Title: Prevalence of audiological impairment in children with cleft palate

Authors: Neelikattu Aathira Tess Thomas, Supriya Patil, Neha Deshmukh

 DOI: https://dx.doi.org/10.18535/jmscr/v9i10.07

Abstract

Incidence of cleft palate is the commonest anomaly in the orofacial region. Although much progress has been made in the field of cleft palate, middle ear problems and hearing loss is highly prevalent in children with cleft palate.

Methods: An observational study including 30 children with cleft palate who attended the ENT OPD of MGM Hospital from Jan 2018-Feb 2019, between the age group of 1year to 6 years.

Results: In our study, Otitis Media with Effusion (OME) was seen in 50% of the children with cleft palate. Tympanogram of B type suggesting OME was observed in 60% of cases.

Conclusion: Otological and audiometric assessment should be performed for all patients having cleft palate before surgery for early identification and intervention for middle ear problems particularly middle ear effusion.

References

  1. Shaye D, Liu CC, Tollefson TT. Cleft Lip and Palate: an evidence-based review. Facial Plast Surg Clin North Am. 2015;23(3):357–72.
  2. Garcia-Vaquero et al. Otologic, audiometric and speech findings in patients undergoing surgery for cleft palate. BMC Pediatrics (2018) 18:350.
  3. Mossey P, Little J. Addressing the challenges of cleft lip and palate research in India. Indian J Plast Surg. 2009;42(suppl):9-18.
  4. IPDTOC Working Group. Prevalence at birth of cleft lip with or without cleft palate: data from the International Perinatal Database of Typical Oral Clefts (IPDTOC). Cleft Palate Craniofac J. 2011 Jan;48(1):66-81.
  5. Teele DW, Klein JO, Chase G, Menyuk P, Rosner BA; Greater Boston Otitis Media Study Group. Otitis media in infancy and intellectual ability, school achievement, speech, and language at age 7 years. J Infect Dis. 1990;162:685-94.
  6. Stool SE, Randall P. Unexpected ear disease in inafants with cleft palate. Cleft Palate J. 1967;4:99–103.
  7. Dhillon RS. The middle ear in cleft palate children, pre and post palatal closure. J R Soc Med. 1988;81:710–3.
  8. Paradise JL, Smith CG, Bluestone CD. Tympanometric detection of middle ear effusion in infants and young children. Pediatrics. 1976;58:198- 210.
  9. Broen PA, Moller KT, Karlstorm J, Doyle SS, Devers M, Keenan KM. Comparison of hearing histories of children with and without cleft palate. Cleft Palate Craniofac J. 1996;33:127-33.
  10. Bluestone CD, Wittel RA, Paradise JL. Roentgenographic evaluation of Eustachian tube function in infants with cleft and normal palates. Cleft Palate J. 1972;9:93-100.
  11. Zingade ND, Sanji RR. The prevalence of otological manifestations in children with cleft palate. Indian J Otolaryngol Head Neck Surg. 2009;61(3):218-22.
  12. Robinson PJ, Lodge H, Jones PM, Walker CC, Grant HR. The effect of cleft palate repair on otitis media with effusion. PlastReconstr Surg. 1992;89:640-5.
  13. Penfold C, Cleft L, Palate. Cleft lip and palate. In: Gleeson M, Browning GG, Burton MJ, Clarke R, Hibbert J, Jones NS, et al., eds. Scott Brown’s Otolaryngology, Head and Neck Surgery. 7th ed. Great Britain: Hodder Arnold; 2008: 996-1018.
  14. Khan SY, Pal R, Sengupta A, Roy P (2006) Clinical study of otological manifestations in cases of cleft palate. IJOHNS 58:35–37.
  15. Too-Chung MA (1983) The assessment of middle ear function and hearing by tympanometry in children before and after early cleft palate repair. Br J PlastSurg 36:295–299.
  16. Subramaniam V et al. Otological and audiological manifestations in cleft lip and cleft palate children: a clinical study. Int J Otorhinolaryngol Head Neck Surg. 2015 Jul;1(1):7-10

Corresponding Author

Supriya Patil