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A longitudinal study of hearing and middle ear status in adolescents with cleft lip and palate
Dept Audiol, Sahlgrenska University Hospital, University of Gothenburg, Gothenburg, Sweden.
Dept Clinical Science Interventtion & Technology, Karolinska Instute, Stockholm, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Örebro University Hospital.ORCID iD: 0000-0001-6557-6359
Dept Audiol, Sahlgrenska University Hospital, University of Gothenburg, Gothenburg, Sweden.
2013 (English)In: The Laryngoscope, ISSN 0023-852X, E-ISSN 1531-4995, Vol. 123, no 6, p. 1374-1380Article in journal (Refereed) Published
Abstract [en]

Objectives/Hypothesis:

To study longitudinal prevalence of otitis media with effusion (OME) in children between 7 and 16 years of age by cleft group, and hearing sensitivity across time and across frequencies.

Study Design:

Retrospective and longitudinal.

Methods:

All children with cleft palate born from 1991 to 1993 were included in the study (n = 58). Audiological and otological data were reviewed at 7, 10, 13, and 16 years of age. The group was divided by cleft type (24 unilateral cleft lip and palate, 23 cleft palate only, and 11 bilateral cleft lip and palate).

Results:

The prevalence of abnormal middle ear status decreased significantly with age. When comparing cleft types, the isolated cleft palate group presented with a significantly lower prevalence of abnormal middle ear status than the other groups at 7 and 16 years of age (21% as compared to 32% in the unilateral group and 38% in the bilateral group). The pure-tone average improved with age, while the high-frequency pure-tone average did not. When cleft types were compared, the bilateral group demonstrated significantly poorer hearing in the high frequencies than the other groups.

Conclusion:

Children with cleft palate need regular audiological and otological follow-up to ensure management is appropriate and timely. The increased hearing thresholds in the high frequencies may be due to the increased episodes of OME.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2013. Vol. 123, no 6, p. 1374-1380
National Category
Medical and Health Sciences
Research subject
Medicine
Identifiers
URN: urn:nbn:se:oru:diva-26599DOI: 10.1002/lary.23839ISI: 000320784000011PubMedID: 23208794Scopus ID: 2-s2.0-84878136480OAI: oai:DiVA.org:oru-26599DiVA, id: diva2:574664
Conference
Meeting of the American-Academy-of-Audiology on Audiology Now, Boston, MA, MAR 28-31, 2012
Available from: 2012-12-06 Created: 2012-12-06 Last updated: 2018-09-13Bibliographically approved

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Möller, Claes

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