Influence of infancy care strategy on hearing in children and adolescents: A longitudinal study of children with unilateral lip and /or cleft palate.

Détails

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Etat: Public
Version: Author's accepted manuscript
Licence: CC BY-NC-ND 4.0
ID Serval
serval:BIB_D06733A49D9B
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Influence of infancy care strategy on hearing in children and adolescents: A longitudinal study of children with unilateral lip and /or cleft palate.
Périodique
International journal of pediatric otorhinolaryngology
Auteur(s)
Kapitanova M., Knebel J.F., El Ezzi O., Artaz M., de Buys Roessingh A.S., Richard C.
ISSN
1872-8464 (Electronic)
ISSN-L
0165-5876
Statut éditorial
Publié
Date de publication
11/2018
Peer-reviewed
Oui
Volume
114
Pages
80-86
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
To evaluate the relation between ventilation tube insertion, otitis media with effusion duration and otologic outcomes in unilateral cleft lip and/or cleft palate children from infancy to teenage age.
Retrospective longitudinal charts review of patients from the multidisciplinary cleft team of the University Hospital of Lausanne over a 30-year period. 146 charts from consecutive patients with non-syndromic unilateral cleft lip and/or cleft palate who were born between January 1986 and January 2003 were included.
The earlier in life a cleft child experience his first otitis media with effusion (OME), the worse his long-term hearing will be. Along with the age of onset of OME, we disclosed an influence of the duration of OME without ventilation tube (VT) insertion on short and long-term hearing outcomes. Different patterns were observed between cleft palate (CP) and cleft lip palate children (CLP), with a higher incidence of otitis media with effusion for the CLP group than the CP group. Direct positive relationship between VT insertion and hearing were disclosed and evaluation of long-term complications did not reveal significant relation with VT insertion. Of note, OME in CLP children led to a higher rate (but not statistically significant) of chronic ear complications than in the CP group, that may indicate more persistent OME or different adverse effect on the middle ear mucosa between CP and CLP children.
Individualized counseling should take into account different factors such as the type of cleft, the age of onset of OME and duration of OME, keeping in mind the adverse effect of persistent middle ear fluid. In the present report, results prone an early ventilation tube insertion to prevent short and long-term injury to the middle ear homeostasis, hearing loss and related issues.
Mots-clé
Adolescent, Child, Child, Preschool, Cleft Lip/epidemiology, Cleft Palate/epidemiology, Female, Hearing Loss/epidemiology, Humans, Longitudinal Studies, Male, Middle Ear Ventilation, Myringosclerosis/epidemiology, Otitis Media with Effusion/epidemiology, Retrospective Studies, Switzerland/epidemiology, Tympanic Membrane/abnormalities, Complications, Hearing loss, Long-term outcomes, Unilateral cleft lip and palate
Pubmed
Web of science
Création de la notice
04/11/2018 17:22
Dernière modification de la notice
20/08/2019 16:50
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