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Comparison of Eustachian tube ventilation function between cleft palate and normal patients using sonotubometry
Dini Widiarni Widodo1, Adila Hisyam1, Widayat Alviandi1
1Department of Otolaryngology, Cipto Mangunkusumo Hospital - Universitas Indonesia, P.Diponegoro Street no. 71, Senen, Central Jakarta, 10430, Indonesia.
JPRAS Open
|May 26, 2021
Summary
Children with cleft palate exhibit poorer Eustachian tube function compared to healthy peers. Sonotubometry effectively assesses Eustachian tube dysfunction, a condition more prevalent in cleft palate patients and those with adenoid hypertrophy.
Area of Science:
- Otolaryngology
- Pediatric Otology
- Medical Technology Assessment
Background:
- Eustachian tube dysfunction is a common complication in children with cleft palate.
- Accurate assessment of Eustachian tube function is crucial for managing related otologic conditions.
Purpose of the Study:
- To compare Eustachian tube ventilation function between cleft palate and normal subjects.
- To evaluate the utility of sonotubometry in assessing Eustachian tube function in pediatric populations.
Main Methods:
- A comparative cross-sectional study involving 31 cleft palate and 62 healthy subjects (aged ≤18 years).
- Utilized sonotubometry to measure Eustachian tube opening number, amplitude enhancement (dB), and duration (ms).
- Subjects also underwent ENT examination with Veau classification; data analyzed using SPSS with chi-square and Mann-Whitney tests.
Main Results:
- Cleft palate subjects demonstrated significantly lower Eustachian tube function across all sonotubometry parameters (p < 0.001).
- Eustachian tube dysfunction was significantly associated with Veau classification (p < 0.001).
- Multivariate analysis identified adenoid hypertrophy (OR 6.46), number of Eustachian tube openings (OR 36.21), and higher Veau classification (OR 10.41) as significant risk factors.
Conclusions:
- Sonotubometry is a viable tool for assessing Eustachian tube function parameters.
- Cleft palate is a significant risk factor for Eustachian tube dysfunction.
- Adenoid hypertrophy further increases the risk of Eustachian tube dysfunction.
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