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Pediatric Otolaryngology

(192) Exudative Otitis Media in Children with Cleft Lip and Palate

Monday, October 2, 2023
2:45 PM – 3:45 PM East Coast USA Time

    Presenting Author(s)

  • SK

    Sei Kobayashi, Prof.

    Associate professor
    Department of Otorhinolaryngology, Showa university Fujigaoka Hospital.
    Yokohama, Kanagawa, Japan

    • Co-Author(s)

  • Yasuyuki Hinohira, MD

    Section Chief
    Kamio Memorial Hospital
    Chiyoda, Tokyo, Japan

  • YN

    Yoichiro Narikawa, MD

    Ph.D. student
    Department of Clinical Immuno Oncology, Clinical Research Institute for Clinical Pharmacology and Therapeutics, Showa University.
    Shinagawa, Tokyo, Japan

  • Masakazu Murayama, MD

    Ph. D. student
    Department of Clinical Immuno Oncology, Clinical Research Institute for Clinical Pharmacology and Therapeutics, Showa University.
    Shinagawa-ku, Tokyo, Japan

  • KO

    Koichiro Oyake, MD

    MD
    Department of Otorhinolaryngology, Showa university Fujigaoka Hospital.
    yokohama, United States

  • TS

    Tomotaka Shimura, MD

    Department of Otorhinolaryngology, Showa university Fujigaoka Hospital., USA

  • TT

    Takatoshi Tokudome, MD

    Department of Otorhinolaryngology, Showa university Fujigaoka Hospital., USA

Disclosure(s):
Sei Kobayashi, Prof.: No relevant relationships to disclose.
Yasuyuki Hinohira, MD: No relevant relationships to disclose.
Yoichiro Narikawa, MD: No relevant relationships to disclose.
Masakazu Murayama, MD: No relevant relationships to disclose.
Koichiro Oyake, MD: No relevant relationships to disclose.


Introduction: Children with cleft lip (CL) and palate (CP) often have exudative otitis media (EOM) due to its anatomical problems, and therapeutic strategy of EOM in children with CL and CP is still controversial although EOM tends to become intractable. Tympanic tube placement is considered a first choice of the treatment, but there are few reports on the prognosis with and without tube placement.

Methods: This is a retrospective study in the referral center. 58 children with CL and CP were followed up from the birth to 17 years old (mean: 10.6) by us in cooperation with plastic surgery, dentistry, and pediatrics department. Palatoplasty was performed on all children between 1 and 1.5 years old. Tympanic tube placement was performed in 20 of the 58 children (41.7%) at the time of palatoplasty when they were suffering from EOM. Prognosis of EOM in the 20 children with tympanic tube was compared with 38 children without tympanic tube.

Results: Mean follow-up period was 86 months after surgery, and it was not different in both groups. 20 of the 38 children (52.6%) without tympanic tube were suffered from EOM in the follow-up period, and tympanic tube placement was performed in 9 children. Acute otitis media (AOM) was found in 13 of the 20 (65.0%) with tympanic tube, and 17 of the 38 (44.7%) children without tympanic tube. AOM was more frequent in children with tympanic tube.

Conclusions: Tympanic tube placement in children with CL and CP at the time of palatoplasty regardless of with or without EOM is recommended in this study though the rate of AOM is relatively high.