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Dutch and Belgian Workflow for Ventilation Tubes Insertion in Children With Cleft Palate-A Survey Study

Bachini Sofia1, Lodder Wouter2, Hoven D Rienk3

  • 1Cleft Team North Netherlands, Department of Plastic and Reconstructive Surgery, Frisius Medical Center Leeuwarden, Leeuwarden, The Netherlands.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|January 21, 2026
PubMed

Insights

Most Dutch and Belgian cleft centers use audiology and ENT exams before surgery for ventilation tube insertion in children with cleft palate. Local protocols are common, but a unified approach is needed for better care.

Area of Science:

  • Craniofacial anomalies
  • Pediatric Otolaryngology

Background:

  • Otitis media with effusion is common in children with cleft palate.
  • Current clinical practices for ventilation tube insertion (VTI) in these children vary.
  • Standardized protocols are lacking nationally and internationally.

Purpose of the Study:

  • To survey current clinical practices for VTI in young children with cleft palate (CP).
  • To assess practices in Dutch and Belgian cleft centers.
  • To identify areas for protocol standardization.

Main Methods:

  • Cross-sectional online survey of cleft teams in the Netherlands and Belgium.
  • Participants included ENT surgeons, plastic surgeons, and speech-language pathologists.
  • Survey covered audiology assessment, VTI timing, and follow-up care.

Main Results:

  • 100% response rate from 11 cleft centers, with 44% specialist participation.
  • 7/11 centers use audiology and ENT exams for VTI indication before palatoplasty.
  • 9/11 centers combine VTI with palatoplasty; 7/11 schedule 2-3 month follow-ups.

Conclusions:

  • Dutch and Belgian cleft centers have developed aligned local protocols for VTI.
  • Despite variations, practices show considerable consensus.
  • Formalizing a unified written protocol is recommended to optimize care.

Keywords:
cleft lip and palatecleft palateotitis mediapediatrics

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