MIDDLE EAR DISEASES AND THE EFFICACY OF VENTILATION TUBE INSERTED IN TO OTITIS MEDIA IN CHILDREN WITH CLEFT PALATE

Tăng Xuân Hải1, , Phan Quang Trung2, Ha Cuc2, Tran Minh Long2
1 Bệnh viện Sản Nhi Nghệ An
2 Nghe An Obstetrics and Pediatrics Hospital

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Tóm tắt

Objectives: Cleft palate is associated with middle ear diseases, but the magnitude of this problem is not generally well appreciated. This study aimed to describe the middle ear status and to evaluate the results of ventilation tube insertion in children with cleft palate.
Methods: A cross-sectional cohort study was conducted to investigate 78 children with cleft palate (CP). These patients underwent otoscopy and tympanometry to assess middle ear status. When chronic otitis media with effusion (OME), recurrent otitis media, or atelectasis were diagnosed, ventilation tube insertion (VTI) and palatal repairation were performed simultaneously. The study was carried out in Nghe An Obstetrics and Pediatrics Hospital from January 2023 to December 2024.
Results: The sex ratio was 1:1; the mean age of the patients was 34.59 months (13 months – 13 years old). Middle ear diseases occurred in 60.26% of patients with Cleft palate, with the incidence of OME and atelectasis being 30.76% and 24.35%, respectively. Type B tympanograms were most frequently observed (66.23%). The rate of post-VTI otorrhea was 10.34%, while the rate of tube extrusion after 3 months was 8.66%.
Conclusions: We assessed the efficacy of ventilation tube insertion (VTI) in eliminating otitis media with effusion (OME) in patients with Cleft palate undergoing palatal repair. The results indicated that VTI is effective in eliminating OME in these patients.

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Tài liệu tham khảo

1. Ponduri S, Bradley R, Ellis PE, Brookes ST, Sandy JR, Ness AR (2009). The management of otitis media with early routine insertion of grommets in children with cleft palate – a systematic review. Cleft Palate Craniofac J ;46:30–8. 10.1597/07-219.1. [PubMed] [CrossRef] [Reference list]
2. Harman NL, Bruce IA, Callery P, Tierney S, Sharif MO, O’Brien K, et al (2013). MOMENT – management of otitis media with effusion in cleft palate: protocol for a systematic review of the literature and identification of a core outcome set using a Delphi survey. Trials ;14:70. 10.1186/1745-6215-14-70. [PubMed] [CrossRef] [Reference list]
3. Sharma R.K., Nanda V. Problems of middle ear and hearing in cleft children (2009). Indian J. Plast. Surg. 42:S144–S148. doi: 10.4103/0970-0358.57198. [DOI] [PMC free article] [PubMed] [Google Scholar]
4. Civelek B, Celebioglu S, Sagit M, Akin I(2007). Ventilation tubes in secretory otitis media associated with cleft palate: a retrospective analysis. Turk J Med Sci;37:223–6. [Reference list]
5. Schoenbrunner A.R., Dalle Ore C.L., Lance S., McIntyre J., Jones M., Gosman (2017) Effect of surgeon volume and craniofacial fellowship training on cleft palate complication rates. Ann. Plast. Surg;78:S229–S232. doi: 10.1097/SAP.0000000000001046. [DOI] [PubMed] [Google Scholar]
6. Azman, A. and A. M. Manuel (2020). Otological outcome in cleft lip and palate children with middle ear effusion. International Journal of Pediatric Otorhinolaryngology 138: 110274.
7. Flynn T, Moller C, Lohmander A, Magnusson L (2012), Hearing and otitis media with effusion in young adults with cleft lip and palate. Acta oto-laryngologica. 132(9):959-966.
8. Hoai An Nguyen (2003), Prevalence of Otitis Media with Effusion at children in Ha Noi. PhD dissertation, Ha Noi Medical University.
9. Zheng W, Smith J D, Shing B, Li Y, Wang Y, Li S, et al. (2009) The natural history of audiologic and tympanometric finding in patients with an unrepaired cleft palate. Cleft Palate Craniofac. J. 46 24-9
10. Hochman J., Blakley B., Abdoh A., Aleid H. (2006) Post—Tympanostomy Tube Otorrhea: A Meta-Analysis. Otolaryngol.—Head Neck Surg;135:8–11. doi: 10.1016/j.otohns.2006.02.019. [DOI] [PubMed] [Google Scholar]
11. Saranyoo Suwansa-Ard et al (2022). Long Term Study of Otitis Media with Effusion after Palatoplasty and Myringotomy with Ventilation Tube Insertion J Health Sci Med Res
12. Phuoc Minh Hoang, Thanh Thai Le 2016, Evaluating the results of treatment for Otitis Media with effusion by ventilation tube insertion. Hue Journal of Medicine and Pharmacy. 6 (5):81 - 86
13. Dhooge I, Desloovere C, Boudewyns A, Van Kempen M, Dachy JP (2008). Surgical management of otitis media with effusion in children. London: RCOG Press; doi: 10.1017/CBO9781107415324. 004