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Impact of pharyngofixation in cleft palate repair surgery on the development of chronic adhesive otitis media

  • L Otruba (a1), P Schalek (a1) and Z Hornáčková (a1)
Abstract
Abstract Background:

A significant percentage of children with cleft palate suffer from otitis media with effusion and its consequences, such as deafness, chronic adhesive otitis and cholesteatoma. This study aimed to determine whether these effects can be minimised by selecting pharyngofixation as the surgical technique for cleft palate correction.

Methods:

A retrospective study was performed of 155 patients (308 ears) who underwent surgery from age 5 months to 8 years and were followed up for 36–84 months.

Results:

In all, 125 ears (41 per cent) had epitympanic retraction, 45 ears (14 per cent) had sinus tympani retraction and 5 patients (3 per cent) had cholesteatoma. Use of the pharyngofixation technique did not significantly correlate with (1) the severity of otological findings or (2) the incidence of retraction pockets in the epitympanum and sinus tympani (p = 0.53).

Conclusion:

Pharyngofixation did not significantly alter the severity of long-term otological findings.

Copyright
Corresponding author
Address for correspondence: Dr L Otruba, Department of Otorhinolaryngology, 3rd Medical Faculty Charles University and UTH Královské Vinohrady, Srobarova 50, 10034 Prague, Czech Republic E-mail: lukas.otruba@fnkv.cz
References
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1 CL Kuo , CF Lien , HC Chia , AC Shiao . Otitis media with effusion in children with cleft lip and palate: A narrative review. Int J Pediatr Otorhinolaryngol 2013;77:1403–9

2 ZA Rajion , AR Al-Khatib , DJ Netherway , GC Townsend , PJ Anderson , NR McLean The nasopharynx in infants with cleft lip and palate. Int J Pediatr Otorhinolaryngol 2012;76:227–34

3 P Sheahan , AW Blayney , JN Sheahan , MJ Earley . Sequelae of otitis media with effusion among children with cleft lip and/or cleft palate. Clin Otolaryngol 2002;27:494500

4 FJ Sheer , JD Swarts , SN Ghadiali . Three-dimensional finite element analysis of Eustachian tube function under normal and pathological conditions. Med Eng Phys 2011;34:605–16

5 M Alper , JE Losee , EM Mandel , JT Seroky , JD Swarts , WJ Doyle . Pre- and post-palatoplasty Eustachian tube function in infants with cleft palate. Int J Pediatr Otorhinolaryngol 2012;76:388–91

6 L Harris , SL Cushing , B Hubbard , D Fisher , BC Papsin , AL James . Impact of cleft palate type on the incidence of acquired cholesteatoma. Int J Pediatr Otorhinolaryngol 2013;77:695–8

7 K Spilsbury , I Miller , JB Semmens , FJ Lannigan . Factors associated with developing cholesteatoma: a study of 45,980 children with middle ear disease. Laryngoscope 2010;120:625–30

8 V Vincenti , F Marra , B Bertoldi , D Tonni , MS Saccardi , S Bacciu Acquired middle ear cholesteatoma in children with cleft palate: experience from 18 surgical cases. Int J Pediatr Otorhinolaryngol 2014;78:918–22

9 DJ Carroll , NR Padgitt , M Liu , TA Lander , RJ Tibesar , JD Sidman . The effect of cleft palate repair technique on hearing outcomes in children. Int J Pediatr Otorhinolaryngol 2013;77:1518–22

10 R Reiter , S Haase , S Brosch . Repaired cleft palate and ventilation tubes and their associations with cholesteatoma in children and adults. Cleft Palate Craniofac J 2009;46:598602

11 LK Smith , SP Gubbels , CJ MacArthur , HA Milczuk . The effect of the palatoplasty method on the frequency of ear tube placement. Arch Otolaryngol Head Neck Surg 2008;134:1085–9

13 R Tiwari , RK Sharma , NK Panda , S Munjal , S Makkar . Tensor tenopexy: a clinical study to assess its efectiveness in improving Eustachian tube function and preventing hearing loss in patients with cleft palate. J Plast Reconstr Aesthet Surg 2013;66:e23945

14 T Klockars , J Rautio . Early placement of ventilation tubes in cleft lip and palate patients: does palatal closure affect tube occlusion and short-term outcome? Int J Pediatr Otorhinolaryngol 2012;76:1481–4

15 C Szabo , K Langevin , S Schoem , K Mabry . Treatment of persistent middle ear effusion in cleft palate patients. Int J Pediatr Otorhinolaryngol 2010;74:874–7

17 YS Phua , LJ Salkeld , TMB de Chalain . Middle ear disease in children with cleft palate: protocols for management. Int J Pediatr Otorhinolaryngol 2009;73:307–13

18 E Guneren , Z Ozsoy , M Ulay , E Eryilmaz , H Ozkul , PM Geary . A comparison of the effects of Veau-Wardill-Kilner palatoplasty and Furlow double-opposing Z-plasty operations on eustachian tube function. Cleft Palate Craniofac J 2000;37:266–70

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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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