[Otologic sequels in velopalatine clefts. Analysis and management].
As early as in 1878, medical teams managing children born with a velopalatine cleft had noted the prevalence of middle-ear pathologies largely related to anatomic and inflammatory Eustachian tube dysfunction. The aim of this study was to describe otologic sequels related to a velopalatine cleft and to suggest an adapted management. These sequels are evolving presentations of chronic serous otitis; they worsen the functional prognosis (hypoacousia) and more rarely the vital prognosis (cerebral or infectious complications of cholesteatoma). We must stress the importance of prevention: during the initial management, by Eustachian tube rehabilitation, and by ENT (Ear, Noseand Throat) follow-up allowing to prevent these sequels and to bring hearing to normal as soon as possible, so as to support cognitive development, language skills, and sociofamilial integration of the children.
Paquot-Le Brun
C
C
Service d'ORL et de chirurgie cervicofaciale, CHU de Côte-de-Nacre, 14000 Caen, France. caro.paquot@wanadoo.fr
Babin
E
E
Moreau
S
S
Bequignon
A
A
D002648:Child; D018424:Cholesteatoma, Middle Ear / Q000209:etiology; D002971:Cleft Lip / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D002972:Cleft Palate / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D003054:Cochlear Implants; D004427:Ear Diseases / Q000209:etiology* / Q000517:prevention & control; D004432:Ear, Middle / Q000473:pathology*; D005064:Eustachian Tube / Q000503:physiopathology; D006309:Hearing / Q000502:physiology; D006310:Hearing Aids; D034381:Hearing Loss / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D008876:Middle Ear Ventilation; D015508:Nasal Obstruction / Q000150:complications / Q000517:prevention & control; D010033:Otitis Media / Q000209:etiology; D010034:Otitis Media with Effusion / Q000209:etiology; D010040:Otosclerosis / Q000209:etiology; D010609:Pharyngeal Muscles / Q000503:physiopathology; D011183:Postoperative Complications; D014068:Tonsillectomy; D014069:Tonsillitis / Q000150:complications / Q000517:prevention & control; D018058:Tympanic Membrane Perforation / Q000209:etiology