Ville Lehtonen1, Riitta H Lithovius1, Timo J Autio2, George K Sándor3, Leena P Ylikontiola1, Virpi Harila4, Paula Pesonen5, Sari Koskinen6, Vuokko Anttonen7. 1. Department of Oral and Maxillofacial Surgery, University of Oulu, Oulu, Finland; Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland. 2. Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Otorhinolaryngology and Head and Neck Surgery, Oulu University Hospital, Oulu, Finland; Research Unit of Otorhinolaryngology and Ophthalmology, University of Oulu, Finland. 3. Department of Oral and Maxillofacial Surgery, University of Oulu, Oulu, Finland; Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland. Electronic address: george.sandor@oulu.fi. 4. Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Orthodontics, University of Oulu, Oulu, Finland. 5. Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland. 6. Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Institute of Dentistry, University of Oulu, Oulu, Finland. 7. Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Paedodontics, Institute of Dentistry, University of Oulu, Oulu University Hospital, Oulu, Finland.
Abstract
PURPOSE: Middle ear problems are common in cleft patients. This study aimed to determine the need for ventilation tubes (VTs) and complications such as tympanic perforation and cholesteatoma. MATERIAL AND METHODS: Data of 156 children with clefts managed in northern Finland spanning 15 years from 1997 to 2011 were collected from 6 hospitals. The following were recorded: birth date, gender, cleft type, surgery timing, surgery type, number of tube insertions, tube material, middle ear findings, and tube placement timing. Clefts were divided into 4 groups: cleft palate (CP), cleft lip and palate (CLP), cleft lip (CL), and submucous cleft palate. The prevalence of middle ear findings was reported. RESULTS: Mucous secretion was noted in 96.8% of CLP patients, 69.2% of CP patients, and 13.0% of CL patients. In all, 82.7% of study group had 1 or more VTs placed during follow-up. All CLP patients required more than 1 VT placement. A total of 94.5% of CP patients required VTs compared to 13.0% of CL patients. In the presence of residual oral nasal fistula, the mean number of tube insertions was 5.3. The prevalence of tympanic perforations in clefts was 35.9% and cholesteatoma in 2.6% of patients. CONCLUSIONS: CLP and isolated CP patients have frequent middle ear infections requiring multiple VT placements.
PURPOSE: Middle ear problems are common in cleftpatients. This study aimed to determine the need for ventilation tubes (VTs) and complications such as tympanic perforation and cholesteatoma. MATERIAL AND METHODS: Data of 156 children with clefts managed in northern Finland spanning 15 years from 1997 to 2011 were collected from 6 hospitals. The following were recorded: birth date, gender, cleft type, surgery timing, surgery type, number of tube insertions, tube material, middle ear findings, and tube placement timing. Clefts were divided into 4 groups: cleft palate (CP), cleft lip and palate (CLP), cleft lip (CL), and submucous cleft palate. The prevalence of middle ear findings was reported. RESULTS: Mucous secretion was noted in 96.8% of CLPpatients, 69.2% of CP patients, and 13.0% of CL patients. In all, 82.7% of study group had 1 or more VTs placed during follow-up. All CLPpatients required more than 1 VT placement. A total of 94.5% of CP patients required VTs compared to 13.0% of CL patients. In the presence of residual oral nasal fistula, the mean number of tube insertions was 5.3. The prevalence of tympanic perforations in clefts was 35.9% and cholesteatoma in 2.6% of patients. CONCLUSIONS:CLP and isolated CP patients have frequent middle ear infections requiring multiple VT placements.
Authors: Kinga Amália Sándor-Bajusz; Teodor Barna Maros; Lajos Olasz; George Kálmán Sándor; Kinga Hadzsiev; Attila Mihály Vástyán Journal: Ann Maxillofac Surg Date: 2021-11-29