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Symposium on ear diseases. III. The older cleft palate patient. (A Clinical Otologic‐Audiologic Study.)
Author(s) -
Bennett Maxine
Publication year - 1972
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-197207000-00011
Subject(s) - medicine , abnormality , eustachian tube , ear disease , audiology , hearing loss , conductive hearing loss , dentistry , otorhinolaryngology , middle ear , surgery , psychiatry
A clinical study of 100 randomly selected cleft lip and/or palate adult patients, ages 14 to 77 years. Forty‐nine out of 100 were otologically normal. Forty‐two out of 100 were audiologically normal. A negative history of past ear disease is not an accurate screening method for abnormality. Auditory impairments (27 out of 58) suggesting a sensori‐neural loss were found in relatively young adults. Is there a progressive degenerative sensori‐neural hearing impairment in congenital cleft disease? Thirty‐one out of 58 had conductive losses: these were correlated with the otologic findings on examination. Twenty‐three out of 100 had had palatal pharyn‐goplasty. The surgical procedure to reduce hypernasality probably does not aggravate the Eustachian tubal dysfunction. Approximately 50 percent of the congenital cleft lip and/or palate adults continue to have ear problems, probably for their lifetime.