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Nasal autoinflation devices for middle ear disease in cleft palate children: are they effective?

Cecilia Rosso1, Antonia Pisani1, Elisa Stefanoni1

  • 1Department of Otorhinolaryngology, Santi Paolo e Carlo Hospital, Department of Health Sciences, Università degli Studi di Milano, Milan, Italy.

Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-Facciale
|September 17, 2021
PubMed

Insights

Nasal autoinflation therapy improved hearing and reduced otitis media with effusion in children with cleft palate. This treatment offers a short-term benefit for conductive hearing loss and effusion prevalence.

Area of Science:

  • Otolaryngology
  • Pediatric Audiology

Background:

  • Children with cleft lip palate (CLP) and cleft palate (CP) exhibit increased rates of otitis media with effusion (OME) and associated conductive hearing loss (CHL).
  • OME is a common complication in CP/CLP patients, impacting hearing development and quality of life.

Purpose of the Study:

  • To assess the efficacy of a 6-month self-administered nasal autoinflation therapy using the Otovent® device.
  • To evaluate the impact of autoinflation on OME prevalence and CHL in pediatric CP/CLP patients.

Main Methods:

  • A cohort of 51 pediatric patients with surgically corrected CP/CLP and OME diagnosis underwent 6 months of autoinflation therapy.
  • Clinical assessments, tympanometry, and pure tone audiometry were performed at baseline, end of treatment, and 6-month follow-up.
  • Patients were stratified into compliant (Group A) and non-compliant (Group B) groups based on adherence.

Main Results:

  • Autoinflation therapy demonstrated significant improvements in audiological outcomes and tympanometry results at both post-treatment time points (p < 0.001).
  • The compliant group (Group A) showed enhanced tympanometric outcomes and hearing thresholds across frequencies.
  • Statistically significant improvements in CHL were observed at 250 Hz (p=0.024) and 1000 Hz (p=0.012) at the end of treatment (T1).

Conclusions:

  • Nasal autoinflation therapy facilitates accelerated improvement in OME and hearing thresholds in the short to mid-term.
  • The therapy leads to earlier improvements in hearing performance for pediatric CP/CLP patients.
  • Autoinflation represents a viable therapeutic option for managing OME and CHL in this patient population.
Abstract

Keywords:
OMEclefthearing lossnasal autoinflationotovent

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