[Labio-palatal cleft and hearing disorders. Study of 72 cases]

The authors propose a systematic surveillance plan in otolaryngology for patients having velopalatal insufficiency. This study was based on 72 children operated for palatoschisis. They described the pharyngo-sinusal consequences secondary to defective nostril permeability and its rapport with auditory problems. They demonstrated the primordial importance of adequate microscopic examination of the ears and impedance measurements in evaluating otological lesions. In addition, they study the results of the treatments wokgone by these patients and their complications. Other than functional reparatory surgery of malformations, primary ENT care and follow-up, eradication of infections and drainage of secretions one must rehabilitate the postadenoidectomy patient. In spite of the risks concerning phonation there is considerable amelioration of rhinopharyngeal and otological problems. In addition transtympanic drainage remains important in the symptomatic treatment and prevention of evolution towards chronic mucous otitis.