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Ear, nose and voice problems in children with orofacial clefts.

I Hocevar-Boltezar1, A Jarc, V Kozelj

  • 1Department of Otorhinolaryngology and Head & Neck Surgery, University Clinical Center, Ljubljana, Slovenia. irena.hocevar@kclj.si

The Journal of Laryngology and Otology
|April 21, 2006
PubMed
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Children with cleft palate (CP) and unilateral cleft lip, alveolus and palate (UCLP) experience similar ear issues, but UCLP children more frequently have nasal breathing problems. Early ENT intervention is crucial for managing these conditions.

Area of Science:

  • Otorhinolaryngology
  • Pediatric Health
  • Speech Pathology

Background:

  • Cleft lip and palate conditions can affect multiple craniofacial structures.
  • Associated ear, nose, and voice problems require early assessment and management.
  • Understanding prevalence differences between cleft types is essential for targeted care.

Purpose of the Study:

  • To compare the incidence of ear, nose, and voice disorders in children with cleft palate (CP) versus unilateral cleft lip, alveolus, and palate (UCLP).

Main Methods:

  • Retrospective analysis of 80 CP and 73 UCLP children.
  • Inclusion of patient history, otorhinolaryngological examinations, and hearing tests.
  • Assessment of ear, nasal breathing, and voice pathologies.

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Main Results:

  • Ear pathology prevalence was similar: 53.8% in CP and 58.9% in UCLP children.
  • Impaired nasal breathing was significantly higher in UCLP (49.3%) compared to CP (17.5%) children.
  • Dysphonia occurred in 12.5% of CP and 12.3% of UCLP children, with 9.2% of all cleft patients exhibiting functional voice disorder.

Conclusions:

  • While ear pathologies are comparable, nasal breathing issues are more common in UCLP.
  • Functional dysphonia in cleft patients is often linked to protracted hearing loss.
  • Early and active involvement of ENT specialists is vital for comprehensive cleft care.