Otitis Media and Hearing Loss in Patients With Nonsyndromic Craniosynostosis: A Multicenter Study.

Autor:	Grewal JS; Department of Otolaryngology-Head and Neck Surgery, 2971Henry Ford Hospital, Detroit, MI, USA., Cohn JE; Department of Otolaryngology-Head and Neck Surgery, 6556Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA., Burdett J; Department of Otolaryngology-Head and Neck Surgery, 6556Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA., Tampio A; Department of Otolaryngology and Communication Sciences, 12302SUNY Upstate Medical University, Syracuse, NY, USA., Licata J; Department of Otolaryngology-Head and Neck Surgery, 6556Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA., Davis WJ 3rd; Department of Pediatric Plastic and Reconstructive Surgery, Lehigh Valley Health Network, Allentown, PA, USA., Tatum SA; Department of Otolaryngology and Communication Sciences, 12302SUNY Upstate Medical University, Syracuse, NY, USA., Nicholas BD; Department of Otolaryngology and Communication Sciences, 12302SUNY Upstate Medical University, Syracuse, NY, USA.
Jazyk:	angličtina
Zdroj:	The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2022 May; Vol. 59 (5), pp. 652-658. Date of Electronic Publication: 2021 May 18.
DOI:	10.1177/10556656211017795
Abstrakt:	Objectives: The objectives of this study were to: (1) determine the prevalence of otitis media with effusion in patients with nonsyndromic craniosynostosis; (2) determine the prevalence of hearing loss in patients with nonsyndromic craniosynostosis; and (3) identify potential patterns and outcomes in patients with nonsyndromic craniosynostosis. Methods: A retrospective chart review was conducted at 2 academic institutions, St Christopher's Hospital for Children and SUNY Upstate Medical University, from January 2015 through August 2018, to identify patients having nonsyndromic craniosynostosis with a concurrent diagnosis of otitis media and/or hearing loss. The demographic data and categorical variables were analyzed using descriptive statistics and chi-square testing, respectively. Results: In the entire cohort of patients (N = 113, age range 0-123 months), 36% had otitis media with effusion on either history, physical examination, tympanometry, and/or imaging. Half (50%) of patients with coronal synostosis had otitis media with effusion compared to sagittal (40.7%), metopic (26.3%), multiple (25%), and lambdoid (0%). However, these differences were not statistically significant ( P = .190). Most patients had normal hearing (91%), while a minority had either conductive (7%) or sensorineural (2%) hearing loss. Conclusion: The presence of otitis media in our cohort of patients with nonsyndromic craniosynostosis appears to be at the upper limit of normal when compared to historical rates in normocephalic children. Synostosis subtype did not appear to predict the presence of otitis media. Only 9% of patients with nonsyndromic craniosynostosis were found to have a hearing loss.
Databáze:	MEDLINE
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