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Prevalence of Hearing Loss in Children With Repaired Cleft Palate

Débora Longo Miyashita1, Guilherme Adam Fraga2, Lucas Casagrande Passoni Lopes3

  • 1Hospital for Rehabilitation of Craniofacial Anomalies (HRAC), University of São Paulo (USP), Bauru, Brazil.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|August 12, 2025
PubMed

Insights

Hearing loss is common in children with repaired cleft palates, often mild and conductive. The Furlow palatoplasty technique showed lower hearing loss rates, highlighting the need for ongoing audiological monitoring.

Area of Science:

  • Otolaryngology
  • Pediatric Audiology
  • Craniofacial Anomalies

Background:

  • Cleft palate repair is associated with a higher risk of hearing loss.
  • Understanding hearing outcomes in this population is crucial for early intervention.

Purpose of the Study:

  • To determine the prevalence, type, and degree of hearing loss in children and adolescents with repaired cleft palate.
  • To analyze hearing outcomes based on age, cleft type, and surgical techniques.

Main Methods:

  • Retrospective observational study of 183 patients (3-18 years) with surgically repaired cleft palate.
  • Audiological evaluation including tympanometry at least 12 months post-palatoplasty.
  • Statistical analysis to identify associations between hearing loss and patient/surgical factors.

Main Results:

  • Hearing loss identified in 21.8% of patients, predominantly mild conductive hearing loss (80%).
  • Furlow palatoplasty was associated with significantly lower hearing loss prevalence (P=.008).
  • Abnormal tympanometry (Types B and C) strongly correlated with hearing loss (P<.001).

Conclusions:

  • Hearing loss is a common sequela in children and adolescents following cleft palate repair.
  • Mild conductive hearing loss is the most frequent type, emphasizing the need for long-term audiological surveillance.
  • Surgical technique, specifically Furlow palatoplasty, may influence hearing outcomes.

Keywords:
cleft palatehearing losspediatric.

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