Effect of three layers repair of cleft palate with or without middle ear aeration on eustachian tube dysfunction in children

ABSTRACT

This study was carried out on 30 patients admitted to El- Menia University Hospital with cleft palate deformity. Three layers repair was done to every patient, audiological examination proved secretory otitis media in 28 patients of them, myringotomy and grommet tubes application were done to 15 patients. In cases with hamalar fracture technique, no improvement of middle ear pressure occurred even with aeration. In cases of nonhamalar fracture technique, improvement occurred only when middle ear aeration was done. So, middle ear aeration must be done with or before cleft palate repair. Three layers repair technique gave a satisfactory result with successful rate of healing [84.3%]. Wound disruption was detected in 10% of cases and fistula formation in 2 cases in which hamalus bone fracture was not done