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  • Title: Clinical outcomes of otitis media with effusion following palatoplasty in patients with incomplete cleft palate.
    Author: Jin L, Li K, Li X.
    Journal: Acta Otolaryngol; 2019 Jan; 139(1):1-5. PubMed ID: 30712437.
    Abstract:
    BACKGROUND: Diagnosis and treatment strategies for CP with OME and the timing of ear tube insertion remain controversial. OBJECTIVES: To analyze the clinical outcomes of otitis media with effusion in children with incomplete cleft palate after palatoplasty prospectively. METHODS: A total of 30 children (10 months-2 years old) with incomplete CP were enrolled in this study and received at least 6 months of follow-up evaluations after palatoplasty. RESULTS: The overall improvement rate of OME was as high as 26% in this group. Average air conduction hearing threshold was significantly better than that before surgery in the 8 patients with improved OME (p < .05). Among the 8 children with improved OME, 7 (87.5%) were found to have middle ear effusion that improved within 6 months after CP repair. There was no significant difference in the improvement rate between the severe degree II group and the mild group. CONCLUSION: A 6-month follow-up period is recommended. The severity of incomplete CP is not fully related to the function of the eustachian tube. SIGNIFICANCE: The overall improvement rate was as high as 26%, and effusion in the tympanic cavity subsided in 7 out of 8 cases within 6 months after the CP repair.
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