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Internationally adopted children with cleft lip and/or cleft palate: Middle ear findings and hearing during childhood.
Int J Pediatr Otorhinolaryngol. 2018 Aug; 111:47-53.IJ

Abstract

OBJECTIVE

Adopted children with cleft lip and/or cleft palate form a diverse group of patients. Due to increased age at palatal repair, adopted children have a higher risk of velopharyngeal insuffiency and poor speech outcome. Delayed palate repair may also lead to longer lasting Eustachian tube dysfunction. Decreased function of the Eustachian tube causes otitis media with effusion and recurrent acute otitis media, which can lead to other middle ear problems and hearing loss.

METHODS

One-hundred-and-thirty-two adopted children treated by the Cleft palate team in Wilhelmina Children's Hospital during January 1994 and December 2014 were included. Retrospectively, middle ear findings, the need for ventilation tube insertion and hearing during childhood were assessed. Findings were compared with 132 locally born children with cleft lip and/or cleft palate.

RESULTS

Adopted children had a mean age of 26.5 months old when they arrived in our country. After the age of two the total number of otitis media with effusion episodes and the need for ventilation tube placement did not significantly differ among adopted and non-adopted children. Adopted children had significantly more tympanic membrane perforations. Hearing threshold levels normalized with increasing age. Although within normal range, adopted children showed significantly higher pure tone averages than locally born children when they were eight to ten years old.

CONCLUSION

In general, adopted patients with cleft lip and/or cleft palate did not have more middle ear problems or ventilation tubes during childhood. However, theyhave more tympanic membrane perforations.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Werker CL
Department of Plastic Surgery and Department of Otolaryngology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Lundlaan 6, 3584 EA, Utrecht, The Netherlands. Electronic address: c.l.werker-3@umcutrecht.nl.
van den Aardweg MTA
Department of Plastic Surgery and Department of Otolaryngology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Lundlaan 6, 3584 EA, Utrecht, The Netherlands.
Coenraad S
Department of Plastic Surgery and Department of Otolaryngology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Lundlaan 6, 3584 EA, Utrecht, The Netherlands.
Mink van der Molen AB
Department of Plastic Surgery and Department of Otolaryngology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Lundlaan 6, 3584 EA, Utrecht, The Netherlands.
Breugem CC
Department of Plastic Surgery and Department of Otolaryngology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Lundlaan 6, 3584 EA, Utrecht, The Netherlands.

MeSH

AdolescentCase-Control StudiesChildChild, AdoptedChild, PreschoolCleft LipCleft PalateFemaleFollow-Up StudiesHearing LossHearing TestsHumansMaleMiddle Ear VentilationNetherlandsOtitis Media with EffusionRetrospective StudiesSpeech DisordersTympanic Membrane Perforation

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29958613

Citation

Werker, C L., et al. "Internationally Adopted Children With Cleft Lip And/or Cleft Palate: Middle Ear Findings and Hearing During Childhood." International Journal of Pediatric Otorhinolaryngology, vol. 111, 2018, pp. 47-53.
Werker CL, van den Aardweg MTA, Coenraad S, et al. Internationally adopted children with cleft lip and/or cleft palate: Middle ear findings and hearing during childhood. Int J Pediatr Otorhinolaryngol. 2018;111:47-53.
Werker, C. L., van den Aardweg, M. T. A., Coenraad, S., Mink van der Molen, A. B., & Breugem, C. C. (2018). Internationally adopted children with cleft lip and/or cleft palate: Middle ear findings and hearing during childhood. International Journal of Pediatric Otorhinolaryngology, 111, 47-53. https://doi.org/10.1016/j.ijporl.2018.05.019
Werker CL, et al. Internationally Adopted Children With Cleft Lip And/or Cleft Palate: Middle Ear Findings and Hearing During Childhood. Int J Pediatr Otorhinolaryngol. 2018;111:47-53. PubMed PMID: 29958613.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Internationally adopted children with cleft lip and/or cleft palate: Middle ear findings and hearing during childhood. AU - Werker,C L, AU - van den Aardweg,M T A, AU - Coenraad,S, AU - Mink van der Molen,A B, AU - Breugem,C C, Y1 - 2018/05/19/ PY - 2018/03/09/received PY - 2018/05/15/revised PY - 2018/05/17/accepted PY - 2018/7/1/entrez PY - 2018/7/1/pubmed PY - 2018/10/16/medline KW - Cleft lip and/or cleft palate KW - Hearing KW - Otitis media with effusion KW - Ventilation tubes SP - 47 EP - 53 JF - International journal of pediatric otorhinolaryngology JO - Int J Pediatr Otorhinolaryngol VL - 111 N2 - OBJECTIVE: Adopted children with cleft lip and/or cleft palate form a diverse group of patients. Due to increased age at palatal repair, adopted children have a higher risk of velopharyngeal insuffiency and poor speech outcome. Delayed palate repair may also lead to longer lasting Eustachian tube dysfunction. Decreased function of the Eustachian tube causes otitis media with effusion and recurrent acute otitis media, which can lead to other middle ear problems and hearing loss. METHODS: One-hundred-and-thirty-two adopted children treated by the Cleft palate team in Wilhelmina Children's Hospital during January 1994 and December 2014 were included. Retrospectively, middle ear findings, the need for ventilation tube insertion and hearing during childhood were assessed. Findings were compared with 132 locally born children with cleft lip and/or cleft palate. RESULTS: Adopted children had a mean age of 26.5 months old when they arrived in our country. After the age of two the total number of otitis media with effusion episodes and the need for ventilation tube placement did not significantly differ among adopted and non-adopted children. Adopted children had significantly more tympanic membrane perforations. Hearing threshold levels normalized with increasing age. Although within normal range, adopted children showed significantly higher pure tone averages than locally born children when they were eight to ten years old. CONCLUSION: In general, adopted patients with cleft lip and/or cleft palate did not have more middle ear problems or ventilation tubes during childhood. However, theyhave more tympanic membrane perforations. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/29958613/Internationally_adopted_children_with_cleft_lip_and/or_cleft_palate:_Middle_ear_findings_and_hearing_during_childhood_ DB - PRIME DP - Unbound Medicine ER -