Idioma:

Hearing Status and Ventilation Tube at Time of Palatoplasty in Cleft Lip and Palate Patients: A Retrospective Study

Frisina, Antonio ; Piacentile, Katherine ; Frosolini, Andrea ; Saetti, Roberto ; Baciliero, Ugo ; Lovato, Andrea

Medicina (Kaunas, Lithuania), 2023-03, Vol.59 (3), p.513 [Periódico revisado por pares]

Switzerland: MDPI AG

Texto completo disponível

Citações Citado por

Enviar para

Título:
Hearing Status and Ventilation Tube at Time of Palatoplasty in Cleft Lip and Palate Patients: A Retrospective Study
Autor: Frisina, Antonio ; Piacentile, Katherine ; Frosolini, Andrea ; Saetti, Roberto ; Baciliero, Ugo ; Lovato, Andrea
Assuntos: Adolescent ; Age ; Audiometry ; Birth defects ; Care and treatment ; Chi-square test ; Child ; Cleft lip ; Cleft Lip - complications ; Cleft Lip - surgery ; cleft lip and palate ; Cleft palate ; Cleft Palate - complications ; Cleft Palate - surgery ; Complications and side effects ; Deafness ; Eardrum ; Ears & hearing ; Female ; Hearing ; Hearing loss ; Hearing Loss - complications ; Humans ; Intubation ; Male ; otitis media with effusion ; Otitis Media with Effusion - complications ; Otitis Media with Effusion - surgery ; outcome ; Palate, Hard ; Palatoplasty ; Patient outcomes ; Patients ; Randomized Controlled Trials as Topic ; Retrospective Studies ; Risk factors ; Surgery ; Trachea ; Variables ; Ventilation ; ventilation tube
É parte de: Medicina (Kaunas, Lithuania), 2023-03, Vol.59 (3), p.513
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
Descrição: : There is no consensus regarding the indications for and timing of ventilation tube (VT) insertion in cleft lip and palate (CLP) patients. Our aim was to search for clinical and surgical (i.e., VT insertion) characteristics that influence the hearing status in CLP. : We reviewed the hearing outcome of consecutive CLP cases operated on at a single referral center. Univariate and multivariate analysis were applied as appropriate. : We included 285 consecutive CLP patients, 109 female and 176 male; the mean age at last follow-up was 16.2 years. Unilateral CLP was found in 249 cases and bilateral CLP in 36. Early VTs (i.e., at the time of hard palate surgery) were applied in 75 (26.3%) patients. Late VTs (i.e., after hard palate surgery during follow-up) were applied in 69 (24.2%) children, at a mean age of 6.7 years old. Hearing loss (pure-tone average > 20 dB) was found in 114 (40%) CLP patients at last available follow-up (mild hearing loss in 96 patients, moderate in 18). In univariate and multivariate analyses, we found that only the absence of early VT insertion ( = 0.0003; OR = 18.2) was an independent prognostic factor of hearing loss in CLP patients. Furthermore, when early VTs were not inserted, there was a high risk of late VT ( = 0.002; OR 13.6). : According to our results, the absence of VT insertion at the time of hard palate surgery is an independent prognostic risk factor of hearing loss in CLP patients. Early VT placement in CLP patients may prevent hearing loss and related consequences. These findings should be tested in a large, randomized clinical trial.
Editor: Switzerland: MDPI AG
Idioma: Inglês

Links

View this record in MEDLINE/PubMed

Voltar para lista de resultados

Anterior Resultado 6 Avançar Ir para próxima página

Realização: Logos de Redes Sociais:

Hearing Status and Ventilation Tube at Time of Palatoplasty in Cleft Lip and Palate Patients: A Retrospective Study

Frisina, Antonio ; Piacentile, Katherine ; Frosolini, Andrea ; Saetti, Roberto ; Baciliero, Ugo ; Lovato, Andrea

Switzerland: MDPI AG

Buscando em bases de dados remotas. Favor aguardar.