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Cleft palate and ventilation tubes: a prophylactic dilemma

Published online by Cambridge University Press:  25 May 2022

A Machado Open the ORCID record for A Machado [Opens in a new window] ,
M Santos Open the ORCID record for M Santos [Opens in a new window] ,
B Leitao ,
A Silva  and
M Coutinho
A Machado*
Affiliation:
Department of Otolaryngology, Centro Hospitalar Universitário do Porto, Abel Salazar Biomedical Sciences Institute – University of Porto, Porto, Portugal
M Santos
Affiliation:
Department of Otolaryngology, Centro Hospitalar Universitário do Porto, Abel Salazar Biomedical Sciences Institute – University of Porto, Porto, Portugal
B Leitao
Affiliation:
Department of Otolaryngology, Centro Hospitalar Universitário do Porto, Abel Salazar Biomedical Sciences Institute – University of Porto, Porto, Portugal
A Silva
Affiliation:
Department of Otolaryngology, Centro Hospitalar Universitário do Porto, Abel Salazar Biomedical Sciences Institute – University of Porto, Porto, Portugal
M Coutinho
Affiliation:
Department of Otolaryngology, Centro Hospitalar Universitário do Porto, Abel Salazar Biomedical Sciences Institute – University of Porto, Porto, Portugal
*
Author for correspondence: Dr Andre Machado, Department of Otolaryngology, Centro Hospitalar Universitário do Porto, Largo Abel Salazar, Portugal E-mail: [email protected]
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Abstract

Objective

This study aimed to understand, in a long-term follow-up study, whether the placement of grommets had been necessary after cleft palate surgical correction.

Method

A case–control, retrospective study was carried out on consecutive paediatric patients who underwent surgical repair of a cleft palate.

Results

The study population included 138 patients, divided into 2 groups: group 1 – patients in whom grommets were placed at the time of cleft palate surgery, and group 2 – patients in whom grommets were not placed at the time of cleft palate surgery. During the follow up, in groups 1 and 2, 65.2 per cent and 67.8 per cent, respectively, did not need subsequent grommet placement after cleft palate surgery.

Conclusion

Of patients, 56.5 per cent did not need ventilation tubes at any point during follow up. The placement of grommets is not innocuous; therefore, its use at the time of cleft palate surgical repair should be reconsidered.

Keywords

PalatePediatricsTympanic SurgeryChildrenOtitis
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 5 , May 2023 , pp. 501 - 505
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr A Machado takes responsibility for the integrity of the content of the paper

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