Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Arch Otolaryngol Head Neck Surg. 2008 Oct;134(10):1085-9. doi: 10.1001/archotol.134.10.1085.

The effect of the palatoplasty method on the frequency of ear tube placement.

Author information

  • 1Department of Otolaryngology/Head and Neck Surgery, Oregon Health & Science University, 3181 Sam Jackson Park Rd, Portland, OR 97239-3098, USA.

Abstract

OBJECTIVE:

To determine whether the type of palate repair affects the frequency of subsequent ventilation tube placement.

DESIGN:

Combined retrospective and prospective cohort with more than 2 years clinical follow-up after palatoplasty.

SETTING:

Tertiary care children's hospital and clinic.

PATIENTS:

A total of 170 patients with cleft palate (with or without cleft lip) underwent palatoplasty between 1995 and 2003. Sixty-nine patients with less than 2 years of follow-up visits and 1 patient who did not require ear tubes were excluded from this analysis.

INTERVENTIONS:

Either traditional 2-flap palatoplasty (group A) or double-opposing Z-plasty (group B) was performed. The type of palatoplasty performed was based on the reconstructive surgeon's clinical decision. Ventilation tubes were placed for otitis media, conductive hearing loss, or eustachian tube dysfunction. Patients received routine follow-up care every 6 months or whenever acute problems arose. Data were analyzed with independent t tests, chi(2) tests, and Fisher exact tests.

MAIN OUTCOME MEASURES:

Number of ear tubes placed after palatoplasty in each group.

RESULTS:

Group A had a mean (SE) of 2.9 (0.2) sets of tubes placed, while group B had a mean (SE) of 1.8 (0.2) sets of tubes. Group A had significantly more sets of ventilation tubes placed (P < .001) than group B. Subgroup analysis based on type of cleft was performed.

CONCLUSION:

Children with cleft palate who underwent double-opposing Z-plasty had fewer sets of ear tubes placed postoperatively than patients who had traditional repair.

PMID:
18936356
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Silverchair Information Systems
    Loading ...
    Write to the Help Desk