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Method of Studying Palatal Fusion using Static Organ Culture

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Otitis Media With Effusion in Patients With Cleft Palate.

Michael McGlone¹, Donald Solomon^1,2,3, Alexander Bjorling⁴

¹Cooper Medical School, Rowan University, Camden, NJ, USA.

Clinical Pediatrics

|December 26, 2025

Summary

Otitis media with effusion (OME) is common in children with cleft palate (CP), impacting hearing and development. Early, multidisciplinary management is crucial for optimal outcomes in these patients.

Keywords:

cleft palate otitis media with effusion speech development tympanostomy tube

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Area of Science:

Pediatric Otolaryngology
Craniofacial Anomalies
Developmental Pediatrics

Background:

Otitis media with effusion (OME) is highly prevalent in children with cleft palate (CP) due to Eustachian tube dysfunction.
Untreated OME can lead to significant hearing loss, speech and cognitive delays, and social challenges.
Children with CP are particularly vulnerable to the adverse effects of chronic OME.

Purpose of the Study:

To review current evidence and recommendations for managing OME in children with CP.
To emphasize the importance of interdisciplinary communication in OME management for CP patients.
To highlight the impact of OME on patients with CP and their caregivers.

Main Methods:

Literature review of existing evidence and clinical guidelines.
Analysis of the impact of OME on speech, hearing, and cognitive development in CP.
Focus on multidisciplinary care models and shared decision-making.

Main Results:

OME is nearly universal in infants with CP, necessitating proactive management.
Effective management requires a coordinated approach involving otolaryngology, audiology, speech therapy, and developmental pediatrics.
Timely intervention and surveillance are key to mitigating negative consequences.

Conclusions:

Multidisciplinary management, including appropriate intervention and surveillance, is essential for optimizing the well-being of CP patients with OME.
Interdisciplinary communication and shared decision-making enhance patient and caregiver outcomes.
Active management of OME is critical for the developmental trajectory of children with cleft palate.