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A longitudinal study of hearing and middle ear status in adolescents with cleft lip and palate

Artikel i vetenskaplig tidskrift
Författare Traci Flynn
A. Lohmander
Claes Möller
Lennart Magnusson
Publicerad i The Laryngoscope
Volym 123
Nummer/häfte 6
Sidor 1374-1380
ISSN 0023-852X
Publiceringsår 2013
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering
Sidor 1374-1380
Språk en
Länkar dx.doi.org/10.1002/lary.23839
Ämnesord Cleft palate, cleft type, otitis media with effusion (OME), hearing sensitivity
Ämneskategorier Klinisk medicin, Audiologi

Sammanfattning

OBJECTIVES/HYPOTHESIS: To study longitudinal prevalence of otitis media with effusion (OME) in children between 7 and 16 years of age by cleft group, and hearing sensitivity across time and across frequencies. STUDY DESIGN: Retrospective and longitudinal. METHODS: All children with cleft palate born from 1991 to 1993 were included in the study (n = 58). Audiological and otological data were reviewed at 7, 10, 13, and 16 years of age. The group was divided by cleft type (24 unilateral cleft lip and palate, 23 cleft palate only, and 11 bilateral cleft lip and palate). RESULTS: The prevalence of abnormal middle ear status decreased significantly with age. When comparing cleft types, the isolated cleft palate group presented with a significantly lower prevalence of abnormal middle ear status than the other groups at 7 and 16 years of age (21% as compared to 32% in the unilateral group and 38% in the bilateral group). The pure-tone average improved with age, while the high-frequency pure-tone average did not. When cleft types were compared, the bilateral group demonstrated significantly poorer hearing in the high frequencies than the other groups. CONCLUSION: Children with cleft palate need regular audiological and otological follow-up to ensure management is appropriate and timely. The increased hearing thresholds in the high frequencies may be due to the increased episodes of OME.

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