Related Experiment Video

Updated: Aug 6, 2026

Method of Studying Palatal Fusion using Static Organ Culture
04:58

Method of Studying Palatal Fusion using Static Organ Culture

Published on: September 19, 2015

Eustachian tube dysfunction and its sequelae in patients with cleft palate

J L Goldman1, S A Martinez, T M Ganzel

  • 1Department of Surgery, University of Louisville, Ky.

Southern Medical Journal
|November 1, 1993
PubMed

Insights

Children with cleft palate often experience middle ear disorders, including eustachian tube dysfunction. Early otologic management is crucial to prevent hearing loss and long-term complications in these patients.

Area of Science:

  • Otolaryngology
  • Pediatric Medicine
  • Genetics

Background:

  • Cleft palate deformities are associated with craniofacial abnormalities.
  • Eustachian tube dysfunction is a common complication in children with cleft palate.
  • Middle ear disorders can lead to significant hearing impairment.

Purpose of the Study:

  • To determine the incidence of middle ear disorders in children with cleft palate.
  • To identify specific types of middle ear pathologies in this patient cohort.
  • To emphasize the need for timely otologic intervention.

Main Methods:

  • Retrospective review of 110 pediatric patients with cleft palate.
  • Inclusion of patients with syndromic conditions (e.g., Pierre Robin, Treacher Collins).
  • Analysis of clinical manifestations of middle ear disease.

Main Results:

  • Eustachian tube dysfunction observed in 79% of patients.
  • Common manifestations included effusions, retraction pockets, adhesions, and ossicular erosion.
  • Cholesteatoma was confirmed in only two patients.

Conclusions:

  • Middle ear disorders, particularly eustachian tube dysfunction, are highly prevalent in children with cleft palate.
  • Despite a low incidence of cholesteatoma, other hearing-affecting conditions necessitate prompt otologic care.
  • Aggressive management is vital to mitigate long-term hearing sequelae in this population.

More Related Videos

Endaural Endoscopic Atticoantrotomy (Retrograde Mastoidectomy) using a Constant Suction Bone-drilling Technique07:06

Endaural Endoscopic Atticoantrotomy (Retrograde Mastoidectomy) using a Constant Suction Bone-drilling Technique

Published on: May 23, 2021

Endoscopic Cholesteatoma Surgery08:47

Endoscopic Cholesteatoma Surgery

Published on: January 19, 2022

Related Concept Videos

Anatomy of the Ear01:16

Anatomy of the Ear

Auditory sensation, commonly called hearing, involves the transformation of sonic waves into neural impulses facilitated by the structures of the auditory organ. The prominent, flesh-like structure on the side of the head, called the auricle, directs sound waves towards the auditory canal. The auricle is often mislabeled as the pinna, a term more aligned with mobile structures like a feline's external ear. The auditory canal penetrates the cranium via the external auditory meatus of the...
Chronic Pharyngitis01:23

Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Tonsillitis I: Introduction01:30

Tonsillitis I: Introduction

Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...