1/12. A possible otological complication due to maxillary expansion in a cleft lip and palate patient.OBJECTIVE: We present a possible negative side effect of a sudden onset of secretory otitis media in a 12-year-old boy with unilateral cleft lip and palate who underwent maxillary expansion. The secretory otitis media caused a temporary hearing loss developed during the activation of the expander appliance. The possible causes for this complication are discussed. CONCLUSIONS: Clinicians should be aware of the possible association between maxillary expansion and secretory otitis media.- - - - - - - - - - ranking = 1keywords = palate, cleft (Clic here for more details about this article) |
2/12. Disruption of cleft palate repair following the use of the laryngeal mask airway.A 55-year-old man was admitted for routine examination of ears with insertion of grommets under general anaesthesia. At 2 years of age he had undergone successful repair of cleft lip and palate. A reinforced laryngeal mask airway was employed to maintain the airway. Postoperatively, it was evident he had suffered complete disruption of the soft palate repair, leading to velopharyngeal insufficiency with nasal regurgitation of fluids. We discuss the possible aetiology, having found no such reported injury pattern documented in the literature.- - - - - - - - - - ranking = 7.7507955557794keywords = cleft palate, palate, cleft (Clic here for more details about this article) |
3/12. Closure of the soft palate for persistent otorrhea after placement of pressure equalization tubes in cleft palate infants.Four case reports of infants with cleft palate and intractable otorrhea following the placement of pressure equalization tubes are presented. In one patient, liquids taken orally were noted to reflux through her ears. Otorrhea was refractory to medical management in all cases and was controlled only after closure of the soft palate. Persistent otorrhea may be an indication for early closure of the soft palate in these infants.- - - - - - - - - - ranking = 9.9868040785985keywords = cleft palate, palate, cleft (Clic here for more details about this article) |
4/12. Tegmental dehiscence and brain herniation into the middle ear cleft.The tegmen tympani may occasionally be breached by herniation of the temporal lobe with or without dural cover. The clinical presentation may be obvious with CSF otorrhoea but less so with apparent middle ear effusion, CSF rhinnorrhoea, conductive hearing loss, recurrent meningitis or intracranial sepsis. diagnosis requires suspicion of the condition, which may be aided by radiological imaging. Surgical repair is to be recommended: various techniques are available but bone enveloped by fascia placed by subtemporal approach is preferred. The features of this problem are highlighted by four cases.- - - - - - - - - - ranking = 0.33826557147435keywords = cleft (Clic here for more details about this article) |
5/12. incidence of cholesteatoma with cleft palate.The overall incidence of cholesteatoma in iowa has been estimated to be 6.01/100,000 population, or less than 0.01%. However, in patients with cleft palate seen at the University of iowa cleft palate Clinic between 1947 and 1968 and followed for at least 10 years, the risk of developing cholesteatoma was 9.2%. In order to determine whether this high risk of cholesteatoma is still valid, a comparable retrospective study was undertaken of 153 patients with cleft palate who were born between 1969 and 1977, were enrolled in the University of iowa cleft palate Clinic within 1 year of birth, and were followed by the interdisciplinary team for a minimum of 10 consecutive years. cholesteatoma occurred in four patients (2.6%), a substantial decrease in the risk of developing cholesteatoma in a well-defined and longitudinally followed population.- - - - - - - - - - ranking = 11.153042922972keywords = cleft palate, palate, cleft (Clic here for more details about this article) |
6/12. Microscopic analysis of the mastoid bone in chronic serous otitis media.The pathologic changes of the middle ear and mastoid bone mucosa in two pediatric patients with long standing chronic serous otitis media were studied by electron and light microscopy. The embryological development of the eustachian tube, middle ear cleft, and mastoid bone suggests a common physiological and anatomical continuity. The histological changes by light and electron microscopy in these patients demonstrates the metaplastic changes of the basal cell of the mucosa differentiating into mucous and keratin cells. These metaplastic changes are associated with the exudative process known as chronic serous otitis media.- - - - - - - - - - ranking = 0.084566392868587keywords = cleft (Clic here for more details about this article) |
7/12. incidence and type of otopathology associated with congenital palatopharyngeal incompetence.Based upon the known association of cleft palate and middle ear disease, a study was undertaken to determine the incidence and type of middle ear pathology associated with velar anomalies exclusive of cleft palate which may produce congenital palatal pharyngeal incompetence. The range of velar anomalies encountered was subdivided into congenital palatal incompetence Type 1 (clinically manifested by one or more of a triad of visible palatal anomalies including submucous deficiency of the hard palate, bifid uvula, and a diastasis of velar musculature) and congenital palatal incompetence Type 2 (no visible velar anomalies but radiographic anomalies of the velopharyngeal region such as short or thin velum and/or enlarged nasopharyngeal dimensions consequent to vertebral and skull base anomalies). Middle ear disease was assessed separately in CPI Types 1 and 2 in order to differentiate the effects upon middle ear function between overt and occult velar anomalies. Middle ear disease was more frequent in CPI Type 1 than in CPI Type 2. The predominant otopathologic finding was serous otitis media, paralleling the type associated with cleft palate. Tympanic membrane atrophy, tympanosclerosis and tympanic membrane perforation, often considered sequelae of chronic serous otitis media, were noted infrequently. This investigation supports the concept that middle ear disease frequently occurs with congenital palatal incompetence as it does with cleft palate.- - - - - - - - - - ranking = 7.5507955557794keywords = cleft palate, palate, cleft (Clic here for more details about this article) |
8/12. The association of a hearing deficit with Larsen's syndrome.A retrospective study of 45 cases of Larsen's syndrome reported since 1950 reveals a prevalence of cleft palate in this disease of about 30 per cent. Although cleft palate abnormalities in infancy invariably cause otitis media, which may result in hearing loss, only rarely have hearing deficits been reported in association with Larsen's disease. This paper reports the occurrence of a bilateral conductive hearing loss secondary to otitis media, and possible ossicular abnormality in a five-year-old with cleft palate and Larsen's disease and considers the possibility that this otologic problem may be more prevalent than currently suspected.- - - - - - - - - - ranking = 5.576521461486keywords = cleft palate, palate, cleft (Clic here for more details about this article) |
9/12. cochlear implants and otitis media: considerations in two cleft palate patients.cochlear implantation is a safe and effective means of rehabilitating profound sensory deafness. The implications of coincident chronic middle ear disease upon the operative procedure and auditory results have received little attention in the literature. We describe two patients, each with congenital cleft lip and palate and secondary chronic otitis media with effusion, who received multichannel cochlear implants following bacterial meningitis. One patient (a three-year-old girl) was implanted in the standard fashion while the other (a 38-year-old-man) underwent middle ear and mastoid obliteration. Our findings suggest that chronic otitis media should not be a deterrent to cochlear implantation.- - - - - - - - - - ranking = 7.635361948648keywords = cleft palate, palate, cleft (Clic here for more details about this article) |
10/12. Cause of eustachian tube constriction during swallowing in patients with otitis media with effusion.In order to clarify the cause of the constriction of the eustachian tube during swallowing that is often seen in patients with otitis media with effusion, video endoscopy of the pharyngeal orifice of the eustachian tube was performed and superimposed with videograms of the tubal airflow and resistance, which were simultaneously examined by the forced response test. In children with otitis media with effusion (17 ears), when the eustachian tube constricted on the videogram on swallowing, the tubal orifice was found to be squeezed between an elevated soft palate and a hypertrophied adenoid (7/17), squeezed between an elevated soft palate and edema of the posterior lip (7/17), or blocked by nasal discharge (5/17). In adults with otitis media with effusion (7 ears), edema of the posterior lip (5/7) was the main cause of the constriction of the tubal orifice during swallowing. inflammation in the nasopharynx and the pharyngeal portion of the eustachian tube was considered to be closely related to the tubal constriction, which represents a considerable part of the cause of tubal ventilatory dysfunction in otitis media with effusion.- - - - - - - - - - ranking = 0.23086721426283keywords = palate (Clic here for more details about this article) |
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