Sensibilidade auditiva e condições de orelha média com e sem tubo de ventilação na fissura labiopalatina
Hearing sensibility and middle ear status with and without ventilation tube in cleft lip and palate
Adriana Guerta de Souza; Melissa Zattoni Antoneli; Patrick Pedreira Silva; Maria Inês Pegoraro-Krook; Gabriela Aparecida Prearo; Jeniffer de Cássia Rillo Dutka
Resumo
Palavras-chave
Abstract
Purpose: To characterize and compare hearing and middle ear status in patients with cleft lip and palate with or without a history of ventilation tube insertion.
Methods: Retrospective study that involved the analysis of 463 medical records of patients with non-syndromic repaired unilateral cleft lip and palate. Otoscopy, immittance measures, audiometry and ventilation tube history over 10 years were analyzed.
Results: From 440 medical records included in the study, 254 (58%) had a history of VT insertion, while 186 (42%) did not. The percentage of abnormal findings in otoscopic examination was consistently higher for ears with a history of VT and statistical analysis revealed an association between history of VT and fluid in the middle ear (p<0.001); tympanic opacification (p<0.001); tympanic retraction (p<0.001) tympanic perforation (p<0.001) and tympanosclerosis (p<0.001). The type B tympanometric curve was observed in 46.4% of ears with a history of present VT, compared to 16.3% in individuals with an absent history of VT (p<0.001) and the difference of 30.1% between groups was significant (p<0.001), indicating association between VT and type B curve. Hearing loss was more frequent in ears with a history of VT (34.2%), when compared to ears without this history (10.4%), with a statistically significant difference (p<0.001), indicating positive association between VT and hearing loss.
Conclusion: Worse otoscopic and auditory results were found in patients with cleft lip and palate with a history of VT.
Keywords
References
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Submitted date:
12/06/2023
Accepted date:
07/05/2024
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