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  • Title: [Otologic sequels in velopalatine clefts. Analysis and management].
    Author: Paquot-Le Brun C, Babin E, Moreau S, Bequignon A.
    Journal: Rev Stomatol Chir Maxillofac; 2007 Sep; 108(4):357-68. PubMed ID: 17692349.
    Abstract:
    As early as in 1878, medical teams managing children born with a velopalatine cleft had noted the prevalence of middle-ear pathologies largely related to anatomic and inflammatory Eustachian tube dysfunction. The aim of this study was to describe otologic sequels related to a velopalatine cleft and to suggest an adapted management. These sequels are evolving presentations of chronic serous otitis; they worsen the functional prognosis (hypoacousia) and more rarely the vital prognosis (cerebral or infectious complications of cholesteatoma). We must stress the importance of prevention: during the initial management, by Eustachian tube rehabilitation, and by ENT (Ear, Noseand Throat) follow-up allowing to prevent these sequels and to bring hearing to normal as soon as possible, so as to support cognitive development, language skills, and sociofamilial integration of the children.
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