Clinical Study on Middle Ear Diseases in Children with Orofacial Clefts (original) (raw)
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Middle Ear Disorders Among Cleft Lip and Palate in Children: A Conjoint Exposition
PAFMJ, 2021
Objective: To analyze the frequency of middle ear disorders among the cleft lip and palate and association with hearing Loss. Study Design: Cross Sectional analytical study. Place and Duration of Study: Audiology Department of Cleft Hospital, Gujrat and ENT department of National Institute of Rehabilitation Medicine, Islamabad, from Oct 2018 to Mar 2019. Methodology: We recruited a sample of 100 cleft lip and palate children of both genders, aged 3 month to 12 years, using nonprobability sampling. Screening was performed with otoscopy, tympanometry and hearing assessment. Results: Out of sample population, 62% were males and 38% females with a mean age of 2.27 ± 2.73 years. The middle ear disorders were found to be 70%. Among these otitis media with effusion was the most common 43 (61.43%), followed by Acute otitis media 8 (11.43%) and Eustachian tube dysfunction 6 (8.57%). Tympanosclerosis and dry tympanic membrane perforation were the least common. Statistically significant associ...
Otological and audiological manifestations in cleft lip and cleft palate children: a clinical study
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2015
Background: Cleft lip and cleft palate are the commonest congenital anomalies of the orofacial region. The incidence of middle ear problems and hearing loss is reported to be higher in children with cleft palate &/or cleft lip. Methods: A prospective, observational case-control study comprising 80 subjects (40 cases and 40 controls) was undertaken at
Evaluating the Frequency of Ear Problems in Patients with Cleft Lip and Palate
Journal of Iranian Medical Council, 2021
Background: Orofacial cleft is one of the most common congenital malformations of craniofacial region. Otitis media with effusion causing conductive hearing loss is a considerable challenge for many children with cleft lip and palate. The aim of this study was to evaluate the prevalence of hearing disorders and associated malformations in these patients. Methods: The research population consisted of patients with cleft palate, between years 2012 and 2014, who were referred to Children’s Medical Center and Vali-e-Asr hospital in Tehran, Iran. Otoscopic examination, tympanometry, pure tone audiometry and echocardiography were performed for each patient. Results: Among patients with cleft palate, 73% suffered from hearing disorders. There was no relationship between prevalence of hearing loss and sex, presence of other congenital anomalies and degree of cleft, but middle ear diseases were significantly higher in children younger than 2 years. Among patients with cleft lip or palate, 10...
Problems of middle ear and hearing in cleft children
Indian Journal of Plastic Surgery, 2009
Although one would expect that the middle ear function would improve after the palatoplasty, the available reports suggest that there is no improvement in the incidence. [7,8] MIDDLE EAR ANATOMY The middle ear cavity is located in the mastoid process of the temporal bone. The cavity extends from the tympanic membrane to the inner ear. It is approximately two cubic centimetres in volume and is lined with mucous
Incidence and outcome of middle ear disease in cleft lip and/or cleft palate
2003
Otitis media with effusion is known to be very common among children with cleft palate, however, less is known regarding the natural history and outcome in this group. The purpose of the present study was to examine the incidence, natural history, treatment, and outcome of middle ear disease in children with clefts. Methods: A questionnaire was sent to the parents of all children registered on the cleft lip and palate database at our institution. The medical records of all respondents were also reviewed. Statistical analysis of the results was performed using Fisher's exact test in contingency tables and binary logistic regression analyses, where appropriate. Results: 397 fully completed questionnaires were returned. Ear disease was much more common in children with cleft palate, or cleft lip and palate, than in children with cleft lip. Among children with cleft palate, ear problems (infections and/or hearing loss) were most prevalent in the 4 Á/6-yearold age group. However, ear problems persisted at a substantial level for many years after this; only after the age of 12 years did problems appear to settle. The incidence of below normal current hearing and of surgery for chronic otitis media was significantly related to history of ear infections (P 0/0.000 and 0.000, respectively), and to increased number of ventilation tube insertions (P 0/0.000 and 0.000, respectively). Conclusions: Middle ear disease is common in children with cleft palate, and, unlike the case for children without clefts, has a prolonged recovery, and a substantial incidence of late sequelae. The higher incidence of below normal hearing and surgery for chronic otitis media in children undergoing a greater number of ventilation tube insertions, although most likely reflecting an increased underlying severity of otitis media in these children, also underlines the lack of long-term benefits of ventilation tubes in this group.
Audiologic and Tympanometric Findings In Children With Cleft Lip and Palate
The Cleft Palate-Craniofacial …, 2003
Objective: To evaluate the otologic and audiologic status of 50 children with repaired cleft lip, cleft palate, or both in Hacettepe University, Ankara, Turkey. Design: Audiometric and tympanometric evaluation of 100 ears in 50 children were performed. Hearing levels Յ 15 dB and middle ear pressures between Ϫ50 to ؉50 decaPascals were considered to be normal. Results were examined according to cleft type and laterality. The least and most affected frequencies were calculated. A simple evaluation of speech characteristics including nasal resonance, nasal air escape, and errors of articulation was also performed. Results: Sixty-three of the 100 ears had normal hearing status, whereas 40 had normal middle ear pressures. No evidence was found to suggest that individual cleft type and laterality of the ear had any effect on hearing loss or middle ear disease. Two-thirds of the patients had normal or acceptable degree of language skills. Conclusion: The final hearing status of patients with cleft palate is a result of a combination of surgical correction, developmental factors, and treatment of middle ear disease. Early and aggressive ventilation tube placement is the standard of cleft care in many countries. Our long-term hearing outcome is relatively good in a population not treated with routine insertion of ventilation tubes. The majority of patients also have satisfactory speech. Patients with cleft palate should have close follow-up for middle ear disease, but further research is warranted to determine the aggressive usage of ventilation tubes.
Ear Findings in Post Surgical Cleft Palate Patients
Birat Journal of Health Sciences
Introduction: Cleft lip and palate is one of the most common congenital anomaly, which contributes to eustachian tube dysfunction leading to impaired middle ear ventilation and middle ear pathology. It has been stated that the timely repair of cleft palate reduces the incidence of otitis media with effusion. Objective: To describe the ear findings in cleft palate patients who have undergone repair of cleft palate. Methodology: A total of 36 (20 male and 16 female) post cleft repair patients underwent Otoscopy and Tympanometry between January to December 2018. Cases with isolated cleft lip, ears with perforation of tympanic membrane and attico-antral disease were excluded. Results: The age range was from 4 years to 24 years, with a mean of 11.34 years. Maximum patients were of the age group of 10- 20 years (18, 50%) followed by that of 5-10 years range (15, 41.66%). Total number of ears examined were 72. Out of a total of 72 ears, 70 (97.2%) had abnormal otoscopic finding with dull t...
Ear Findings and Hearing analysis in cleft palate patients in Nepal
Asian Journal of Medical Sciences, 2019
Background: The orofacial cleft is the most common birth anomaly with a prevalence rate ranging from 1/1000 to 2.69/ 1000. The middle ear diseases are known to be associated with cleft palate, however, the prevalence and the magnitude of the condition is usually underestimated. Aims and Objectives: The purpose of this study was to find out the various exisiting ear abnormalities, to assess the middle ear function and hearing status in patients with cleft palate and confirm the existence of these manifestations and their significance. Materials and Methods: All the patients with cleft palate with or without cleft lip over a one-year duration from January to December 2018 at the teaching hospital were include after informed consent. The patients with only cleft lip were excluded. General ENT examination and Otoscopy was performed. Tympanometry and Pure tone Audiometry was done (in those above 5 years). The degree of hearing loss was categorized using the WHO guidelines. Results: Out...
2015
Background: Despite having a well documented relationship of cl e t palate with middle ear effusion, little data exists regarding otopathology in Indian children wi Objectives: Therefore, the present study was planned with an ob jective to determine the various otological manifestations that occur in patients wi th cleft palates seeking care at a tertiary care teaching hospital. Material and methods: The present study was carried out in the Department of Otorhinolaryngology of a tertiary care teaching hospital of northern In dia during June 2012 to May 2014 among 30 cases of cleft palate. On the first visit, history and thoro ugh clinical examination are common and special investigations are undertaken to evaluate and assess the status of disease. X mastoids, Pure tone audiometry and Tympanometry wer e also carried out. Pathania D, Singh AK , Shamsi MS, Singh LK . IAIM, 2015; 2(7 , Shewtank Goel , Avinash Surana, Deepak Pathania , Lalit Kumar Singh MSDS Medical College, Fatehgarh, U...
Clinical study of otological manifestations in cases of cleft palate
Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India, 2006
Cleft palate (with or without cleft lip) occurs in about 1: 750-1: 2000 births in different societies in the world. Cleft palate individuals have a greater incidence of hearing loss than the general population. The primary cause of the ear problem in cleft patients is eustachian tube dysfunction. The cause for which is abnormal insertion of levator veli palatini and tensor veli palatini muscles into the posterior margin of the hard palate and the palatal aponeurosis and associated muscular hypoplasia.