Evaluation of Eustachian tube function in patients of cleft palate and effects of palatoplasty on these findings

Authors

  • Lalit kochar Department of Otorhinolaryngology, Jaipur Golden Hospital, Delhi, India
  • Deepak V. Chauhan Department of Otorhinolaryngology, Head and Neck Surgery, Subharti Medical College, Meerut, India
  • S. P. Bajaj Department of Plastic Surgery, Jaipur Golden Hospital, Delhi, India
  • Akash Juneja Department of ENT, Jaipur Golden Hospital, Delhi, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20213282

Keywords:

Cleft palate, Eustachian tube dysfunction, Tympanometry

Abstract

Background: Isolated cleft palate and cleft palate and cleft lip patients have poor Eustachian tube function which results in hearing impairment that too in the speech formative years. Aim of study was to evaluate tympanometric findings in patient of cleft palate and effect of palatoplasty on both short term and long term postoperatively.

Methods: The subjects consisted of patients attending the cleft lip and palate clinic. This was a combined clinic consisting of department of plastic surgery, department of ENT and department of dental surgery held every month at a tertiary care hospital in Delhi. Study consisted of three groups of patients namely preoperative group, postoperative group and pre-postoperative group.

Results: No significant difference was observed in tympanometric abnormalities in cases of combined cleft lip and palate as compared to isolated cleft palate. After age of 5 months once changes of OME has set in there was no significant change in middle ear findings irrespective of palatal repair.

Conclusions: There is a very high prevalence of otitis media with effusion in these patients. The changes do resolve spontaneously after age of seven, this perhaps is due to combined effect, growth, development and l maturity of Eustachian tube and palatal surgery rather than palatal surgery alone.

 

Author Biographies

Lalit kochar, Department of Otorhinolaryngology, Jaipur Golden Hospital, Delhi, India

MS (ENT), DOMS, FICS, FIMSA (Air Commodore-retd), VSM, Senior Consultant and DNB Coordinator (ENT), Department of Otorhinolaryngology,             Jaipur Golden Hospital, Rohini, Delhi

Deepak V. Chauhan, Department of Otorhinolaryngology, Head and Neck Surgery, Subharti Medical College, Meerut, India

Senior resident, Dept of Otorhinolaryngology, Head and Neck Surgery, Subharti medical college, Meerut

S. P. Bajaj, Department of Plastic Surgery, Jaipur Golden Hospital, Delhi, India

MS (General Surgery), FRCS (General Surgery), M.Ch (Plastic Surgery), Senior Consultant, Department of Plastic Surgery, Jaipur Golden Hospital, Rohini, Delhi

Akash Juneja, Department of ENT, Jaipur Golden Hospital, Delhi, India

MS (ENT), Consultant, Department of ENT, Jaipur Golden Hospital, Rohini, Delhi

References

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Published

2021-08-23

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Original Research Articles