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Concomitant adenotonsillectomy and cleft palate repair in one sitting

  • Laryngology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

When adenotonsillar hypertrophy (ATH) is encountered in children during cleft palate (CP) repair, the decision for adenotonsillectomy is challenging. The aim of this study was to evaluate the effectiveness of adenotonsillectomy done during CP repair for children with ATH on speech and breathing.

Methods

Nine children with CP and ATH underwent adenotonsillectomy prior to palatoplasty in same sitting. The age of patients ranged between 1.5 and 3.5 years with a mean age of 2.3 years at the time of operation. Auditory perceptual assessment (APA), nasometric assessment, and velopharyngeal function evaluation were performed when the children reached the age of 4 years.

Results

No children developed obstructive breathing episodes postoperatively as witnessed by parents. APA showed normal nasality in six patients and mild hypernasality in three patients. Nasalance scores for both nasal and oral sentences were found to be comparable with that of normal children of the same age. Velopharyngeal closure was seen competent in four patients, borderline competent in three patients, and borderline incompetent in two patients.

Conclusion

Performing adenotonsillectomy during CP repair does not deleteriously affect the speech and it prevents the occurrence of postoperative obstructive breathing episodes that may be caused by the hypertrophied tonsils and/or adenoid.

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Acknowledgements

We thank our colleagues of the phoniatric unit of our institute who carried out speech assessment for the children.

Funding

Self-funded.

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Authors and Affiliations

  1. Department of Otolaryngology, Faculty of Medicine, Cairo University, el-salam st., King Faisal, above el-baraka bank, Giza, Cairo, Egypt

    Mosaad Abdel-Aziz & Ahmed Kamel

  2. Department of Otolaryngology, Aswan University, Aswan, Egypt

    Abdel-Rahman El-Tahan

  3. Department of Otolaryngology, Faculty of Medicine, Fayoum University, Fayoum, Egypt

    Assem Abdel-Wahid

Authors
  1. Mosaad Abdel-Aziz
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  2. Abdel-Rahman El-Tahan
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  3. Assem Abdel-Wahid
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  4. Ahmed Kamel
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Corresponding author

Correspondence to Mosaad Abdel-Aziz.

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Conflict of interest

The authors declare that they have no competing interest.

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This case series study was conducted in the Departments of Otolaryngology of Cairo University, Aswan University, and Fayoum University, Egypt in the period from March 2010 to September 2018.

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Abdel-Aziz, M., El-Tahan, AR., Abdel-Wahid, A. et al. Concomitant adenotonsillectomy and cleft palate repair in one sitting. Eur Arch Otorhinolaryngol 277, 1133–1137 (2020). https://doi.org/10.1007/s00405-020-05814-1

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  • DOI: https://doi.org/10.1007/s00405-020-05814-1

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