Long-term otological outcome of hamular fracture during palatoplasty.
OBJECTIVE
It has been suggested that fracture of the hamulus during palatoplasty in children with cleft palate may lead to adverse otological sequelae, however, there is little evidence to support this.


METHODS
The otological records of 42 children with repaired cleft palate (excluding submucous cleft palate) aged 8 years old or older were examined. A questionnaire regarding the incidence, treatment, and outcome of middle ear problems was completed by the parents of 68 children with repaired cleft palate, aged 9 years old or older.


RESULTS
There was no significant difference between children who did and did not undergo hamular fracture with regard to tympanic membrane appearance, audiometry, history of ear problems (P = 1.000), ear infections (P = 0.622), ventilation tube insertion (P = 0.532), or surgery for chronic otitis media (P = 1.000). Parents of children not undergoing hamular fracture reported a higher incidence of below normal hearing (P = 0.023).Conclusion and significance There is no evidence that hamular fracture during palatoplasty affects long-term otological outcome in cleft palate.
Department of Otolarygology, The Children's University Hospital, Dublin, Ireland. sheahanp@eircom.net
Patrick
P
Sheahan
Ian
I
Miller
Jerome N
JN
Sheahan
Michael J
MJ
Earley
Alexander W
AW
Blayney
D000293:Adolescent; D001299:Audiometry; D002648:Child; D002972:Cleft Palate / Q000601:surgery*; D005260:Female; D006311:Hearing Disorders / Q000209:etiology*; D006801:Humans; D008297:Male; D010033:Otitis Media / Q000209:etiology; D010156:Palatal Muscles / Q000601:surgery*; D010160:Palate, Soft / Q000601:surgery*; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods; D011795:Surveys and Questionnaires