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[Chronic eustachian tube dysfunction and its sequelae in adult patients with cleft lip and palate]

V Gudziol1, W J Mann

  • 1Hals-Nasen-Ohren-Klinik, Universitätsklinik Dresden. volker.gudziol@uniklinikum-dresden.de

HNO
|May 4, 2006
PubMed

Insights

Eustachian tube dysfunction persists in nearly a third of adults with cleft palate, often causing chronic otitis media. This persistent dysfunction is linked to ongoing bilateral muscular insufficiency affecting eustachian tube opening.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Audiology

Context:

  • Cleft palate is frequently associated with eustachian tube dysfunction in children.
  • While dysfunction often improves with age, a significant portion of patients experience persistent issues into adulthood.

Purpose:

  • To evaluate the prevalence of eustachian tube dysfunction and its sequelae in adult cleft palate patients.
  • To assess the relationship between cleft side and eustachian tube dysfunction or chronic otitis media.
  • To identify potential underlying causes of persistent eustachian tube dysfunction.

Summary:

  • Eustachian tube function was assessed in 40 adult patients (average age 19.9 years) using tympanometry.
  • Chronic otitis media, a consequence of eustachian tube dysfunction, was also evaluated.
  • Results indicated bilateral dysfunction in 25% and unilateral in 6% of patients, with chronic otitis media present in 32.5% and 12.5% respectively.

Impact:

  • Nearly one-third of adult cleft palate patients exhibit persistent eustachian tube dysfunction.
  • Pathological tympanograms and chronic otitis media were predominantly bilateral.
  • The findings suggest ongoing bilateral muscular insufficiency as the primary cause, independent of the cleft side.
Abstract

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