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The developmental characteristics of mastoid pneumatisation in cleft palate children: the genetic influence

Mladen Srzentić1, Jadranka Handzić, Robert Trotić

  • 1Zadar General Hospital, Department of Otorhinolaryngology, Zadar, Croatia.

Collegium Antropologicum
|December 11, 2012
PubMed

Insights

Children with cleft palate show reduced mastoid pneumatisation, with isolated cleft palate (ICP) exhibiting some growth. Otitis media with effusion (OME) patients have larger mastoid size and faster growth.

Area of Science:

  • Otolaryngology
  • Pediatric Medicine
  • Craniofacial Anomalies

Background:

  • The role of mastoid pneumatisation in children with otitis media with effusion (OME) remains debated.
  • Orofacial malformations, particularly cleft palate, are associated with middle ear issues and may impact mastoid development.

Purpose of the Study:

  • To investigate the physiologic and developmental role of mastoid pneumatisation in children with OME.
  • To compare mastoid pneumatisation in children with various types of cleft palate against a control group.

Main Methods:

  • Planimetric measurement of mastoid pneumatisation on Schuller's X-ray views.
  • Study included 146 children with bilateral (BCLP), unilateral (UCLP), and isolated (ICP) cleft palate.
  • Control group comprised 52 non-cleft children, all with confirmed OME and no prior ear surgery.

Main Results:

  • Children with BCLP and UCLP exhibited the lowest mastoid pneumatisation, with no age-related growth and smaller size compared to OME controls.
  • Isolated cleft palate (ICP) was the only cleft type showing mastoid growth with aging.
  • Patients with OME demonstrated the largest mastoid size and highest growth rate with aging.

Conclusions:

  • Cleft palate types significantly influence mastoid pneumatisation, with more severe forms showing impaired development.
  • Mastoid pneumatisation in children with OME is generally larger and grows more with age, irrespective of cleft status, suggesting OME itself may influence development.

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