Cleft Defects and Their Role in the Origin of Chronic Otitis in Older Children and Adolescents
Authors:
L. Fuhrmann; L. Otruba 1; M. Dušková 2
Authors‘ workplace:
Otorinolaryngologická klinika FN Královské Vinohrady, Praha
; přednosta doc. MUDr. Dr. med. A. Hahn, CSc
Klinika plastické chirurgie FN Královské Vinohrady, Praha
1; přednosta doc. MUDr. M. Tvrdek
2
Published in:
Otorinolaryngol Foniatr, 57, 2008, No. 1, pp. 22-30.
Category:
Original Article
Overview
The authors’ objective was to point out the relation of cleft defects to the origin of chronic otitis and associated hearing disorders.
Cleft palate causes defects in the function of Eustachian tube and consequently the origin of secretory otitis which results in various forms of chronic otitis from adhesive-retraction processes to cholesteatoma.
The study processed the data of 120 patients examined at the Otorhinolaryngological Clinic in Prague (FNKV) in the years 2005-2006. The patients were older than 5 years and the selection was based on their ability to undergo audiometric examination. Secretory otitis was demonstrated in case history of 63% of these patients, and in 81.6% of them the tympanostomy tube was inserted. In almost 30% of the patients a chronic form of residuum after otitis was demonstrated as well as a retraction pocket and half of these patients were subsequently subjected to surgery. Cholesteatoma was established in 7.47%.
Key words:
cleft palate defect, otitis media with effusion, adhesive-retraction processes, chronic otitis with cholesteatoma, tympanostomy, tympanoplasty.
Sources
1. Betka, J., Černý, E.: Atlas chirurgie ucha. Victoria Publishing, 1996..
2. Cantekin, E. I., Doyle, W. J. et al.: Effect of levator veli palatini muscle excision on eustachian tube function. Arch. Otolaryngol., 109, 1983, 5, s. 281-284.
3. Černý, L., Fišer, J.: Foniatrie u dospívajících nemocných s rozštěpem. In Dušková, M. et al:. Pokroky v sekundární léčbě nemocných s rozštěpem. 2007.
4. Dušková, M. et al.: Korelace mezi výsledkem chirurgické léčby a tvorbou řeči u dospívajících a nemocných s rozštěpem. Závěrečná zpráva výzkumného úkolu IGA MZ ČR NR, 2006, s. 8083.
5. Dušková, M. et al.: Problematika typických obličeových rozštěpů - část obecná. Pokroky v sekundární léčbě nemocných s rozštěpem. 2007.
6. Finkelstein, Y., Talmi, Y. P. et al.: Levator veli palatini muscle and eustachian tube function. Plast. Reconstr. Surg., 85, 1990, 5, s. 684-692; discussion 693-697.
7. Frisina, A., Piazza, F. et al.: Cleft palate and dysfunction of the eustachian tube. Acta Biomed Ateneo Parmense, 69, 1998, 5-6, s. 129-132.
8. Gudziol, V., Mann, W. J.: Otoogical findings in adults with isolated cleft palate or cleft lip, jaw, and palate. Mund Kiefer Gesichtschir, 8, 2004, 6, s. 356-360.
9. Gudziol, V., Mann, W. J.: Chronic eustachian tube dysfunction and its sequelae in adult patients with cleft lip and palate. 2006.
10. Hahn, A. et al.: Otorinolaryngologie a foniatrie v současné praxi. Grada, 2006.
11. Houghton, D. J., White, P. S. et al.: Predictors of outcome in children with otitis media with effusion. Clin. Otolaryngol. Allied. Sci, 23, 1998, 1, s. 48-50.
12. Kubba, H., Pearson, J. P. et al.: The aetiology of otitis media with effusion: a review. Clin. Otolaryngol. Allied Sci, 25, 2000, 3, s. 181-194.
13. Mills, R.: Risk factors for chronicity in childhood otitis media with effusion. Clin. Otolaryngol. Allied Sci, 24, 1999, 4, s. 343-345.
14. Otruba, L.: Poruchy sluchu u rozštěpových pacientů a způsoby jejich řešení. In Dušková, M. et al.: Pokroky v sekundární léčbě nemocných s rozštěpem. 2007.
15. Saleh, H. A., Mills, R. P.: Classification and staging of cholesteatoma. Clin. Otolaryngol. Allied Sci, 24, 1999, 4, s. 355-399.
16. Sheahan, P., Blayney, A. W. et al.: Sequelae of otitis media with effusion among children with cleft lip and/or cleft palate. Clin. Otolaryngol. Allied Sci, 27, 2002, 6, s. 494-500.
17. Srinivasan, V., Banhegyi, G. et al.: Pars tensa retraction pockets in children: treatment by excision and ventilation tube insertion. Clin. Otolaryngol. Allied Sci, 25, 2000, 4, s. 253-256.
18. Yung, M. W.: Retraction of the pars tensa--long-term results of surgical treatment. Clin. Otolaryngol. Allied Sci, 22, 1997, 4, s. 323-326.
Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)Article was published in
Otorhinolaryngology and Phoniatrics
2008 Issue 1
Most read in this issue
- Evaluation of Hearing and Speech Treatment by Means of Phonological Awareness Test and Dichotic Tests
- Defensins – an Important Component of Natural Immunity in Defense against Infection
- Evaluation of Dysphagia, Treatment Possibilities of the Patient with Dysphagia at the ENT Departments in the Czech and Slovak Republics
- Cleft Defects and Their Role in the Origin of Chronic Otitis in Older Children and Adolescents