Abstract
The purpose of this study was to evaluate the effectiveness of regular otologic care on the long-term outcome in patients with cleft palates. We report the otoscopic and audiologic findings of 50 patients who were followed regularly at our center for an average of 15.4 years. All these patients had their cleft palates repaired by the same surgical team and all ears were examined by one of the authors under the microscope and a chart review completed. Thirty eight patients had at least one tube placement. The physical abnormalities noted were tympanosclerosis (36%), retraction of tympanic membrane (TM) (20%), atrophy of TM (15%), perforation (11%), PE tube in situ (11%), thick TM (6%) and PE tube in middle ear (1%).The examination was normal in 36%. A conductive loss was noted in 18% and sensorineural loss in 3%. The results of this study support the concept of regular otologic care for cleft palate patients even when they are overtly asymptomatic.
Similar content being viewed by others
References
Alt A. Heilung der Taubstummheit Erzielte durch Beseitigung einer Otorrhoe und einer Augebornen Gaumenspalte.Arch fur Augen u. Ohrenheit, 1978; 7: 211.
Brunck W. Die Systematische Untersuchung des Sprachorgans bei Augeborenen Gaumendefekte.Diss. Leizig, 1906.
Skolnik EM. Otologic Evaluation of Cleft Palate Patients.Laryngoscope, 1958; 68: 1908–1959.
Stool SE and Randall P. Unexpected Ear Disease in Infants with Cleft Palate.Cleft Palate J, 1967; 4: 99–103.
Paradise JL, Bluestone CD and Felder H. The Universality of Otitis Media in 50 Infants with Cleft Palate.Fed, 1969; 44: 35–42.
Paradise JL and Bluestone CD. Diagnosis and Management of Ear Disease in Cleft Palate Infants.Trans Amer Acad Ophth and Otol, 1969; 73: 709–714.
Soudijn ER and Huffstadt AJC. Cleft Palates and Middle Ear Effusions in Babies.Cleft Palate J, 1975; 12: 229–231.
Grant HR, Quincy RE, Mercer DM, Lodge S. Cleft Palate and Glue Ear.Arch Dis Child, 1988; 63(2): 176–179.
Rood SR and Stool SE. Current Concepts of the Etiology, Diagnosis and Management of Cleft Palate Related Otopathologic Disease.Otol Clin N Amer, 1981; 14 (4): 865–884.
Kriens O. Anatomy of the Velopharyngeal. Area in Cleft Palate.Clin Plast Surg, 1975; 2: 261–283.
Shibahara Y and Sando I. Histopathologic Study of Eustachian Tube in Cleft Palate Patients.Ann Oto Rhino Laryngol, 1988; 97:403.
Matsune S, Sando I and Takahashi H. Lateral Cartilaginous Lamina and Lumen are abnormal in cleft palate Eustachian Tubes.Ann Rhino Laryngol (submitted).
Sando I, Takahashi H and Matsune S. Update on Functional Anatomy and Pathology of Human Eustachina Tube Related to Otitis Media with Effusion.Ann Oto Rhinol Laryngol, 1991; 24 (4): 795–811.
Yamaguchi N, Sando I, Hashida Y, Takahashi H and Matsune S. Histologic Study of Eustachian Tube Cartilage with and without Congenital Anomalies : A Preliminary Study.Ann Oto Rhino Laryngol (in press).
Matsune S, Sando I and Takahashi H. Comparative Study of Elastin at the Hinge Portion of Eustachian Tube Cartilage in Normal and Cleft Palate Cases.Ann Oto Rhino Laryngol (submitted).
Holm VA and Kunzel LH. Effect of Chronic Otitis Media on Language and Speech Development.Fed, 1969; 43: 833–839.
Silva P, Kirkland C, Simposon A, Stewart J and Williams S. Some development and behavioral problems associated with Bilteral Otitis Media with Effusion.J Lern Disabil, 1982; 15: 417–421.
Sak RJ and Ruben RJ. Recurrent middle ear effusion in childhood: Implications of temporary auditory deprivation for language and learning.Ann Oto Rhino Laryngol, 1981; 90 :546–551.
Brandes PJ and Ehinger DM. The Effects of Early Middle Ear Pathology in Auditory Perception and Academic Achievement.J Speech Hear Disord, 1981; 46: 301–307.
Needleman H. Effects of hearing loss from early recurrent otitis media on speech and language development.Hearing loss in children. Baltimore Press; 1977.
Kaplan GJ, Fleshman K, Bender TR, Baum C and Clar PS. Long-term effect of otitis media: a ten year chort study of Alaskan Eskimo children.Fed, 1973; 52 (4): 577–585.
Kaye CI and Rollnick BR. Samuel Pruzansky and the Center for Craniofacial Anomalies.J Craniofacial Genetics and Development Biology. 1985; suppl 1 :25-30.
Bennet M. The older cleft palate patient.Laryngoscope, 1974; 82:1217–1225.
Moller P. Long-term Otologic Features of Cleft Palate Patients.Arch Otol, 1975; 101: 605–607.
Gordon ASD, Francoisis JL and Morton RP. Late Ear Sequelae in Cleft Palate patients.Intern J Fed Otol, 1988; 15:149–156.
Smith TL, DiRuggiero DC and Jones KR. Recovery of Eustachian Tube function and hearing outcome in patients with cleft palates.Oto Head Neck Surg, 1994; Oct: 423–429.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Koempel, J.A., Kumar, A. Long-term otologic status of older cleft palate patients. Indian J Pediatr 64, 793–800 (1997). https://doi.org/10.1007/BF02725501
Issue Date:
DOI: https://doi.org/10.1007/BF02725501