Otitis media with effusion in patients with cleft palate: Comparison of treatment strategies
Main Article Content
Keywords
Otitis media, Cleft palate, Grommet
Abstract
Introduction: Otitis media with effusion (OME) is a frequent finding in patients with cleft palate due to a functional obstruction of the Eustachian tube. Because of its association with hearing loss and low rate of spontaneous resolution the use of ventilation tubes as treatment appears as beneficial. The clinical and audiological consequences of this conduct are not well established. Aim: To compare anatomical and audiologics results with two strategies of treatment. Material and method: Historical cohort study of children from 8 to 10 years, with cleft palate, surgically corrected, and with OME. One group was treated with ventilation tubes, and an expectant management was carried out with the other group. The following parameters were compared by Xi-square test and Fischer: tympanic membrane state, presence of complications and hearing level. Results: Fifty six patients were admitted, 24 in surgical management and 32 in conservative. Every child had a cleft palate corrected without velopharyngeal insufficiency. It was found a higher frequency of tympanic membrane retraction, tympanic membrane perforation and hearing loss in the case groups were found. Discusion: We found a greater presence of tympanic alterations and hearing disorders in patients subjected to ventilation tubes as treatment of OME. It seems prudent to evaluate the surgical alternative individually according to each patient characteristic.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
El envío de un manuscrito supone que los autores declaran ser titulares originarios y exclusivos de los derechos de autoría sobre el artículo, de conformidad a lo dispuesto en la ley 17.336 sobre Propiedad Intelectual en Chile.
La Revista de Otorrinolaringología y Cirugía de Cabeza y Cuello da acceso libre (Open Access) a su contenido.
Esta obra está bajo una licencia Creative Commons CC BY 4.0. Esta licencia permite el uso de los contenidos, pero no permite un uso comercial de la obra original, y el artículo puede ser modificado y distribuido, pero bajo la misma licencia que el material original. Además, permite a terceros utilizar el contenido publicado siempre que hagan referencia a su publicación en esta revista.
La Revista de Otorrinolaringología y Cirugía de Cabeza y Cuello no realiza cargos por acceder a los artículos publicados ni se realizan cobros a los autores por la recepción y publicación de artículos.