Otologic and Audiologic Outcomes with the Furlow and von Langenbeck with Intravelar Veloplasty Palatoplasties in Unilateral Cleft Lip and Palate
| Autor: | Ilza Lazarini Marques, Steve Boggs, F. Joseph Kemker, Telma V Souza, Marcos L N Silva, Jeniffer de Cássia Rillo Dutka-Souza, Patrick J. Antonelli, Cristina Guedes de Azevedo Bento-Gonçalves, Maria Cecíli Pimentel, Susan P. McGorray, Angela Patricia Menezes Cardoso Martinelli, Sílvia Helena Alvarez Piazentin-Penna, M. Brent Seagle, Hilton Coimbra Borgo, John A. Nackashi, Maria Inês Gândara Graciano, Mariza Ribeiro Feniman, José S M Neto, William N. Williams, Jonathan J. Shuster, José Carlos Jorge, Maria Inês Pegoraro-Krook, Luis A Garla, Maria C Zimmermann |
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| Rok vydání: | 2011 |
| Předmět: |
Male
Hearing loss Cleft Lip medicine.medical_treatment Hearing Loss Conductive Ear Middle Dentistry Otoscopy Article Double-Blind Method Palate repair Humans Medicine Prospective Studies Craniofacial Tympanostomy tube Ear Diseases Hearing Loss Prospective cohort study Cholesteatoma Middle Ear Tympanic Membrane Perforation medicine.diagnostic_test Otitis Media with Effusion business.industry Age Factors Infant Cholesteatoma Plastic Surgery Procedures ORELHA MÉDIA medicine.disease Middle Ear Ventilation Cleft Palate Treatment Outcome medicine.anatomical_structure Acoustic Impedance Tests Otorhinolaryngology Middle ear Audiometry Pure-Tone Female Palate Soft Oral Surgery medicine.symptom Audiometry business Follow-Up Studies |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| ISSN: | 1545-1569 1055-6656 |
| DOI: | 10.1597/10-009 |
| Popis: | ObjectiveCleft palate increases the risk of chronic middle ear disease and hearing loss. The goal of this report was to determine which of two palate surgeries and which timing of palate surgery were associated with better otologic and audiologic outcomes in children with unilateral cleft lip and palate at 5 to 6 years of age.DesignSubjects were randomly assigned to the von Langenbeck with intravelar veloplasty or Furlow palate repair, to palate surgery at 9 to 12 months or 15 to 18 months of age, and to the Spina or Millard lip repair.SettingCentralized, tertiary care craniofacial treatment center.PatientsA total of 673 infants with unilateral cleft lip and palate.InterventionsPalate and lip were repaired using established techniques. Serial otoscopic and audiometric evaluations were performed.Main Outcome MeasuresHearing and otoscopic findings at 5 to 6 years old.ResultsThere were 370 children available for analysis. Hearing and need for tympanostomy tube placement did not differ by palatoplasty, age at palatoplasty, cheiloplasty, or surgeon. Risk of developing cholesteatoma or perforation was higher with Millard cheiloplasty (odds ratio = 5.1, 95% confidence interval = 1.44 to 18.11, p = .012). Type and age at palatoplasty were not significantly associated with either the rate of developing these sequelae or the rate of achieving bilaterally normal hearing and ear examinations.ConclusionsType of palatoplasty did not influence otologic and audiologic outcomes in 5- to 6-year-olds with unilateral cleft lip and palate. The potential influence of lip repair on otologic outcomes warrants further investigation. |
| Databáze: | OpenAIRE |
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