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Titolo:
Tympanometric findings in cleft palate patients: influence of age and cleft type
Autore:
Handzic-Cuk, J; Cuk, V; Gluhinic, M; Risavi, R; Stajner-Katusic, S;
Indirizzi:
Univ Zagreb, Sch Med, Dept Otolaryngol, Zagreb 41000, Croatia Univ ZagrebZagreb Croatia 41000 Dept Otolaryngol, Zagreb 41000, Croatia Univ Zagreb, Clin Hosp Ctr Salata, Dept Otolaryngol, Zagreb, Croatia Univ Zagreb Zagreb Croatia tr Salata, Dept Otolaryngol, Zagreb, Croatia Gen Hosp Zabok, Zagreb, Croatia Gen Hosp Zabok Zagreb CroatiaGen Hosp Zabok, Zagreb, Croatia Gen Hosp Sveti Duh, Dept Orthopaed, Zagreb, Croatia Gen Hosp Sveti Duh Zagreb Croatia Duh, Dept Orthopaed, Zagreb, Croatia Univ Zagreb, Clin Hosp Sisters Misericordiae, Sch Med, Zagreb, Croatia Univ Zagreb Zagreb Croatia ters Misericordiae, Sch Med, Zagreb, Croatia
Titolo Testata:
JOURNAL OF LARYNGOLOGY AND OTOLOGY
fascicolo: 2, volume: 115, anno: 2001,
pagine: 91 - 96
SICI:
0022-2151(200102)115:2<91:TFICPP>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Keywords:
acoustic impedenance tests; cleft lip; cleft palate; aging;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
10
Recensione:
Indirizzi per estratti:
Indirizzo: Handzic-Cuk, J Univ Pittsburgh, Sch Dent Med, Cleft Palate Craniofacial Ctr, 317 Salk Hall,3501 Terrace St, Pittsburgh, PA 15261 USA Univ Pittsburgh 317 Salk Hall,3501 Terrace St Pittsburgh PA USA 15261
Citazione:
J. Handzic-Cuk et al., "Tympanometric findings in cleft palate patients: influence of age and cleft type", J LARYNG OT, 115(2), 2001, pp. 91-96

Abstract

Tympanometry was analysed according to cleft type with respect to age in 239 cleft palate patients (57 with bilateral cleft lip and palate (BCLP)), 122 with unilateral cleft lip and palate (UCLP) and 60 with isolated deft palate (ICP)). The frequency of type B tympanograms was 46.5 per cent in the BCLP group, 50.6 per cent in the UCLP group and 58.3 per cent in the ICP group. Type A tympanograms were more frequently observed in older patients (median age 11 years) in comparison to type B (median age five years; p <0.001) and type C (median age six years; p <0.001). The total sample showed an age-related decrease in the frequency of type B tympanograms (r(s) = -0.3942; p <0.001). The frequency of type A tympanograms increased significantly with age (r(s) = 0.4263; p <0.001), whereas type C was not correlated with age. In the UCLP group, the frequency of type B tympanograms decreased withage (r(s) = -0.4430; p <0.001), the decrease being faster than in the BCLPgroup (r(s)= -0.3186; p = 0.001) and the ICP group (r(s) = -0.3378; p <0.0001)). Type B tympanograms had the highest correlation with a hearing loss of 21-40 dB at mean hearing level at speech frequencies (MHLSF) (r(s)= 0.4574; p <0.001), a lower correlation with a hearing loss of 11-20 dB (r(s) = 0.2184; p = 0.02) and the lowest correlation with hearing loss above 40 dB. At the ages of one to three, the frequency of type B is higher in UCLP patients than in the BCLP and ICP groups, decreasing at seven to 12, increasing again at 13 to 15, and thereafter showing a continuous decrease. In the BCLP group, the frequency of type B increased significantly at the ages of four to six and then decreased continuously from seven to 18. In ICP patients, the changes in the frequency of type B with age are not significant until the age of 15; at the age of seven, it is higher than in the BCLP and ICPgroups. The type C tympanogram is not typically found in cleft palate patients and its frequency is not correlated with age. It can be presumed that each type of cleft lip and palate, due to its characteristic conditions in the epipharynx, will favour a different mode of pathophysiological development of middle-ear disease.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 16/07/20 alle ore 19:57:53