETDQ-7 versiyonunun test-yeniden test güvenirliği de mükemmel düzeyde idi.Anahtar Sözcükler: Östaki tüpü; östaki tüp disfonksiyon testi-7; disfonksiyon; güvenirlik.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the Turkish version of the Eustachian Tube Dysfunction Questionnaire

Güneş¹

2017

Kulak Burun Bogaz Ihtis Derg

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“…Four studies reported no relevant difference in prevalence between their study groups, thus concluding surgical technique has no influence on the prevalence of OME postoperatively. 4,15,17,28 However, in the study by Hassan and Askar, 15 IVVP using the Kriens was associated with a lower incidence of OME compared with the VWK palatoplasty.…”

Section: E4mentioning

confidence: 94%

“…In 2 retrospective cohort studies, no difference in need for tympanostomy tube placement was found. 17,21 However, D'Andrea et al 28 reported a lower incidence of ventilation tube…”

Section: Tympanostomy Tubesmentioning

confidence: 99%

“…Most eligible studies (91.3%) were published in the past 2 decades 4,6,7,12,[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] (Table 2). Most studies were conducted in Europe (43.5%) and 26.2% were conducted in the United States.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Comparisons of incidence and prevalence of ventilation tube placement between different palatal closure techniques were performed in 6 retrospective cohort studies 7,17,19,21,28,29 and 1 prospective randomized controlled trial 18 (Table 4). Antonelli et al 18 reported no difference in the need for tympanostomy tubes at 5 to 6 years of age between the Furlow and von Langenbeck palatoplasties.…”

Section: Tympanostomy Tubesmentioning

confidence: 99%

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Effect of Cleft Palate Closure Technique on Speech and Middle Ear Outcome: A Systematic Review

Téblick

Ruymaekers

Casteele

et al. 2019

Journal of Oral and Maxillofacial Surgery

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Otitis media with effusion and disturbed speech are highly prevalent in children after cleft palate repair. Although many techniques for palatal closure have been described, no consensus has been reached on the most effective technique for these issues. The aim of this systematic review was to provide evidence-based information related to the effectiveness of different palatal closure techniques on middle ear and speech outcomes. Materials and Methods: A literature search in multiple electronic databases was performed: National Guidelines Clearinghouse, Trip Database, Cochrane Library, and Medline (PubMed). Potentially relevant articles were selected according to title and abstract and full-text eligibility. Then, quality control on the included articles was executed. Results: Twenty-three retrospective and prospective cohort studies were included in this systematic review. These studies compared at least 2 of the following techniques: von Langenbeck palatoplasty, 2-flap palatoplasty, Veau-Wardill-Kilner V-toY pushback technique, Kriens intravelar veloplasty, Sommerlad technique, Furlow double-opposing Z-plasties, and the Nadjmi modification of the Furlow palatoplasty. Their outcomes on the prevalence of otitis media with effusion, number of tympanostomy tubes placed, rates of hearing loss, and speech development were compared. Conclusions: The Sommerlad and Furlow palatoplasties were associated with the lowest prevalence of otitis media with effusion and the smallest number tympanostomy tubes needed. For hearing outcomes, the Furlow palatoplasty generated the best audiometric outcome. For speech outcomes, the Sommerlad and Furlow palatoplasties were more beneficial than the 2-flap palatoplasty, the Veau-Wardill-Kilner V-toY pushback technique, and the von Langenbeck palatoplasty. Additional randomized controlled trials are recommended to obtain evidence that can support these findings.

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Association between symptomatic submucous cleft palate and otologic disease: A retrospective review

Kwinter¹,

Dworschak-Stokan

Paradis³

et al. 2018

International Journal of Pediatric Otorhinolaryngology

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Does Type of Cleft Palate Repair Influence Postoperative Eustachian Tube Dysfunction?

Abstract: Cleft palate patients have a high prevalence of OM. Palatoplasty technique (straight-line and Z-plasty) does not affect Eustachian tube dysfunction differently following repair as measured by pressure equalizer tube placement and antibiotic use.

Cited by 11 publications

References 23 publications

Evaluation of the Turkish version of the Eustachian Tube Dysfunction Questionnaire

Evaluation of the Turkish version of the Eustachian Tube Dysfunction Questionnaire

Effect of Cleft Palate Closure Technique on Speech and Middle Ear Outcome: A Systematic Review

Association between symptomatic submucous cleft palate and otologic disease: A retrospective review

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