The Effect of the Palatoplasty Method on the Frequency of Ear Tube Placement
| Autor: | Carol J. MacArthur, Samuel P. Gubbels, Henry A. Milczuk, Lynnelle K. Smith |
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| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty Reconstructive Surgeon Cleft Lip medicine.medical_treatment Oral Surgical Procedures Dentistry Risk Assessment symbols.namesake Sex Factors medicine Humans Prospective Studies Child Prospective cohort study Fisher's exact test Probability Retrospective Studies Otitis Media with Effusion business.industry Incidence Age Factors Infant Retrospective cohort study General Medicine Plastic Surgery Procedures medicine.disease Middle Ear Ventilation Conductive hearing loss Surgery Cleft Palate Treatment Outcome Palatoplasty Otitis Otorhinolaryngology Z-plasty Child Preschool symbols Female medicine.symptom business Follow-Up Studies |
| Zdroj: | Archives of Otolaryngology–Head & Neck Surgery. 134:1085 |
| ISSN: | 0886-4470 |
| DOI: | 10.1001/archotol.134.10.1085 |
| Popis: | Objective To determine whether the type of palate repair affects the frequency of subsequent ventilation tube placement. Design Combined retrospective and prospective cohort with more than 2 years clinical follow-up after palatoplasty. Setting Tertiary care children's hospital and clinic. Patients A total of 170 patients with cleft palate (with or without cleft lip) underwent palatoplasty between 1995 and 2003. Sixty-nine patients with less than 2 years of follow-up visits and 1 patient who did not require ear tubes were excluded from this analysis. Interventions Either traditional 2-flap palatoplasty (group A) or double-opposing Z-plasty (group B) was performed. The type of palatoplasty performed was based on the reconstructive surgeon's clinical decision. Ventilation tubes were placed for otitis media, conductive hearing loss, or eustachian tube dysfunction. Patients received routine follow-up care every 6 months or whenever acute problems arose. Data were analyzed with independent t tests, χ 2 tests, and Fisher exact tests. Main Outcome Measures Number of ear tubes placed after palatoplasty in each group. Results Group A had a mean (SE) of 2.9 (0.2) sets of tubes placed, while group B had a mean (SE) of 1.8 (0.2) sets of tubes. Group A had significantly more sets of ventilation tubes placed ( P Conclusion Children with cleft palate who underwent double-opposing Z-plasty had fewer sets of ear tubes placed postoperatively than patients who had traditional repair. |
| Databáze: | OpenAIRE |
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