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Middle ear findings and need for ventilation tubes among pediatric cleft lip and palate patients in northern Finland.
Lehtonen, Ville; Lithovius, Riitta H; Autio, Timo J; Sándor, George K; Ylikontiola, Leena P; Harila, Virpi; Pesonen, Paula; Koskinen, Sari; Anttonen, Vuokko.
Afiliación
  • Lehtonen V; Department of Oral and Maxillofacial Surgery, University of Oulu, Oulu, Finland; Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
  • Lithovius RH; Department of Oral and Maxillofacial Surgery, University of Oulu, Oulu, Finland; Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
  • Autio TJ; Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Otorhinolaryngology and Head and Neck Surgery, Oulu University Hospital, Oulu, Finland; Research Unit of Otorhinolaryngology and Ophthalmology, University of Oulu, Finland.
  • Sándor GK; Department of Oral and Maxillofacial Surgery, University of Oulu, Oulu, Finland; Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland. Electronic address: george.sandor@oulu.fi.
  • Ylikontiola LP; Department of Oral and Maxillofacial Surgery, University of Oulu, Oulu, Finland; Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
  • Harila V; Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Orthodontics, University of Oulu, Oulu, Finland.
  • Pesonen P; Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
  • Koskinen S; Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Institute of Dentistry, University of Oulu, Oulu, Finland.
  • Anttonen V; Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Paedodontics, Institute of Dentistry, University of Oulu, Oulu University Hospital, Oulu, Finland.
J Craniomaxillofac Surg ; 44(4): 460-4, 2016 Apr.
Article en En | MEDLINE | ID: mdl-26857758
PURPOSE: Middle ear problems are common in cleft patients. This study aimed to determine the need for ventilation tubes (VTs) and complications such as tympanic perforation and cholesteatoma. MATERIAL AND METHODS: Data of 156 children with clefts managed in northern Finland spanning 15 years from 1997 to 2011 were collected from 6 hospitals. The following were recorded: birth date, gender, cleft type, surgery timing, surgery type, number of tube insertions, tube material, middle ear findings, and tube placement timing. Clefts were divided into 4 groups: cleft palate (CP), cleft lip and palate (CLP), cleft lip (CL), and submucous cleft palate. The prevalence of middle ear findings was reported. RESULTS: Mucous secretion was noted in 96.8% of CLP patients, 69.2% of CP patients, and 13.0% of CL patients. In all, 82.7% of study group had 1 or more VTs placed during follow-up. All CLP patients required more than 1 VT placement. A total of 94.5% of CP patients required VTs compared to 13.0% of CL patients. In the presence of residual oral nasal fistula, the mean number of tube insertions was 5.3. The prevalence of tympanic perforations in clefts was 35.9% and cholesteatoma in 2.6% of patients. CONCLUSIONS: CLP and isolated CP patients have frequent middle ear infections requiring multiple VT placements.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ventilación del Oído Medio / Labio Leporino / Fisura del Paladar Tipo de estudio: Diagnostic_studies / Risk_factors_studies Límite: Child / Humans País/Región como asunto: Europa Idioma: En Revista: J Craniomaxillofac Surg Asunto de la revista: ODONTOLOGIA Año: 2016 Tipo del documento: Article País de afiliación: Finlandia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ventilación del Oído Medio / Labio Leporino / Fisura del Paladar Tipo de estudio: Diagnostic_studies / Risk_factors_studies Límite: Child / Humans País/Región como asunto: Europa Idioma: En Revista: J Craniomaxillofac Surg Asunto de la revista: ODONTOLOGIA Año: 2016 Tipo del documento: Article País de afiliación: Finlandia Pais de publicación: Reino Unido