Audiometric Tests, Cholesteatoma, Myringosclerosis, Otorrhea, Retraction Pocket, Serous Otitis, Tympanic Membrane Perforation, Tympanosclerosis
Conditions
Keywords
Serous otitis Tympanic membrane perforation Retraction pocket Cholesteatoma otorrhea Myringosclerosis Tympanosclerosis Audiometric tests, ENT, transtympanic ventilatory tubes., cleft palate
Brief summary
Studies published on the placement of transtympanic ventilatory tubes in children with cleft palate show heterogeneous results, highlighting the need for a new study with strong statistical power and long-term follow-up to clarify the real benefits of this intervention. Mirashrafi (2022) and Maina (2022), for example, emphasize the current uncertainties regarding the management of otitis media with effusion in children with cleft palate. Mirashrafi conducted a study on 40 children and found no significant difference between those with a complete cleft palate and those with an incomplete cleft palate in terms of middle ear status after the placement of transtympanic ventilatory tubes. Maina, in an ongoing review, identified a lack of consensus on the optimal management of chronic otitis media with effusion, with outcomes being varied and often of low methodological quality. The absence of convincing evidence justifies the need for further research to establish clear guidelines. The objective is to study the otological status of patients based on the presence or absence of ENT surgical management involving the placement of transtympanic ventilatory tubes.
Detailed description
The primary evaluation criterion will be ENT consultations: Tympanic examination: Anatomical analysis of the tympanic membrane, assessing the presence or absence of: Serous otitis Tympanic membrane perforation Retraction pocket Cholesteatoma Otorrhea Myringosclerosis Tympanosclerosis Audiometric tests: Assessment of auditory results from bone and air conduction curves for frequencies ranging from 250 to 4000 Hz, with analysis at every 250 Hz.
Interventions
None listed
Sponsors
University Hospital, Brest
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
10 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Presence of a facial cleft between 2004 and 2014 Minor and adult patients Followed up by ENT services at the University Hospital of Brest or Marseille
Exclusion criteria
Patients under legal protection (guardianship, curatorship, etc.) Refusal to participate Objection from one of the parents Isolated cleft lip No ENT follow-up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To study the otological status of patients based on the presence or absence of ENT surgical management involving the placement of transtympanic ventilatory tubes. | 01/01/2004 to 01/01/2014 |
Countries
France
Contacts
Primary ContactRémi MARIANOWSKI
Backup ContactSolenn BIR
Outcome results
None listed