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• W3129136348 startingPage "105566562199017" @default.
• W3129136348 abstract "Objective: To investigate subannular tube (SAT) placement as an alternative treatment of chronic middle ear disease in children with cleft palate. Design: Retrospective cohort study. Participants: All children with cleft palate with intractable otitis media with effusion and/or with tympanic membrane retraction, operated for insertion of 1 or more sets of transtympanic tubes followed by SAT in a tertiary center. Main Outcome Measures: Audiological outcomes, average duration of tubes, and postoperative complications were analyzed. Results: This study included 21 children with cleft palate, aged 3 to 14 years. A total of 38 ears was evaluated. The median time of follow-up was 42 months. During follow-up, 69.2% of the patients had no complications. Observed complications were otorrhea (13.5%) and tube obstruction (7.7%). In 7.9% of the cases, otitis media with effusion relapsed after tube extrusion. By the end of the study, 76.3% of the tubes remained in situ and 68.4% of the tympanic membranes had the SAT in place and had no significant alterations. The mean duration of SATs was 16 months, which was significantly superior to transtympanic tube duration. A significant sustained improvement in the hearing of children with SATs was observed. Conclusion: Subannular tube insertion results in hearing improvement to normal range and tympanic retraction pockets reversion in children with cleft palate with persistent otitis media with effusion and tympanic retraction/atelectasis. This surgery appears to be safe and provides long-term efficient middle ear aeration. Strict postoperative follow-up is crucial for the success of the treatment." @default.
• W3129136348 created "2021-02-15" @default.
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• W3129136348 date "2021-02-04" @default.
• W3129136348 modified "2023-10-16" @default.
• W3129136348 title "Subannular Tubes in Children With Cleft Palate" @default.
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• W3129136348 doi "https://doi.org/10.1177/1055665621990178" @default.
• W3129136348 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/33535818" @default.
• W3129136348 hasPublicationYear "2021" @default.
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