Prevalence of Tympanostomy Tube Placement in Relation to Cleft Width and Type.

Autor: Schwarz SJ; Department of Oral and Maxillofacial Surgery, Freiburg University Medical Centre of the Albert-Ludwigs-University Freiburg, Freiburg, Germany., Brandenburg LS; Department of Oral and Maxillofacial Surgery, Freiburg University Medical Centre of the Albert-Ludwigs-University Freiburg, Freiburg, Germany., Weingart JV; Department of Oral and Maxillofacial Surgery, Freiburg University Medical Centre of the Albert-Ludwigs-University Freiburg, Freiburg, Germany., Schupp W; Department of Oral and Maxillofacial Surgery, Freiburg University Medical Centre of the Albert-Ludwigs-University Freiburg, Freiburg, Germany., Füssinger MA; Department of Oral and Maxillofacial Surgery, Freiburg University Medical Centre of the Albert-Ludwigs-University Freiburg, Freiburg, Germany., Pantke CF; Department of Oral and Maxillofacial Surgery, Freiburg University Medical Centre of the Albert-Ludwigs-University Freiburg, Freiburg, Germany., Beck RL; Department of Otorhinolaryngology, Freiburg University Medical Centre of the Albert-Ludwigs-University Freiburg, Freiburg, Germany., Metzger MC; Department of Oral and Maxillofacial Surgery, Freiburg University Medical Centre of the Albert-Ludwigs-University Freiburg, Freiburg, Germany.
Jazyk: angličtina
Zdroj: The Laryngoscope [Laryngoscope] 2021 Nov; Vol. 131 (11), pp. E2764-E2769. Date of Electronic Publication: 2021 Jun 18.
DOI: 10.1002/lary.29602
Abstrakt: Objectives/hypothesis: The prevalence of tympanostomy tube surgery (TTS) in patients with a cleft deformity was investigated, in relation to cleft width and cleft type.
Study Design: Retrospective review of medical health records.
Methods: Retrospective review of medical health records. Seventy-eight patients with non-syndromic cleft deformity of the palate and/or alveolus and lip between 2003 and 2017 were investigated. All available medical documents were analyzed. The study group was divided into subgroups: 1) patients with isolated cleft palate (CP) and patients with a cleft palate with cleft lip and alveolus (CLP). 2) According to Veau's classification (I-IV), further subgroups were defined. Cleft width was measured using plaster cast models.
Results: TTS was performed in 55% of the patients (n = 43). Considering Veau's classification, TTS was conducted as follows: Veau I 65.2% (n = 15/23), Veau II 55.0% (n = 11/20), Veau III 47.6% (n = 10/21), and Veau IV 50.0% (n = 7/14). Cleft classifications, maxillary arch width, and absolute/relative cleft width had no statistical impact on TTS occurrence. Although no significant correlation could be found, patients in our study group with CP (Veau I and II) underwent TTS more often (60.5%, n = 26/43) than patients with CPL (Veau III and IV; 48.6%, n = 17/35) during a three-year follow-up.
Conclusion: None of the cleft characteristics examined had a significant impact on the proportion of patients who received TTS. Nevertheless, patients with lower Veau classification and CP received tympanostomy tubes more often. Therefore, otolaryngologists and pediatricians treating children with cleft palate should maintain a high level of suspicion for chronic middle ear effusion, even in patients with small clefts.
Level of Evidence: 3 Laryngoscope, 131:E2764-E2769, 2021.
(© 2021 The Authors. The Laryngoscope published by Wiley Periodicals LLC on behalf of The American Laryngological, Rhinological and Otological Society, Inc.)
Databáze: MEDLINE
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