Otologic and audiologic status of Russian children with cleft lip and palate.

OBJECTIVE In this study, researchers evaluated the otologic and audiologic status of 112 children with repaired cleft lip and palate who had received primary palatal repair by means of Frolova palatoplasty, a surgical technique developed by Dr. Larisa Y. Frolova, founder and director of the National Pediatric Center for Congenital Maxillofacial Pathology, Moscow, Russia. DESIGN Results of hearing thresholds and tympanograms for these Russian children were compared with data previously reported from a group of 48 children and adults with repaired cleft lip and palate at the University of Florida Craniofacial Center, Gainesville, Florida. RESULTS There were no substantial differences in hearing thresholds between the two groups, which was surprising in view of the vast differences between middle ear management techniques used in Russia and the United States. CONCLUSIONS Considering these findings and the growing body of literature favoring a more conservative approach to the management of middle ear effusion in infants with cleft lip and palate, a reexamination of otologic strategies in the United States seems advisable.

[1]  K. Bzoch,et al.  Velopharyngeal Function for Speech after the Frolova Primary Palatoplasty Technique , 1998 .

[2]  P. Robinson,et al.  The Effect of Palate Repair on Otitis Media with Effusion , 1992, Plastic and reconstructive surgery.

[3]  P. Menyuk,et al.  Otitis media in infancy and intellectual ability, school achievement, speech, and language at age 7 years. Greater Boston Otitis Media Study Group. , 1990, The Journal of infectious diseases.

[4]  S. R. Rood,et al.  Current concepts of the etiology, diagnosis, and management of cleft palate related otopathologic disease. , 1981, Otolaryngologic clinics of North America.

[5]  P. Chaudhuri,et al.  An otorhinological study of children with cleft palates , 1978, The Journal of Laryngology & Otology.

[6]  J. Paradise.  On tympanostomy tubes: rationale, results, reservations, and recommendations. , 1977, Pediatrics.

[7]  Crysdale Ws.  Rational management of middle ear effusions in the cleft palate patient. , 1976 .

[8]  N Lewis,et al.  Otitis media and linguistic incompetence. , 1976, Archives of otolaryngology.

[9]  S. R. Rood,et al.  Anatomy of the eustachian tube and related structures in age-matched human fetuses with and without cleft palate. , 1976, Transactions. Section on Otolaryngology. American Academy of Ophthalmology and Otolaryngology.

[10]  R. Cole,et al.  Eustachian tube function in cleft lip and palate patients. , 1974, Archives of otolaryngology.

[11]  J. Paradise,et al.  Early treatment of the universal otitis media of infants with cleft palate. , 1974, Pediatrics.

[12]  J. Paradise,et al.  Certain effects of cleft palate repair on eustachian tube function. , 1972, The Cleft palate journal.

[13]  J. Paradise,et al.  Roentgenographic evaluation of eustachian tube function in infants with cleft and normal palates. , 1972, The Cleft palate journal.

[14]  C. Bluestone.  Eustachian tube obstruction in the infant with cleft palate. , 1971, The Annals of otology, rhinology, and laryngology.

[15]  I. Hochberg,et al.  Audiologic and otologic evaluation of cleft palate children. , 1970, The Cleft palate journal.

[16]  J. Paradise,et al.  The universality of otitis media in 50 infants with cleft palate. , 1969, Pediatrics.

[17]  G. Aschan.  Hearing and nasal function correlated to postoperative speech in cleft palate patients with velopharyngoplasty. , 1966, Acta oto-laryngologica.

[18]  E. Skolnik.  Otologic evaluation in cleft palate patients , 1958, The Laryngoscope.