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Impact of pharyngofixation in cleft palate repair surgery on the development of chronic adhesive otitis media

Published online by Cambridge University Press:  22 March 2017

L Otruba ,
P Schalek  and
Z Hornáčková
L Otruba*
Affiliation:
Department of Otorhinolaryngology, 3rd Faculty of Medicine, Charles University and Královské Vinohrady University Teaching Hospital, Prague, Czech Republic
P Schalek
Affiliation:
Department of Otorhinolaryngology, 3rd Faculty of Medicine, Charles University and Královské Vinohrady University Teaching Hospital, Prague, Czech Republic
Z Hornáčková
Affiliation:
Department of Otorhinolaryngology, 3rd Faculty of Medicine, Charles University and Královské Vinohrady University Teaching Hospital, Prague, Czech Republic
*
Address for correspondence: Dr L Otruba, Department of Otorhinolaryngology, 3rd Medical Faculty Charles University and UTH Královské Vinohrady, Srobarova 50, 10034 Prague, Czech Republic E-mail: lukas.otruba@fnkv.cz
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Abstract

Background:

A significant percentage of children with cleft palate suffer from otitis media with effusion and its consequences, such as deafness, chronic adhesive otitis and cholesteatoma. This study aimed to determine whether these effects can be minimised by selecting pharyngofixation as the surgical technique for cleft palate correction.

Methods:

A retrospective study was performed of 155 patients (308 ears) who underwent surgery from age 5 months to 8 years and were followed up for 36–84 months.

Results:

In all, 125 ears (41 per cent) had epitympanic retraction, 45 ears (14 per cent) had sinus tympani retraction and 5 patients (3 per cent) had cholesteatoma. Use of the pharyngofixation technique did not significantly correlate with (1) the severity of otological findings or (2) the incidence of retraction pockets in the epitympanum and sinus tympani (p = 0.53).

Conclusion:

Pharyngofixation did not significantly alter the severity of long-term otological findings.

Keywords

CholesteatomaCleft PalateEustachian TubeMiddle Ear VentilationOtitis Media with Effusion
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 7 , July 2017 , pp. 645 - 649
Copyright
Copyright © JLO (1984) Limited 2017 

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