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Relationship between cleft palate width and otitis media.

Ai Yoshitomi1,2,3, Shintaro Baba1, Ikkei Tamada4

  • 1Department of Otolaryngology Tokyo Metropolitan Children's Medical Center Fuchu Japan.

Laryngoscope Investigative Otolaryngology
|December 22, 2022
PubMed
Summary

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This summary is machine-generated.

Wider cleft palate (CP) is linked to acute otitis media (AOM) incidence and middle ear effusion characteristics before surgery. However, cleft width does not predict otitis media with effusion (OME) duration or resolution in children with CP.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Craniofacial Anomalies

Background:

  • Otitis media (OM) is a common complication in children with cleft palate (CP).
  • The relationship between cleft width and OM severity remains unclear.
  • Understanding this association can inform management strategies.

Purpose of the Study:

  • To investigate the association between cleft width and the incidence, type, and amount of middle ear effusion in children with CP.
  • To determine if cleft width is a risk factor for OM morbidity in this population.

Main Methods:

  • Retrospective cohort study of 118 children with CP who underwent palatoplasty (2014-2018).
  • Cleft width was measured during surgery.
  • Incidence, type, amount, and duration of middle ear effusion (OME and AOM) were assessed in relation to cleft width.
Keywords:
childrencleft palatemiddle ear ventilationotitis mediaotitis media with effusion

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Main Results:

  • Cleft width was significantly greater in children with acute otitis media (AOM) compared to those without.
  • Wider clefts were associated with mucoid and complete middle ear effusions.
  • No significant association was found between cleft width and the incidence or duration of otitis media with effusion (OME).

Conclusions:

  • Cleft width is associated with AOM incidence and middle ear effusion characteristics prior to palatoplasty.
  • Cleft width does not predict OME incidence, resolution age, or duration.
  • Children with CP and OM require long-term follow-up, irrespective of cleft width or type.