Resolution of Otitis Media With Effusion in Children With Cleft Palate Followed Through Five Years of Age.

Objective: To describe the temporal pattern of otitis media with effusion (OME) resolution for a cohort of nonsyndromic cleft palate children enrolled before palatoplasty and followed through 5 years of age.

Design: This is a prospective, longitudinal study of the time course for OME resolution in infants and children with palatal clefts.

Setting: Cleft Palate Craniofacial Center of a tertiary care pediatric hospital.

The forced-response test does not discriminate ears with different otitis media expressions.

Objectives/hypothesis: Test the hypothesis that the eustachian tube (ET) function measured using standard manometric test methods is different between groups of ears with tympanostomy tubes inserted for recurrent acute otitis media (RAOM) and for chronic otitis media with effusion (COME).

Study Design: A cross-sectional study of ET function in populations of young children with different otitis media expressions.

Methods: The results for forced-response testing of ET function were compared using a general linear model between 37 ears of 26 children and 34 ears of 26 children, aged 3 and 4 years, with ventilation tubes inserted for COME and RAOM, respectively.

Eustachian tube function as a predictor of the recurrence of middle ear effusion in children.

Objectives/hypothesis: In children with ventilation tubes (VTs) inserted for chronic otitis media with effusion (COME), the authors sought to determine whether any parameter of Eustachian tube (ET) function measured by the forced response test (FRT) predicts disease recurrence after the VT becomes nonfunctional.

Study Design: Prospective study of those factors that predict disease recurrence in children with VTs inserted for COME.

Methods: Forty-nine subjects (73 ears; 28 male, 34 white, aged 5.

Reproducibility of the forced response test in children with chronic otitis media with effusion.

Hypothesis: Eustachian tube function is stable over time in children with ventilation tubes for chronic otitis media with effusion.

Background: Clinical studies report that Eustachian tube function tests in patients with a persistent tympanic membrane perforation predict the success of myringoplasty, and those in patients with ventilation tubes for chronic otitis media predict disease recurrence after the tubes become nonfunctional. In those studies, Eustachian tube function was usually tested only once, which presumes a semi-stable basal level of function for greatest diagnostic and prognostic usefulness.

Pre- and post-palatoplasty Eustachian tube function in infants with cleft palate.

Objective: One past study conducted in 1986 reported Eustachian tube dilation with swallowing during the forced response test (FRT) in a very high percentage (>80%) of cleft palate patients both before and after palatoplasty. The present study was designed to determine the reproducibility of those results.

Methods: The FRT was used to evaluate Eustachian tube function in a cohort of cleft palate children before and after palatoplasty.