Middle ear findings and need for ventilation tubes among pediatric cleft lip and palate patients in northern Finland

Lehtonen, Ville; Lithovius, Riitta H.; Autio, Timo J.; Sándor, George K.B.; Ylikontiola, Leena P.; Harila, Virpi; Pesonen, Paula; Koskinen, Sari; Anttonen, Vuokko

doi:10.1016/j.jcms.2016.01.006

Cited by 16 publications

(13 citation statements)

References 23 publications

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“…Studies have been able to establish a link between the severity of the cleft, type of ventilation tube placed, placement of ventilation tubes during the palatoplasty and the incidence of middle ear problems. As the male gender is linked to both a higher incidence of otitis media and to more severe forms of palatal clefting, it has also been described as a signifi cant factor [4,[28][29][30]. The results of our study, however, could not confi rm these previous fi ndings, but could only point out that a higher age was an independent risk factor for middle ear complications.…”

Section: Middle Ear Problems For the Different Age Categoriescontrasting

confidence: 97%

Middle ear problems in children with cleft palate: A cross-sectional study

Dochy¹,

Vanheule²,

Leenheer³

et al. 2019

Arch Otolaryngol Rhinold

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Background: Cleft lip and/or palate is the most common congenital craniofacial anomaly. Otitis media with effusion is almost universally present in young children with a cleft palate. OME results in a conductive hearing loss and-if persistent-often requires the placement of ventilation tubes or adjustment of hearing aids in selected cases. Also, a higher incidence of middle ear sequelae e.g. tympanic membrane perforation, chronic otitis media with or without cholesteatoma is reported in the cleft palate population. Objective: To determine the prevalence of middle ear problems in different age categories of children with cleft palate and to determine factors that may infl uence the middle ear status. Material and methods: Data for this cross-sectional study were obtained from the patient fi les of cleft palate children visiting the craniofacial team of the

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Section: Middle Ear Problems For the Different Age Categoriescontrasting

confidence: 97%

Middle ear problems in children with cleft palate: A cross-sectional study

Dochy¹,

Vanheule²,

Leenheer³

et al. 2019

Arch Otolaryngol Rhinold

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“…Syndromic patients require more attention and support for their multiple potential special needs from both the family and the health care facility, including the cleft teams. [1,[7][8][9][10][11] The percentage of the SCLP patients managed by the PCT was 2.6% during the study. This number is below the 10% and 30% prevalence described in the literature.…”

Section: Discussionmentioning

confidence: 99%

The Influence of Genetic Syndromes on the Algorithm of Cleft Lip and Palate Repair – A Retrospective Study

Sándor-Bajusz¹,

Maros²,

Olasz³

et al. 2021

Annals of Maxillofacial Surgery

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Cleft lip and/or cleft palate (CLP) are common developmental anomalies. [1] In general, the worldwide incidence of clefts is estimated to be between 1 and 2.21 cases per 1000 live births. [1] In most cases, CLP occurs as an isolated anomaly. However, the association of CLP with genetic syndromes, the so-called syndromic cleft lip and palate (SCLP), has been described previously in the seventies. [2] At that time, only 154 cleft-related syndromes were known in contrast to the well over 500 syndromes recognized in the literature today. [3] SCLP patients represent between 10% and 30% of CLP cases, according to past and current publications. [3][4][5] The aim of this clinical study was to identify syndromic cleft patients and evaluate how their genetic syndrome influenced the timing of the algorithm in the treatment of CLP. The study was conducted on patients managed by the Pécs Cleft Team (PCT) between January 1999 and December 2015. MethodsA study of nonsyndromic and syndromic cleft patients managed and followed by the PCT was conducted over the 16 years between January 1999 and December 2015. Detailed clinical documentation of all patients, including genetic and epidemiological data, was required for inclusion in the study. The data were collected retrospectively without personal identifying details. At the time of the data collection, permission from the regional ethical committee was not deemed to be obligatory because of the retrospective nature of the study. Special permission was obtained and granted for data collection from the Hungarian Congenital Abnormality Registry (HCAR). The

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“…They postulated that the more extensive movement of tissue required to repair the CLP group may have impacted on Eustachian tube function, which led to the increased risk of cholesteatoma in this group. Lehtonen et al (2016) discovered significant increases by cleft type in the detection of mucous secretions suggesting OME with prevalence greatest in the CLP group. In their cleft lip group, the rates reported approximate worldwide prevalence of OME in healthy children.…”

Section: Introductionmentioning

confidence: 93%

“…Lehtonen et al (2016) discovered significant increases by cleft type in the detection of mucous secretions suggesting OME with prevalence greatest in the CLP group. In their cleft lip group, the rates reported approximate worldwide prevalence of OME in healthy children.…”

Section: Introductionmentioning

confidence: 93%

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Parental Judgement of Hearing Loss in Infants With Cleft Palate

McAndrew

2020

The Cleft Palate Craniofacial Journal

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Objective: To investigate whether reported parental concern is supported by hearing assessment findings in children with cleft palate. To describe this population by examining the relationship between cleft type, middle ear status, and hearing loss. Design: Retrospective consecutive case note review. Setting: Tertiary institutional regional cleft center. Patients: Consecutive cases of 194 babies born with cleft palate and referred to the specialist center from January 2009 and December 2013. Following exclusions, data from 155 infants were included for analysis. Interventions: Documented parental concern in ear, nose and throat (ENT) and speech and language therapy case notes were compared to hearing assessment findings. Findings from otoscopic examination, tympanometry, and hearing assessment were analyzed with respect to cleft type. Results: Parental concern is not always accurately reflected by objective assessment particularly when no concern is reported. Analysis of the cohort examined suggests that cleft type is not related to middle ear findings or hearing. Conclusions: It is helpful to be aware of parental concern and clinicians should consider that parental reports may not be accurately reflected by test results. As cleft type was not found to substantially influence middle ear status or hearing it is not recommended to adapt speech and language advice offered to families according to cleft type. Follow-up studies to increase participant numbers would support a statistical analysis.

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Middle ear findings and need for ventilation tubes among pediatric cleft lip and palate patients in northern Finland

Cited by 16 publications

References 23 publications

Middle ear problems in children with cleft palate: A cross-sectional study

Middle ear problems in children with cleft palate: A cross-sectional study

The Influence of Genetic Syndromes on the Algorithm of Cleft Lip and Palate Repair – A Retrospective Study

Parental Judgement of Hearing Loss in Infants With Cleft Palate

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