Middle Ear Disease in Children with Congenital Velopharyngeal Insufficiency
Objective To examine the incidence and natural history of middle ear disease in children with congenital velopharyngeal insufficiency (VPI) without cleft palate. Setting and Subjects Children with congenital VPI attending the combined cleft clinic at a tertiary cleft center. The diagnosis of congeni...
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| Veröffentlicht in: | The Cleft palate-craniofacial journal 2004-07, Vol.41 (4), p.364-367 |
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| creator | Sheahan, Patrick Miller, Ian Earley, Michael J. Sheahan, Jerome N. Blayney, Alexander W. |
| description | Objective
To examine the incidence and natural history of middle ear disease in children with congenital velopharyngeal insufficiency (VPI) without cleft palate.
Setting and Subjects
Children with congenital VPI attending the combined cleft clinic at a tertiary cleft center. The diagnosis of congenital VPI in all cases was confirmed be the observation of hypernasality, nasal air escape, or both by a speech and language therapist and the demonstration of incompetence of the velopharyngeal sphincter by means of nasoendoscopy or videofluoroscopy. Children with overt cleft palate or postsurgical VPI were excluded.
Design
The children's medical records were reviewed, and a questionnaire regarding history of ear problems was sent to all parents. Children were divided into those with Pruzansky type I VPI (showing bifid uvula, midline diastasis of soft palate, or submucous cleft of the hard palate) and Pruzansky type II VPI (no visible stigmata).
Main Outcome Measures
Incidence of reported ear problems, ear infections, hearing loss, and surgical intervention for middle ear disease in the whole group and in each of the subgroups.
Results
Seventy-one parents returned completed questionnaires. The overall incidence of middle ear disease was 63%, with 28% reported to have below-normal hearing. There was no significant difference between children with Pruzansky types I and II VPI with respect to incidence of otopathology or hearing loss.
Conclusions
Irrespective of the presence of any visible palatal abnormalities, children with congenital VPI showed a substantial incidence of otopathology and should thus be closely monitored. |
| doi_str_mv | 10.1597/03-085.1 |
| format | Article |
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To examine the incidence and natural history of middle ear disease in children with congenital velopharyngeal insufficiency (VPI) without cleft palate.
Setting and Subjects
Children with congenital VPI attending the combined cleft clinic at a tertiary cleft center. The diagnosis of congenital VPI in all cases was confirmed be the observation of hypernasality, nasal air escape, or both by a speech and language therapist and the demonstration of incompetence of the velopharyngeal sphincter by means of nasoendoscopy or videofluoroscopy. Children with overt cleft palate or postsurgical VPI were excluded.
Design
The children's medical records were reviewed, and a questionnaire regarding history of ear problems was sent to all parents. Children were divided into those with Pruzansky type I VPI (showing bifid uvula, midline diastasis of soft palate, or submucous cleft of the hard palate) and Pruzansky type II VPI (no visible stigmata).
Main Outcome Measures
Incidence of reported ear problems, ear infections, hearing loss, and surgical intervention for middle ear disease in the whole group and in each of the subgroups.
Results
Seventy-one parents returned completed questionnaires. The overall incidence of middle ear disease was 63%, with 28% reported to have below-normal hearing. There was no significant difference between children with Pruzansky types I and II VPI with respect to incidence of otopathology or hearing loss.
Conclusions
Irrespective of the presence of any visible palatal abnormalities, children with congenital VPI showed a substantial incidence of otopathology and should thus be closely monitored.</description><identifier>ISSN: 1055-6656</identifier><identifier>EISSN: 1545-1569</identifier><identifier>DOI: 10.1597/03-085.1</identifier><identifier>PMID: 15222782</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Biological and medical sciences ; Child ; Dentistry ; Female ; Hearing Loss - etiology ; Humans ; Male ; Medical sciences ; Non tumoral diseases ; Otitis Media - etiology ; Otorhinolaryngology. Stomatology ; Palate, Soft - pathology ; Surveys and Questionnaires ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology ; Velopharyngeal Insufficiency - complications ; Velopharyngeal Insufficiency - congenital</subject><ispartof>The Cleft palate-craniofacial journal, 2004-07, Vol.41 (4), p.364-367</ispartof><rights>2004 American Cleft Palate-Craniofacial Association</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c339t-bba1dfe1d5fdec04269e083890542e73c841e20006781a934c2103d882beeb4a3</citedby><cites>FETCH-LOGICAL-c339t-bba1dfe1d5fdec04269e083890542e73c841e20006781a934c2103d882beeb4a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1597/03-085.1$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1597/03-085.1$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15987693$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15222782$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sheahan, Patrick</creatorcontrib><creatorcontrib>Miller, Ian</creatorcontrib><creatorcontrib>Earley, Michael J.</creatorcontrib><creatorcontrib>Sheahan, Jerome N.</creatorcontrib><creatorcontrib>Blayney, Alexander W.</creatorcontrib><title>Middle Ear Disease in Children with Congenital Velopharyngeal Insufficiency</title><title>The Cleft palate-craniofacial journal</title><addtitle>Cleft Palate Craniofac J</addtitle><description>Objective
To examine the incidence and natural history of middle ear disease in children with congenital velopharyngeal insufficiency (VPI) without cleft palate.
Setting and Subjects
Children with congenital VPI attending the combined cleft clinic at a tertiary cleft center. The diagnosis of congenital VPI in all cases was confirmed be the observation of hypernasality, nasal air escape, or both by a speech and language therapist and the demonstration of incompetence of the velopharyngeal sphincter by means of nasoendoscopy or videofluoroscopy. Children with overt cleft palate or postsurgical VPI were excluded.
Design
The children's medical records were reviewed, and a questionnaire regarding history of ear problems was sent to all parents. Children were divided into those with Pruzansky type I VPI (showing bifid uvula, midline diastasis of soft palate, or submucous cleft of the hard palate) and Pruzansky type II VPI (no visible stigmata).
Main Outcome Measures
Incidence of reported ear problems, ear infections, hearing loss, and surgical intervention for middle ear disease in the whole group and in each of the subgroups.
Results
Seventy-one parents returned completed questionnaires. The overall incidence of middle ear disease was 63%, with 28% reported to have below-normal hearing. There was no significant difference between children with Pruzansky types I and II VPI with respect to incidence of otopathology or hearing loss.
Conclusions
Irrespective of the presence of any visible palatal abnormalities, children with congenital VPI showed a substantial incidence of otopathology and should thus be closely monitored.</description><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Dentistry</subject><subject>Female</subject><subject>Hearing Loss - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Non tumoral diseases</subject><subject>Otitis Media - etiology</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Palate, Soft - pathology</subject><subject>Surveys and Questionnaires</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><subject>Velopharyngeal Insufficiency - complications</subject><subject>Velopharyngeal Insufficiency - congenital</subject><issn>1055-6656</issn><issn>1545-1569</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkFtLwzAUgIMobk7BXyB9UXzpzKVJ00epU4cTX9TXkKanW0aXzmRF9u_N2EDBp3Ph41w-hC4JHhNe5HeYpVjyMTlCQ8IznhIuiuOYY85TIbgYoLMQlhhTTqg8RQPCKaW5pEP08mrruoVkon3yYAPoAIl1Sbmwbe3BJd92s0jKzs3B2Y1uk09ou_VC-23sxHLqQt801lhwZnuOThrdBrg4xBH6eJy8l8_p7O1pWt7PUsNYsUmrSpO6AVLzpgaDMyoKwJLJAvOMQs6MzAhQjLHIJdEFywwlmNVS0gqgyjQboZv93LXvvnoIG7WywUDbagddH5TYvSxFFsHbPWh8F4KHRq29XcXjFcFqJ05hpqI4RSJ6dZjZVyuof8GDqQhcHwAdjG4br52x4Q9XyFwU7JcLeg5q2fXeRRf_F_4AISB_uQ</recordid><startdate>20040701</startdate><enddate>20040701</enddate><creator>Sheahan, Patrick</creator><creator>Miller, Ian</creator><creator>Earley, Michael J.</creator><creator>Sheahan, Jerome N.</creator><creator>Blayney, Alexander W.</creator><general>SAGE Publications</general><general>American Cleft Palate-Craniofacial Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040701</creationdate><title>Middle Ear Disease in Children with Congenital Velopharyngeal Insufficiency</title><author>Sheahan, Patrick ; Miller, Ian ; Earley, Michael J. ; Sheahan, Jerome N. ; Blayney, Alexander W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-bba1dfe1d5fdec04269e083890542e73c841e20006781a934c2103d882beeb4a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Dentistry</topic><topic>Female</topic><topic>Hearing Loss - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Non tumoral diseases</topic><topic>Otitis Media - etiology</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Palate, Soft - pathology</topic><topic>Surveys and Questionnaires</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><topic>Velopharyngeal Insufficiency - complications</topic><topic>Velopharyngeal Insufficiency - congenital</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sheahan, Patrick</creatorcontrib><creatorcontrib>Miller, Ian</creatorcontrib><creatorcontrib>Earley, Michael J.</creatorcontrib><creatorcontrib>Sheahan, Jerome N.</creatorcontrib><creatorcontrib>Blayney, Alexander W.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Cleft palate-craniofacial journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sheahan, Patrick</au><au>Miller, Ian</au><au>Earley, Michael J.</au><au>Sheahan, Jerome N.</au><au>Blayney, Alexander W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Middle Ear Disease in Children with Congenital Velopharyngeal Insufficiency</atitle><jtitle>The Cleft palate-craniofacial journal</jtitle><addtitle>Cleft Palate Craniofac J</addtitle><date>2004-07-01</date><risdate>2004</risdate><volume>41</volume><issue>4</issue><spage>364</spage><epage>367</epage><pages>364-367</pages><issn>1055-6656</issn><eissn>1545-1569</eissn><abstract>Objective
To examine the incidence and natural history of middle ear disease in children with congenital velopharyngeal insufficiency (VPI) without cleft palate.
Setting and Subjects
Children with congenital VPI attending the combined cleft clinic at a tertiary cleft center. The diagnosis of congenital VPI in all cases was confirmed be the observation of hypernasality, nasal air escape, or both by a speech and language therapist and the demonstration of incompetence of the velopharyngeal sphincter by means of nasoendoscopy or videofluoroscopy. Children with overt cleft palate or postsurgical VPI were excluded.
Design
The children's medical records were reviewed, and a questionnaire regarding history of ear problems was sent to all parents. Children were divided into those with Pruzansky type I VPI (showing bifid uvula, midline diastasis of soft palate, or submucous cleft of the hard palate) and Pruzansky type II VPI (no visible stigmata).
Main Outcome Measures
Incidence of reported ear problems, ear infections, hearing loss, and surgical intervention for middle ear disease in the whole group and in each of the subgroups.
Results
Seventy-one parents returned completed questionnaires. The overall incidence of middle ear disease was 63%, with 28% reported to have below-normal hearing. There was no significant difference between children with Pruzansky types I and II VPI with respect to incidence of otopathology or hearing loss.
Conclusions
Irrespective of the presence of any visible palatal abnormalities, children with congenital VPI showed a substantial incidence of otopathology and should thus be closely monitored.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>15222782</pmid><doi>10.1597/03-085.1</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | The Cleft palate-craniofacial journal, 2004-07, Vol.41 (4), p.364-367 |
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| language | eng |
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| source | Access via SAGE; MEDLINE |
| subjects | Biological and medical sciences Child Dentistry Female Hearing Loss - etiology Humans Male Medical sciences Non tumoral diseases Otitis Media - etiology Otorhinolaryngology. Stomatology Palate, Soft - pathology Surveys and Questionnaires Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology Velopharyngeal Insufficiency - complications Velopharyngeal Insufficiency - congenital |
| title | Middle Ear Disease in Children with Congenital Velopharyngeal Insufficiency |
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