Internationally adopted children with cleft lip and/or cleft palate: Middle ear findings and hearing during childhood

Adopted children with cleft lip and/or palate form a diverse group of patients. Due to increased age at palatal repair, adopted children have a higher risk of velopharyngeal insuffiency and poor speech outcome. Delayed palate repair may also lead to longer lasting Eustachian tube dysfunction. Decreased function of the Eustachian tube causes otitis media with effusion and recurrent acute otitis media, which can lead to other middle ear problems and hearing loss.
Source: International Journal of Pediatric Otorhinolaryngology - Category: ENT & OMF Authors: Source Type: research

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Conclusion/clinical relevanceThis is the first prospective study analyzing the incidence of cleft-related speech problems in children with an isolated cleft lip. These children do not have a higher risk of cleft-related speech problems or AOM/OME when compared to the general population. However, children with an isolated cleft do have a higher incidence of speech therapy.
Source: Clinical Oral Investigations - Category: Dentistry Source Type: research
Conclusions: We propose a technique to improve the function of the velopharyngeal closure which effectively reduces the incidence of pharyngeal insufficiency and occurrence of operative correction of pharyngeal closure dysfunction. The modifed two-flap palatoplasty with posterior lateral symmetric mucosal relaxation incision is beneficial for better velopharyngeal closure.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
We examined the anatomy of the eustachian tube and the paratubal muscles of the soft palate with magnetic resonance imaging (MRI), assessed auditory function, and correlated the results to evaluate the impact of the pathological anatomy on the function of the middle ear. A total of 64 ears in 32 patients were evaluated (Group A, n = 16) (Group B, controls = 16). MRI showed a short eustachian tube with a shortened tensor attachment in Group A when compared with Group B. The pterygoid hamulus was found to be intact in both groups, but extensive perihamular fibrosis was seen in Group A. A total of 15 ears in Group A h...
Source: British Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Source Type: research
Abstract BACKGROUND: Diagnosis and treatment strategies for CP with OME and the timing of ear tube insertion remain controversial. OBJECTIVES: To analyze the clinical outcomes of otitis media with effusion in children with incomplete cleft palate after palatoplasty prospectively. METHODS: A total of 30 children (10 months-2 years old) with incomplete CP were enrolled in this study and received at least 6 months of follow-up evaluations after palatoplasty. RESULTS: The overall improvement rate of OME was as high as 26% in this group. Average air conduction hearing threshold was signifi...
Source: Acta Oto-Laryngologica - Category: ENT & OMF Authors: Tags: Acta Otolaryngol Source Type: research
Otitis media with effusion and disturbed speech are highly prevalent problems in children after cleft palate repair. Although many techniques for palatal closure have been described, no consensus has yet been reached regarding the most effective technique for these issues. The aim of this systematic review is to provide evidence-based information related to the effectiveness of different palatal closure techniques on middle ear and speech outcomes.
Source: Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Authors: Source Type: research
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.
Source: Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Authors: Tags: Craniomaxillofacial deformities/sleep disorders/cosmetic surgery Source Type: research
Introduction: Chronic otitis media with effusion (OME) is a recurrent complication, usually found in cleft palate patients. Conductive hearing loss is the result of the Eustachian tube dysfunction caused by the absence of fusion and the altered insertion of the muscles of the secondary palate. It is also the consequence of an ineffective muscular reconstruction after primary cleft palate repair. Methods: This is a cohort study to compare 4 groups of patients born with isolated cleft lip (ICL), unilateral cleft lip/palate (UCLP), bilateral cleft lip/palate (BCLP), and isolated cleft palate (ICP), received in our hospi...
Source: Journal of Craniofacial Surgery - Category: Surgery Tags: Original Articles Source Type: research
CONCLUSION: Pharyngofixation did not significantly alter the severity of long-term otological findings. PMID: 28325168 [PubMed - as supplied by publisher]
Source: Journal of Laryngology and Otology - Category: ENT & OMF Tags: J Laryngol Otol Source Type: research
Purpose: Otitis media (OM) is a frequent occurrence in the cleft palate population. Palate repair is thought to positively contribute to Eustachian tube function. The purpose of this study is to determine the proportion of cleft patients in our cohort with OM, and if palatoplasty closure technique influences future OM differently. The authors posited that Z-plasty palate repair would result in improved Eustachian tube function, compared with straight-line repair. Methods: Patient records were accessed and data was recorded on palatoplasties from 2005 to 2007 as well as from 2012 to 2014. Type of palatoplasty (straight-lin...
Source: Journal of Craniofacial Surgery - Category: Surgery Tags: Technical Strategies Source Type: research
Conclusion More research is warranted to clarify the role of the tensor veli palatini muscle in cleft palate-associated Eustachian tube dysfunction and development of middle ear problems. Clinical relevance Optimized surgical management of cleft palate could potentially reduce associated middle ear problems.
Source: Clinical Oral Investigations - Category: Dentistry Source Type: research
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