Investigation of newborn hearing screening test results and otitis media with effusion in children with cleft palate

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  • Tonoike Yurie
    Department of otorhinolaryngology, Chiba Children’s Hospital
  • Arimoto Yukiko
    Department of otorhinolaryngology, Chiba Children’s Hospital
  • Nakano Atsuko
    Department of otorhinolaryngology, Chiba Children’s Hospital

Bibliographic Information

Other Title
  • 口蓋裂児における新生児聴覚スクリーニング検査結果と滲出性中耳炎に関する検討
  • コウガイレツジ ニ オケル シンセイジ チョウカク スクリーニング ケンサ ケッカ ト シンシュツセイ チュウジエン ニ カンスル ケントウ

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Abstract

<p>Children with cleft palate often develop complications associated with intractable otitis media with effusion (OME) due to Eustachian tube dysfunction. We reviewed the results of newborn hearing screening (NHS) tests and OME evaluation and treatment in 77 children with cleft palate who underwent palatoplasty. Of the 73 cases that underwent NHS, 73% were bilateral pass cases. At the first evaluation within 3 months of birth, middle ear effusion was detected in 94% of NHS pass ears and 82% of refer ears. When performing palatoplasty, 75% of 154 ears in 77 cases were indicated for ventilation tube (VT) placement, including 107 with tube placement, 8 with tube placement difficulty, and 1 with residual perforation. No differences were observed in indication rates for VT placement between NHS pass and refer ears. There were significantly more boys and patients with complications in the NHS unilateral and bilateral refer group, and significantly more patients with cleft palate alone in the group indicated for VT tube placement. These results suggest that middle ear effusion in children with cleft palate may increase after NHS tests and may persist until palatoplasty. Regardless of NHS test results, the OME course of children with cleft palate should be carefully monitored.</p>

Journal

  • Otology Japan

    Otology Japan 32 (4), 387-392, 2022

    Japan Otological Society

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