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Acta Otolaryngol. 2016 Aug;136(8):768-74. doi: 10.3109/00016489.2016.1165352. Epub 2016 Apr 12.

Palatoplasty decreases the re-insertion rate of middle ear ventilation tube in cleft palate children - A population-based birth cohort study.

Huang CY1,2,3, Wu CS4,5, Tang CH6, Wang MC1,2, Kuo TY1, Tu TY1,2.

Author information

1
a Department of Otolaryngology Head Neck Surgery , Taipei Veterans General Hospital , Taipei , Taiwan ;
2
b School of Medicine, National Yang-Ming University , Taipei , Taiwan ;
3
c Department of Otolaryngology , National Yang-Ming University Hospital , Yilan , Taiwan ;
4
d Department of Otolaryngology , Taipei City Hospital , Taipei , Taiwan ;
5
f College of Science and Engineering , and Graduate School of Business Administration, Fu-Jen Catholic University , Taipei , Taiwan.
6
e School of Health Care Administration, Taipei Medical University , Taipei , Taiwan ;

Abstract

CONCLUSION:

Palatoplasty can significantly decrease their middle ear re-intubation rate with a relatively lower hazard ratio compared to children who underwent VTI only.

OBJECTIVES:

In children with cleft palate, questions remain about the overall effect of ventilation tube insertion (VTI) and palatoplasty for their OME. A large-scale study might offer more evidence for the roles of palatal surgery.

SUBJECTS AND METHODS:

This was a retrospective birth cohort study based upon a national database. We analyzed children born between 1999-2004 and diagnosed as cleft palate and/or lips. These children, according to their surgeries, were separated into two groups: (1) VTI only, and (2) VTI and palatoplasty. Kaplan-Meier analysis and log-rank test were used to calculate their cumulative tube re-insertion rates. Their hazard ratios of tube re-insertion were also analyzed.

RESULTS:

In total, 1205 cleft children were collected, with 151 in the VTI only group and 1054 in the VTI + palatoplasty group. Ventilation tube re-insertion rates were significantly lower in the VTI + palatoplasty group (p = 0.002). The cumulative re-insertion rates also showed a significant difference (p = 0.001). When compared to the VTI only group, the adjusted hazard ratio was 0.528 in the VTI + palatoplasty group (p = 0.001).

KEYWORDS:

Palatoplasty; cleft palate; otitis media with effusion; ventilation tube insertion

PMID:
27067029
DOI:
10.3109/00016489.2016.1165352
[Indexed for MEDLINE]

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