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Does Hearing Improve Following Primary Cleft Palate Repair?
Theodoros Stylianou1, Jing Qin Tay1, Erdinc Soylu1
1Spires Cleft Centre, Salisbury NHS Foundation Trust, Salisbury, England.
Summary
Primary cleft palate repair positively impacts hearing in children with conductive hearing loss. Early intervention may improve eustachian tube function and middle ear ventilation, enhancing audiology outcomes.
Area of Science:
- Pediatric Otolaryngology
- Craniofacial Surgery
- Audiology
Background:
- Conductive hearing loss and glue ear are common in children with cleft palate.
- Early diagnosis and management are crucial for optimal hearing development.
Purpose of the Study:
- To evaluate the effect of primary cleft palate repair on hearing outcomes in children with conductive hearing loss.
- To assess the impact of palatoplasty on middle ear ventilation and eustachian tube function.
Main Methods:
- Retrospective chart review of 42 children undergoing primary palatoplasty (2020-2022).
- Analysis of pre- and postoperative audiology reports.
- Stratification by cleft type: isolated cleft palate (CPO), unilateral cleft lip and palate (UCLP), and bilateral CLP (BCLP).
Main Results:
- 86% of patients presented with preoperative conductive hearing loss.
- Postoperatively, 48% showed improved hearing, 43% had similar levels, and 9% had worse hearing.
- No significant difference in hearing outcomes was observed based on cleft type.
Conclusions:
- Primary cleft palate repair demonstrates a positive effect on audiology outcomes.
- Early surgical intervention may proactively improve eustachian tube function and middle ear ventilation.
- Palatoplasty can contribute to better hearing in children with cleft palate and associated hearing loss.
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