Otitis Media and Hearing Loss in Patients With Nonsyndromic Craniosynostosis: A Multicenter Study
| Autor: | Sherard A. Tatum, Jeewanjot S. Grewal, Jordan J. Licata, Jason E. Cohn, Wellington J. Davis, Jacob Burdett, Alex J F Tampio, Brian D. Nicholas |
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| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty Hearing loss Craniosynostosis 03 medical and health sciences Craniosynostoses 0302 clinical medicine 030225 pediatrics medicine Humans In patient 030223 otorhinolaryngology Child Hearing Loss Craniofacial surgery Retrospective Studies business.industry Otitis Media with Effusion Infant Newborn Infant medicine.disease Middle ear effusion Otitis Media Otitis Otorhinolaryngology Multicenter study Effusion Acoustic Impedance Tests Child Preschool Oral Surgery medicine.symptom business |
| Zdroj: | The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association. 59(5) |
| ISSN: | 1545-1569 |
| Popis: | 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: | OpenAIRE |
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