دورية أكاديمية
Managing Chronic otitis media with Effusion in Children with non-Syndromic Cleft Palate: Short-Term Ventilation Tubes Versus Surveillance.
| العنوان: | Managing Chronic otitis media with Effusion in Children with non-Syndromic Cleft Palate: Short-Term Ventilation Tubes Versus Surveillance. |
|---|---|
| المؤلفون: | Maina G; JBI, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia.; Department of Otolaryngology and Head and Neck Surgery, Flinders Medical Centre, Adelaide, Australia., Pollock D; JBI, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia., Lockwood C; JBI, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia., Cook L; JBI, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia.; Department of Otolaryngology and Head and Neck Surgery, Flinders Medical Centre, Adelaide, Australia., Ooi E; Department of Otolaryngology and Head and Neck Surgery, Flinders Medical Centre, Adelaide, Australia.; College of Medicine and Public Health, Flinders University, Adelaide, Australia. |
| المصدر: | The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2024 Jun; Vol. 61 (6), pp. 905-916. Date of Electronic Publication: 2023 Jan 04. |
| نوع المنشور: | Journal Article; Systematic Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publications in Association with American Cleft Palate-Craniofacial Association Country of Publication: United States NLM ID: 9102566 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1545-1569 (Electronic) Linking ISSN: 10556656 NLM ISO Abbreviation: Cleft Palate Craniofac J Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : [Thousand Oaks, CA] : SAGE Publications in Association with American Cleft Palate-Craniofacial Association Original Publication: Pittsburgh, PA : The Association, [1991- |
| مواضيع طبية MeSH: | Otitis Media with Effusion*/therapy , Cleft Palate*/complications , Middle Ear Ventilation* , Hearing Loss, Conductive*/etiology, Humans ; Child ; Chronic Disease |
| مستخلص: | Objective: To compare the effectiveness of short-term ventilation tubes compared to surveillance on conductive hearing loss in children with non-syndromic orofacial clefting involving the muscular palate. Introduction: Chronic otitis media with effusion is a common finding in children with cleft palate. The accepted convention is insertion of short-term ventilation tubes at the time of palate repair, but some centres are choosing conservative management. Each approach has its advantages but there is currently no consensus on the most appropriate management in children with non-syndromic cleft palate. Inclusion Criteria: Children <18 years with cleft lip and palate, or isolated cleft palate, not associated with a genetic syndrome, who have been diagnosed with chronic otitis media with effusion. Methods: A systematic search of MEDLINE, CINAHL, Embase and Scopus databases was conducted. Grey literature searches were conducted through Central Register of Controlled Trials, Clinicaltrials.gov and ProQuest. Two reviewers screened the studies, conducted critical appraisal, assessed the methodological quality, and extracted the data. Where possible, studies were pooled in statistical meta-analysis with heterogeneity being assessed using the standard Chi-squared and I 2 tests. Results: Four studies met the inclusion criteria but were of low quality with a moderate risk of bias. Only data on hearing thresholds could be pooled for analysis which found no statistically significant difference. Other outcomes were presented in narrative form. Certainty of evidence for all outcomes was deemed low to very low using GRADE criteria. Conclusions: No definitive conclusions can be drawn regarding most effective management at improving conductive hearing loss. Missing data and inconsistent reporting of outcomes limited capacity for pooled analysis. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| فهرسة مساهمة: | Keywords: hearing loss; language development; muscle function; nonsyndromic clefting; palatoplasty; pediatrics; quality of life; soft palate; speech development |
| تواريخ الأحداث: | Date Created: 20230105 Date Completed: 20240524 Latest Revision: 20240610 |
| رمز التحديث: | 20240611 |
| DOI: | 10.1177/10556656221148368 |
| PMID: | 36600676 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1545-1569 |
|---|---|
| DOI: | 10.1177/10556656221148368 |