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Otolaryngology Service Usage in Children With Cleft Palate
Kenneth R Whittemore1,2, Jenna M Dargie1, Briana K Dornan1
11 Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA, USA.
Summary
Children with cleft palate frequently need ear and airway surgeries, averaging 3 sets of tympanostomy tubes and other procedures by age five. This highlights the significant otolaryngology care required for this population.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Craniofacial Anomalies
Background:
- Cleft palate is associated with an increased risk of eustachian tube dysfunction.
- Children with cleft palate often require specialized medical and surgical interventions.
- Understanding the utilization of otolaryngology services is crucial for managing care pathways.
Purpose of the Study:
- To quantify the use of otolaryngology services in children diagnosed with cleft palate.
- To analyze the types and frequency of otolaryngologic procedures in this pediatric population.
Main Methods:
- Retrospective case series design.
- Analysis of patient records from a pediatric tertiary care facility.
- Inclusion of children born between 1999 and 2002 diagnosed with cleft palate or cleft lip and palate.
Main Results:
- Children with cleft palate averaged 8.2 otolaryngology clinic visits in the first five years.
- An average of 3.3 tympanostomy tube surgeries were performed per child.
- Over half (57.3%) required additional otologic or upper airway surgeries, such as tonsillectomy/adenoidectomy or tympanoplasty.
Conclusions:
- Children with cleft palate have a high demand for otolaryngology services, particularly for tympanostomy tubes and other airway surgeries.
- Eustachian tube dysfunction is a common complication necessitating frequent surgical intervention.
- Comprehensive care planning is essential for addressing the otolaryngologic needs of children with cleft palate.
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