Pub Date : 2023-07-01DOI: 10.4103/jclpca.jclpca_6_23
Katherine Moleiro, Hans Cordsen, Carlos Manresa, Olaisa Garcia, Javianna Ferrer, Henry Guevara, Maria Viamonte
Aims: The aims of the study are to describe the epidemiological characteristics of the patients with cleft lip and palate (CLP) treated at Specialized National Hospital in Venezuela. Materials and Methods: This was a retrospective, epidemiological, and cross-sectional study. Sample involved medical records from patients with diagnosis of any CLP treated from 2011 to 2021. The variables analyzed were age, gender, origin, anatomical structures involved, syndromes, other associated conditions, and sequelae, which were collected and analyzed. A descriptive analysis of each variable was carried out. Results: Data from 641 patients were analyzed, with an average age of 1 year old (±3 months–9 years of age), showing an equitable distribution in relation to gender. Of the facial clefts, the most common was the complete bilateral alveolar cleft (16.2%), followed by the complete left cleft lip (10.5%). The study yielded few cases of patients with some syndrome or associated condition (3.7% for each one, respectively). Geographically, there was a distribution of cases in all the states of the Bolivarian Republic of Venezuela, with the largest number of cases being in the capital region. Conclusions: It was observed that the prevalence of CLP has increased in recent years; these epidemiological figures vary by region, age, and gender. However, greater knowledge from health professionals is necessary to understand the clinical and epidemiological aspects of the orofacial cleft, which is essential to improve the understanding of the pathogenesis, promote preventive strategies, and guide multidisciplinary clinical care.
{"title":"Epidemiological study of patients with cleft lip and palate at Specialized National Hospital in Venezuela","authors":"Katherine Moleiro, Hans Cordsen, Carlos Manresa, Olaisa Garcia, Javianna Ferrer, Henry Guevara, Maria Viamonte","doi":"10.4103/jclpca.jclpca_6_23","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_6_23","url":null,"abstract":"Aims: The aims of the study are to describe the epidemiological characteristics of the patients with cleft lip and palate (CLP) treated at Specialized National Hospital in Venezuela. Materials and Methods: This was a retrospective, epidemiological, and cross-sectional study. Sample involved medical records from patients with diagnosis of any CLP treated from 2011 to 2021. The variables analyzed were age, gender, origin, anatomical structures involved, syndromes, other associated conditions, and sequelae, which were collected and analyzed. A descriptive analysis of each variable was carried out. Results: Data from 641 patients were analyzed, with an average age of 1 year old (±3 months–9 years of age), showing an equitable distribution in relation to gender. Of the facial clefts, the most common was the complete bilateral alveolar cleft (16.2%), followed by the complete left cleft lip (10.5%). The study yielded few cases of patients with some syndrome or associated condition (3.7% for each one, respectively). Geographically, there was a distribution of cases in all the states of the Bolivarian Republic of Venezuela, with the largest number of cases being in the capital region. Conclusions: It was observed that the prevalence of CLP has increased in recent years; these epidemiological figures vary by region, age, and gender. However, greater knowledge from health professionals is necessary to understand the clinical and epidemiological aspects of the orofacial cleft, which is essential to improve the understanding of the pathogenesis, promote preventive strategies, and guide multidisciplinary clinical care.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"38 1","pages":"57 - 62"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.4103/jclpca.jclpca_22_23
Kamaljit Kaur, A. Kapur, B. Soni, Manojkumar Jaiswal
Feeding a child with cleft lip with or without cleft palate (CL/P) is a matter of concern for both the parents and the physician. Early knowledge about various available options and timely intervention can overcome undue anxiety in parents of children with CL/P. A feeding obturator separates the oral cavity from the nasal cavity and is one of the means to aid in adequate nutrition to the affected child. The present article describes two cases of successful use of a feeding obturator in infants with an isolated CL/P.
{"title":"A feeding obturator appliance in infants with isolated cleft palate: A case series","authors":"Kamaljit Kaur, A. Kapur, B. Soni, Manojkumar Jaiswal","doi":"10.4103/jclpca.jclpca_22_23","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_22_23","url":null,"abstract":"Feeding a child with cleft lip with or without cleft palate (CL/P) is a matter of concern for both the parents and the physician. Early knowledge about various available options and timely intervention can overcome undue anxiety in parents of children with CL/P. A feeding obturator separates the oral cavity from the nasal cavity and is one of the means to aid in adequate nutrition to the affected child. The present article describes two cases of successful use of a feeding obturator in infants with an isolated CL/P.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"251 1","pages":"112 - 117"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139365629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.31136/kjclp.2023.26.1.1
M. Hong
{"title":"The Birth Prevalence of Cleft Lip and/or Palate Patients in Korea and Orthodontic and Orthopedic Treatment for Congenital Defects Supported by National Health System","authors":"M. Hong","doi":"10.31136/kjclp.2023.26.1.1","DOIUrl":"https://doi.org/10.31136/kjclp.2023.26.1.1","url":null,"abstract":"","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81528331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.31136/kjclp.2023.26.1.13
Marques de Moura Pollyana, Seaward James, Kane Alex, Yong Jong Park
{"title":"The Severity of Cleft Lip and Palate and Postsurgical Outcome in Non-syndromic Complete Unilateral Cleft Lip and Palate: A Pilot Study Based on Surgeon’s Perception","authors":"Marques de Moura Pollyana, Seaward James, Kane Alex, Yong Jong Park","doi":"10.31136/kjclp.2023.26.1.13","DOIUrl":"https://doi.org/10.31136/kjclp.2023.26.1.13","url":null,"abstract":"","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78052645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.31136/kjclp.2023.26.1.7
Y. W. Park
{"title":"Evaluation of Lip Symmetry after Unilateral Cheiloplasty by Rotation-Advancement Principle","authors":"Y. W. Park","doi":"10.31136/kjclp.2023.26.1.7","DOIUrl":"https://doi.org/10.31136/kjclp.2023.26.1.7","url":null,"abstract":"","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86527387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.31136/kjclp.2023.26.1.27
S. Ha
{"title":"Efficacy of CPAP Therapy in Reducing Hypernasality in a Case with Repaired Submucous Cleft Palate","authors":"S. Ha","doi":"10.31136/kjclp.2023.26.1.27","DOIUrl":"https://doi.org/10.31136/kjclp.2023.26.1.27","url":null,"abstract":"","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"80 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75947512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-30DOI: 10.31136/kjclp.2023.26.1.22
Ja-Yean Son, Dongjae Lee, Min A Kang
{"title":"Primary Cleft Palate Operation: Cases of Two Elderly Patients","authors":"Ja-Yean Son, Dongjae Lee, Min A Kang","doi":"10.31136/kjclp.2023.26.1.22","DOIUrl":"https://doi.org/10.31136/kjclp.2023.26.1.22","url":null,"abstract":"","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80032825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/jclpca.jclpca_19_22
Nupur Saha, M. Das, Shabnam Zahir, Arnab Santra
Aim: The aim of this study is to observe the clinical and epidemiological profile of nonsyndromic cleft lip (CL) and/or palate patients admitted to a cleft care center in West Bengal from May 2021 to April 2022. Materials and Methods: A retrospective epidemiological study had been done by preparing a master data sheet to record the patient's data from a Comprehensive Cleft Care Centre in West Bengal. The study variables included were patient's age reporting at the hospital, type of cleft, sex distribution of patients, residential address of the parents, socioeconomic status through parents' education, occupation, and monthly income, and consanguineous marriage history of the family. Results: A total of 276 nonsyndromic cleft patients during the time period (May 2021 to April 2022) were considered. Among these, 164 were male and 112 were female patients. The mean age of patients reporting to this hospital on average was 13–18 months. CL with palate patients (62%) predominated than any other type and was mostly seen in male patients (69.59%); isolated CL (22%) cases were more in females (56.25%), whereas isolated cleft palate (16%) cases were seen more in males (62.79%); unilateral (77%) and left-sided cleft (67%) were found predominantly than bilateral cases (23%) and seen mostly in females, whereas bilateral cleft cases were more in males. Most of the patients belonged to North 24 Parganas District which is an adjacent district of Kolkata, and most of the families belonged to a low socioeconomic group, and interestingly, most of them had consanguineous marriage history (61%) with at least one generation. Conclusion: The results of this study provided that CL with palate type is more common among all types of clefts and predominantly found in males than females in West Bengal. The unilateral left-sided cleft is predominant among all other varieties. Most of the parents belonged to low socioeconomic status and are having consanguineous marriage history. We need to spread awareness among the public through ads and banners, social media, and medical free camps about the deformity of CL and/or palate and also possible preventive measures, make arrangements for free treatment among the CL and/or CL and palate population for better life of cleft patients and their parents.
{"title":"A retrospective study on clinical and epidemiological profile of nonsyndromic cleft lip and palate patients admitted in a large Comprehensive Cleft Care Centre in West Bengal, India","authors":"Nupur Saha, M. Das, Shabnam Zahir, Arnab Santra","doi":"10.4103/jclpca.jclpca_19_22","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_19_22","url":null,"abstract":"Aim: The aim of this study is to observe the clinical and epidemiological profile of nonsyndromic cleft lip (CL) and/or palate patients admitted to a cleft care center in West Bengal from May 2021 to April 2022. Materials and Methods: A retrospective epidemiological study had been done by preparing a master data sheet to record the patient's data from a Comprehensive Cleft Care Centre in West Bengal. The study variables included were patient's age reporting at the hospital, type of cleft, sex distribution of patients, residential address of the parents, socioeconomic status through parents' education, occupation, and monthly income, and consanguineous marriage history of the family. Results: A total of 276 nonsyndromic cleft patients during the time period (May 2021 to April 2022) were considered. Among these, 164 were male and 112 were female patients. The mean age of patients reporting to this hospital on average was 13–18 months. CL with palate patients (62%) predominated than any other type and was mostly seen in male patients (69.59%); isolated CL (22%) cases were more in females (56.25%), whereas isolated cleft palate (16%) cases were seen more in males (62.79%); unilateral (77%) and left-sided cleft (67%) were found predominantly than bilateral cases (23%) and seen mostly in females, whereas bilateral cleft cases were more in males. Most of the patients belonged to North 24 Parganas District which is an adjacent district of Kolkata, and most of the families belonged to a low socioeconomic group, and interestingly, most of them had consanguineous marriage history (61%) with at least one generation. Conclusion: The results of this study provided that CL with palate type is more common among all types of clefts and predominantly found in males than females in West Bengal. The unilateral left-sided cleft is predominant among all other varieties. Most of the parents belonged to low socioeconomic status and are having consanguineous marriage history. We need to spread awareness among the public through ads and banners, social media, and medical free camps about the deformity of CL and/or palate and also possible preventive measures, make arrangements for free treatment among the CL and/or CL and palate population for better life of cleft patients and their parents.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"10 1","pages":"9 - 13"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46275861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/jclpca.jclpca_27_22
Manjubala Dash, D. Mohapatra, K. Dash, Sasmita Nayak
Cleft lip and palate (CLP) affect about one baby of every 700 newborn due to alterations in the normal development of the primary and/or secondary palate. The prevalence of clefts in India is between 27,000 and 33,000/year. Searches were undertaken in PubMed, Cochrane database, Web of Science, Scopus, and Google Scholar databases, for primary research studies that report on feeding interventions/feeding techniques/feeding methods, challenges faced by mother/care taker/health personnel as they include most of the publications in this area. Papers were independently reviewed by two authors and Thomas et al's assessment criteria checklist (2003) was used to assess the methodological quality. This systematic review was registered in PROSPERO under number CRD42020208437. The review included 25 studies: 21 quantitative, 2 qualitative, and two mixed methods study, involving 1564 infants and children (age ranging from 1 week to 5 years old) and 790 mothers of Infants with CLP from 13 countries. While comparing the efficacy of the three feeding techniques such as paladai fed, bottle fed, and spoon fed in improving the weight gain pattern the result showed mean weight gain among paladai feeding was better than the bottle or spoon-feeding. Common feeding problems observed were nasal regurgitation, vomiting, and choking, etc. Infants with cleft palate had some major challenges such as aspiration, choking, and inadequate growth. Beyond the esthetic and psychologic implications of the presence of orofacial clefts, the feeding of the child is usually the next concern of the parents and caregivers, a factor which can result in considerable stress to the mother. A prompt diagnosis, especially of a CP, and visit by the cleft team immediately after the birth so that the family can be supported and taught the skills of feeding, is essential.
由于初级和/或次级腭的正常发育发生变化，大约每700名新生儿中就有一名患有唇腭裂。印度的裂隙流行率在每年27000至33000之间。在PubMed、Cochrane数据库、Web of Science、Scopus和Google Scholar数据库中进行了搜索，以获取关于喂养干预/喂养技术/喂养方法、母亲/看护人/卫生人员面临的挑战的主要研究报告，因为这些研究包括该领域的大多数出版物。论文由两位作者独立审查，Thomas等人的评估标准清单（2003）用于评估方法质量。该系统审查在PROSPERO注册，编号CRD42020208437。该综述包括25项研究：21项定量研究、2项定性研究和两项混合方法研究，涉及来自13个国家的1564名婴儿和儿童（年龄从1周到5岁不等）以及790名患有CLP的婴儿母亲。通过比较paladai喂养、瓶式喂养和勺式喂养三种喂养技术在改善增重模式方面的效果，结果表明paladai饲养的平均增重效果优于瓶式或勺式喂养。观察到的常见喂养问题有鼻塞、呕吐和窒息等。腭裂婴儿面临一些主要挑战，如误吸、窒息和发育不良。除了口唇腭裂的美学和心理影响之外，孩子的喂养通常是父母和照顾者的下一个关注点，这一因素可能会给母亲带来相当大的压力。及时诊断，尤其是CP，并在出生后立即由腭裂团队进行检查，以便为家庭提供支持并教授喂养技能，这是至关重要的。
{"title":"Feeding interventions among cleft lip/palate infants: A systematic review and meta-synthesis","authors":"Manjubala Dash, D. Mohapatra, K. Dash, Sasmita Nayak","doi":"10.4103/jclpca.jclpca_27_22","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_27_22","url":null,"abstract":"Cleft lip and palate (CLP) affect about one baby of every 700 newborn due to alterations in the normal development of the primary and/or secondary palate. The prevalence of clefts in India is between 27,000 and 33,000/year. Searches were undertaken in PubMed, Cochrane database, Web of Science, Scopus, and Google Scholar databases, for primary research studies that report on feeding interventions/feeding techniques/feeding methods, challenges faced by mother/care taker/health personnel as they include most of the publications in this area. Papers were independently reviewed by two authors and Thomas et al's assessment criteria checklist (2003) was used to assess the methodological quality. This systematic review was registered in PROSPERO under number CRD42020208437. The review included 25 studies: 21 quantitative, 2 qualitative, and two mixed methods study, involving 1564 infants and children (age ranging from 1 week to 5 years old) and 790 mothers of Infants with CLP from 13 countries. While comparing the efficacy of the three feeding techniques such as paladai fed, bottle fed, and spoon fed in improving the weight gain pattern the result showed mean weight gain among paladai feeding was better than the bottle or spoon-feeding. Common feeding problems observed were nasal regurgitation, vomiting, and choking, etc. Infants with cleft palate had some major challenges such as aspiration, choking, and inadequate growth. Beyond the esthetic and psychologic implications of the presence of orofacial clefts, the feeding of the child is usually the next concern of the parents and caregivers, a factor which can result in considerable stress to the mother. A prompt diagnosis, especially of a CP, and visit by the cleft team immediately after the birth so that the family can be supported and taught the skills of feeding, is essential.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"10 1","pages":"14 - 25"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44987843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.4103/jclpca.jclpca_12_22
V. Mago, Arush Pasricha, Hiteswar Sarma, P. Jayaprakash, M. Vathulya, D. Chattopadhyay
Purpose: Cleft palate is known to cause recurrent otitis media with hearing loss. Various studies have stated the incidence of middle ear disease in patients with cleft palate is around 90%. The anomalous position of the Eustachian tubes in patients with cleft palate leads to otitis media with effusion. If left uncorrected this leads to complications such as cholesteatoma, retraction pockets, and atelectasis leading to permanent hearing loss. In this study, we evaluated the children presenting to our institute with cleft palate for hearing-related issues. Materials and Methods: The study was conducted in our institute from January 2017 to September 2020. It was a cross-sectional study, where 45 children with cleft palate were compared with 36 children with cleft lip who were considered the control group. Hearing of all children was assessed using tympanometry, otoscopy, and brainstem evoked response audiometry (BERA). Results: About 93.3% of children in the cleft palate group had an abnormal tympanic membrane on otoscopy, whereas in the control group only 11.1% of children had an abnormal tympanic membrane on otoscopy. About 97.8% of children in the cleft palate group had a hearing threshold greater than 25 decibels, whereas only 13.9% of children in the control group had a hearing threshold of above 25 decibels. More children in the cleft palate group had an abnormal tympanogram (42.2% had a type B tympanogram and 46.7% had a type C tympanogram) compared to the control group (5.6% had a type B tympanogram and 2.8% had a type C tympanogram). Conclusion: Our study adds to the evidence that there is a high incidence of hearing impairment in children with cleft palate. Hence, we advocate that early identification by screening measures such as otoscopy, tympanometry, auditory brainstem response, and pure tone audiometry during the first visit itself in these children so that early treatment can be initiated.
{"title":"Hearing-related problems in children with cleft palate: A single-center cross-sectional study in the sub-Himalayan population","authors":"V. Mago, Arush Pasricha, Hiteswar Sarma, P. Jayaprakash, M. Vathulya, D. Chattopadhyay","doi":"10.4103/jclpca.jclpca_12_22","DOIUrl":"https://doi.org/10.4103/jclpca.jclpca_12_22","url":null,"abstract":"Purpose: Cleft palate is known to cause recurrent otitis media with hearing loss. Various studies have stated the incidence of middle ear disease in patients with cleft palate is around 90%. The anomalous position of the Eustachian tubes in patients with cleft palate leads to otitis media with effusion. If left uncorrected this leads to complications such as cholesteatoma, retraction pockets, and atelectasis leading to permanent hearing loss. In this study, we evaluated the children presenting to our institute with cleft palate for hearing-related issues. Materials and Methods: The study was conducted in our institute from January 2017 to September 2020. It was a cross-sectional study, where 45 children with cleft palate were compared with 36 children with cleft lip who were considered the control group. Hearing of all children was assessed using tympanometry, otoscopy, and brainstem evoked response audiometry (BERA). Results: About 93.3% of children in the cleft palate group had an abnormal tympanic membrane on otoscopy, whereas in the control group only 11.1% of children had an abnormal tympanic membrane on otoscopy. About 97.8% of children in the cleft palate group had a hearing threshold greater than 25 decibels, whereas only 13.9% of children in the control group had a hearing threshold of above 25 decibels. More children in the cleft palate group had an abnormal tympanogram (42.2% had a type B tympanogram and 46.7% had a type C tympanogram) compared to the control group (5.6% had a type B tympanogram and 2.8% had a type C tympanogram). Conclusion: Our study adds to the evidence that there is a high incidence of hearing impairment in children with cleft palate. Hence, we advocate that early identification by screening measures such as otoscopy, tympanometry, auditory brainstem response, and pure tone audiometry during the first visit itself in these children so that early treatment can be initiated.","PeriodicalId":34294,"journal":{"name":"Journal of Cleft Lip Palate and Craniofacial Anomalies","volume":"10 1","pages":"5 - 8"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42145437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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