A Longitudinal Study of Hearing and Middle Ear Status of Individuals with Cleft Palate with and without Additional Malformations/Syndromes-Reference-Cited by-同舟云学术

A Longitudinal Study of Hearing and Middle Ear Status of Individuals with Cleft Palate with and without Additional Malformations/Syndromes

Published:2014-09 Issue:5 Volume:51 Page:94-101
ISSN:1055-6656
Container-title:The Cleft Palate-Craniofacial Journal
language:en
Short-container-title:The Cleft Palate-Craniofacial Journal

Author:

Flynn Traci¹,Persson Christina²,Moller Claes³,Lohmander Anette⁴,Magnusson Lennart⁵

Affiliation:

1. Department of Speech-Language Pathology, Department of Clinical Science, Intervention and Technology, Karolinska Institute, Stockholm, Sweden.

2. Institute of Neuroscience and Physiology, Division of Speech and Language Pathology, the Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden, and Speech-Language Pathologist, Department of Speech-Language Pathology, Sahlgrenska University Hospital, Gothenburg, Sweden.

3. The Swedish Institute, örebro University and örebro University Hospital, örebro, Sweden.

4. Head of Division of Speech and Language Pathology, Department of Clinical Science, Intervention and Technology, Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden.

5. Department of Audiology, Sahlgrenska University Hospital, Gothenburg, Sweden, Institute of Neuroscience, Institute of Neuroscience and Physiology, Division of Audiology, the Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.

Abstract

Objective To describe and compare the middle ear status and hearing sensitivity in adolescence with isolated cleft palate plus additional malformations and/or syndromes with those with only an isolated cleft palate. Design Retrospective and longitudinal. Two groups of individuals with isolated cleft palate were compared. Participants A cohort of individuals born over 4 years in the western region of Sweden. The cohort was divided into one group with isolated cleft palate (n = 31; ICP) and one group with isolated cleft palate plus additional malformations and/or syndromes (n = 37; ICP+). Methods Middle ear status and hearing thresholds were collected from the medical records at 7, 10, 13, and 16 years of age, examined, and compared within and between groups over time. Results The ICP+ group demonstrated a significantly higher prevalence of abnormal middle ear status and elevated hearing thresholds as compared with the ICP group. As the individuals aged, the prevalence of abnormal middle ear status decreased. The hearing levels in both groups decreased in the low to middle frequencies as individuals aged; however, the hearing in the high frequencies did not. Conclusions Individuals with cleft palate need to be followed routinely for middle ear status and hearing thresholds to ensure optimal audiological rehabilitation, with particular attention to those with additional malformations and/or syndromes.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Oral Surgery

Link

http://journals.sagepub.com/doi/pdf/10.1597/12-288

Reference41 articles.

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