Long Term Study of Otitis Media with Effusion after Palatoplasty and Myringotomy with Ventilation Tube Insertion
Abstract
Objective: To identify the incidence of recurrent otitis media in cleft palate patients after palatoplasty and myringotomy with ventilation tube (VT) insertion in addition to identifying risk factors of recurrent otitis media with effusion (OME).
Material and Methods: This retrospective cohort study was conducted from; January 2002 – December 2014. A total of 120 non- syndromic cleft palate patients were included and analyzed for risk factors contributing to recurrent otitis media with effusion.
Results: In total, 77.5% of the VT slipped off at 10 months after their initial operation. The incidence of recurrent OME was 54.2% at 7 months after VT slipped off. Significant risk factors that were associated to recurrent OME included: complete cleft palate, two-stage palatoplasty and VT slip-off (p-value<0.05).
Conclusion: The incidence of recurrence OME was 54.2%, and risk factors for recurrence OME are VT slipped off, complete cleft palate and two-stage palatoplasty.
Keywords
Full Text:
PDFReferences
Coleman JR, Sykes JM. The embryology, classification, epidemiology, and genetics of facial clefting. Facial Plast Surg Clin North Am 2001;9:1-13.
Chuangsuwanich A, Aojanepong C, Muangsombut S. Epidemiology of cleft lip and palate in Thailand. Ann Plast Surg 1998;41:7-10.
Jaruratanasirikul S, Chichareon V, Pattanapreechawong N, Sangsupavanich P. Cleft lip and/or palate: 10 years experience at a pediatric cleft center in southern Thailand. Cleft Palate- Craniofacial J 2008;45:597-602.
Chowchuen B, Godfrey K. Development of a network system for the care of patients with cleft lip and palate in Thailand. Scand J Plast Reconstr Surg Hand Surg 2003;37:325-31.
Paradise JL. Middle ear problems associated with cleft palate. An internationally-oriented review. Cleft Palate J 1975;12:17-22.
Chen YW, Philip Chen KT, Chang PH, Su JL, Huang CC, Lee TJ. Is otitis media with effusion almost always accompanying cleft palate in children?: The experience of 319 Asian patients. Laryngoscope 2012;122:220-4.
Hassan ME, Askar S. Does palatal muscle reconstruction affect the functional outcome of cleft palate surgery? Plast Reconstr Surg 2007;119:1859-65.
Doyle WJ. Functional eustachian tube obstruction and otitis media in a primate model. A review. Acta Otolaryngol Suppl 1984;414:52-7.
Dhillon RS. The middle ear in cleft palate children pre and post palatal closure. J R Soc Med 1988;81:710-3.
Sheahan P, Miller I, Sheahan JN, Earley MJ, Blayney AW. Incidence and outcome of middle ear disease in cleft lip and/ or cleft palate. Int J Pediatr Otorhinolaryngol 2003;67:785-93.
Sharma R, Nanda V. Problems of middle ear and hearing in cleft children. Indian J Plast Surg 2009;42:144.
Fãra M, Hrivnãkovã J, Horãk I. Middle ear complications in clefts. Results of stage I. in longterm studies of hearing defects, considering type of cleft and age of patient. Acta Chir Plast 1973;15:7-10.
Ahn JH, Kang WS, Kim JH, Koh KS, Yoon TH. Clinical manifestation and risk factors of children with cleft palate receiving repeated ventilating tube insertions for treatment of recurrent otitis media with effusion. Acta Otolaryngol 2012;132:702-7.
Heerbeek N, Saar GMAC, Mulder J. Long-term ventilation tubes: results of 726 insertions. Clin Otolaryngol Allied Sci 2002; 27:378-83.
Dhooge I, Desloovere C, Boudewyns A, Van Kempen M, Dachy JP. Surgical management of otitis media with effusion in children. London: RCOG Press; 2008. doi: 10.1017/CBO9781107415324. 004.
Smith DM, Losee JE. Cleft palate repair. Clin Plast Surg 2014; 41:189-210.
Katzel EB, Basile P, Koltz PF, Marcus JR, Girotto JA. Current surgical practices in cleft care: แleft palate repair techniques and postoperative care. Plast Reconstr Surg 2009;124:899-900.
Harman NL, Bruce IA, Callery P, Tierney S, Sharif MO, O'Brien K, et al. MOMENT - management of otitis media with effusion in cleft palate: protocol for a systematic review of the literature and identification of a core outcome set using a Delphi survey. Trials 2013;14:70. doi: 10.1186/1745-6215-14-70.
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.