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The prevalence of otological manifestations in children with cleft palate
1The Department of ENT & HNS, KLE University's Jawaharlal Nehru Medical College, Belgaum, Karnataka India.
Insights
Children with cleft palate have a higher prevalence of external ear abnormalities and otitis media with effusion (OME). However, the type or side of the cleft palate did not correlate with OME presence.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Genetics and Developmental Biology
Background:
- Cleft palate is a congenital condition affecting speech and hearing.
- Otological manifestations are common in children with cleft palate.
- Understanding these manifestations is crucial for early intervention.
Purpose of the Study:
- To determine the prevalence of otological issues in children (1-5 years) with cleft palate.
- To assess the association between cleft types and otological manifestations.
Main Methods:
- Cross-sectional study conducted at a tertiary referral center.
- Included children aged 1-5 years with overt cleft palate.
- Data collected via clinical ear examinations and tympanometry.
Main Results:
- 13% prevalence of external ear abnormalities observed.
- Over 55% of participants diagnosed with otitis media with effusion (OME).
- No significant association found between cleft type/side and OME.
Conclusions:
- External ear deformities are more common in children with cleft palate.
- High prevalence of OME confirmed, consistent with prior research.
- No correlation identified between cleft characteristics and OME.
Aims:
i) To determine the prevalence of the various otological manifestations that occured in children aged between 1 to 5 years, presenting to the Departments of ENT and Plastic Surgery with overt cleft palate. ii) To evaluate the possibility of the association of the different otological manifestations in relation to the various types of cleft.
Materials And Methods:
A cross sectional study was performed on children with cleft palate presenting to the Otorhinolaryngology and Plastic Surgery OPDs of KLE Society's Dr. Prabhakar Kore Hospital and MRC (KLESPKH & MRC) (a tertiary referral centre), Belgaum between February 1, 2007 and January 31, 2008. Data was collected by clinical ear examination and evaluation of tympanometry reports.
Results:
Prevalence of external ear abnormalities in the studied population was 13%. More than 55% of the participants' ears were diagnosed clinically with OME. There was no statistically significant association between type and side of cleft with the presence of OME.
Conclusion:
External ear deformities are more prevalent in the cleft palate population than the general population. There was a high prevalence of OME in concordance with previous studies. The prevalence of other otopathology was rare. There was no association of the type or side of palate cleft with OME.
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