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Cleft palate and glue ear.

H R Grant1, R E Quiney, D M Mercer

  • 1University College Hospital, London.

Archives of Disease in Childhood
|February 1, 1988
PubMed
Summary
This summary is machine-generated.

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Children with cleft palate consistently develop otitis media with effusion. Long-term ear ventilation is essential for treating associated congenital deafness, requiring collaboration between otologists and plastic surgeons.

Area of Science:

  • Pediatric Otolaryngology
  • Craniofacial Surgery
  • Audiology

Background:

  • Otitis media with effusion (OME) is a common complication in infants.
  • Cleft palate is associated with a high incidence of middle ear effusions.
  • Congenital deafness can result from untreated middle ear issues.

Purpose of the Study:

  • To prospectively confirm the prevalence of OME in infants with cleft palate.
  • To evaluate the necessity of long-term ventilation for hearing correction.
  • To emphasize the importance of interdisciplinary collaboration.

Main Methods:

  • Prospective clinical trial involving children aged 2-20 months with cleft palate.
  • Diagnosis of OME confirmed via myringotomy.
  • Assessment of hearing status and treatment outcomes.

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Main Results:

  • Invariable presence of otitis media with effusion confirmed in all participants.
  • Myringotomy successfully diagnosed OME in every case.
  • Long-term ventilation indicated for correcting bilateral congenital deafness.

Conclusions:

  • OME is a universal finding in young children with cleft palate.
  • Surgical intervention, including long-term ventilation, is crucial for managing hearing loss.
  • Integrated care between otologists and plastic surgeons is vital for optimal patient outcomes.