Long-term outcomes in children with and without cleft palate treated with tympanostomy for otitis media with effusion before the age of 2 years. (1st December 2020)

• Record Type: Journal Article
• Authors: Inoue, Maki; Hirama, Mariko; Kobayashi, Shinji; Ogahara, Noboru; Takahashi, Masahiro; Oridate, Nobuhiko
• Is Part Of: Acta oto-laryngologica. Volume 140:Number 12(2020)
• Page Start: 982
• Page End: 989
• Publication Date: 2020-12-01
• Subjects: Cleft palate -- long-term outcomes -- otitis media with effusion -- palatoplasty -- tympanostomy -- ventilation tube; Otolaryngology -- Periodicals; Ear -- Diseases -- Periodicals; Throat -- Diseases -- Periodicals; Otolaryngology -- Electronic Resources; Otorhinolaryngologic Diseases; 617.8
• DOI: 10.1080/00016489.2020.1802508
• Languages: English
• ISSNs: 0001-6489

Abstract

Abstract: Background: Long-term outcomes of children with and without cleft palate receiving early treatment for otitis media with effusion (OME) are unclear. Objectives: To compare long-term otological and audiological outcomes between children with and without cleft palate treated with tympanostomy for OME before the age of 2 years. Material and methods: Ninety-five children (180 ears) with cleft palate (study group) and 97 children (185 ears) without (control group) were followed-up to a maximum age of 7 years. We retrospectively analyzed the audiological outcomes at the age of 7 years, and the otological outcomes at the last examination. Results: The percentages of children with OME resolution before the age of 7 years were 47.4% and 60% in the study and control groups, respectively, and those of ears with healed tympanic membrane were 71.7% and 79.5% in the corresponding groups. Significantly more ears were subjected to retympanostomy in the study (31.1%) than in the control group (21.6%). Mean pure-tone average (0.5‒4 kHz) was 15.6 dB HL and 14.3 dB HL for the corresponding groups. Conclusions/significance: Otological and audiological outcomes in both groups were similar. The audiological prognosis was favorable regardless of the cleft palate condition.