Otologic affectations and language disorders in children operated on for cleft palate and palate

Introduction: cleft palate predisposes to ear infections, hearing loss, speech and oral communication. Objective: to characterize the otologic affectations and speech disorders in children operated on for cleft palate. Methods: observational, descriptive, longitudinal and retrospective study in 31...

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Main Authors: Ana Belén Morales-Ortega, Heily Quintana-Domínguez, Ana Laura Valido-Fra, María Teresa Corbo-Rodríguez, Yusimy Bravo González
Format: Article
Language:English
Published: Universidad de Ciencias Médicas de Pinar del Río 2022-01-01
Series:Universidad Médica Pinareña
Subjects:
Online Access:https://revgaleno.sld.cu/index.php/ump/article/view/759
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author Ana Belén Morales-Ortega
Heily Quintana-Domínguez
Ana Laura Valido-Fra
María Teresa Corbo-Rodríguez
Yusimy Bravo González
author_facet Ana Belén Morales-Ortega
Heily Quintana-Domínguez
Ana Laura Valido-Fra
María Teresa Corbo-Rodríguez
Yusimy Bravo González
author_sort Ana Belén Morales-Ortega
collection DOAJ
description Introduction: cleft palate predisposes to ear infections, hearing loss, speech and oral communication. Objective: to characterize the otologic affectations and speech disorders in children operated on for cleft palate. Methods: observational, descriptive, longitudinal and retrospective study in 31 patients operated for alveolo-palatine clefts in the Maxillofacial Surgery Service at Pepe Portilla Provincial Pediatric Teaching Hospital in Pinar del Rio, between 2014 and 2020. A non-probabilistic intentional sampling was carried out, comprising a sample of 20 patients. Evaluation by Otolaryngology and Speech Therapy was carried out, as well as the review of clinical histories. Descriptive statistics was applied.  Results: patients who presented incomplete fissures reached 55 % and 50 % of them received mixed feeding. The analysis of the quality of the surgical-orthodontic intervention assessed 75 % as good quality. Sixty percent of the patients presented ear infections, being of a very frequent type in 20 % of the cases; 35 % presented some degree of affectation of the auditory sphere and 80 % presented language disorders, the latter being mild in 40 %; and 55 % of the patients presented phonetic-auditory affectations, where 50 % of the cases presented good level of school learning and social-emotional adaptation. Conclusions: patients who underwent surgery for alveolo-palatal fissures presented mostly mild language and auditory alterations, with very frequent ear infections and phonetic-auditory affectation that influenced on their school-learning and social-emotional adjustment.
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spelling doaj.art-560d2b139d6248bd83880679b0d00bc32023-09-03T12:19:31ZengUniversidad de Ciencias Médicas de Pinar del RíoUniversidad Médica Pinareña1990-79902022-01-01181e759e759607Otologic affectations and language disorders in children operated on for cleft palate and palateAna Belén Morales-Ortega0Heily Quintana-Domínguez1Ana Laura Valido-Fra2María Teresa Corbo-Rodríguez3Yusimy Bravo González4Universidad de Ciencias Médicas de Pinar del Río. Facultad de Ciencias Médicas "Dr. Ernesto Che Guevara de la Serna". Pinar del RíoUniversidad de Ciencias Médicas de Pinar del Río. Facultad de Ciencias Médicas "Dr. Ernesto Che Guevara de la Serna". Pinar del RíoUniversidad de Ciencias Médicas de Pinar del Río. Facultad de Ciencias Médicas "Dr. Ernesto Che Guevara de la Serna". Pinar del RíoUniversidad de Ciencias Médicas de Pinar del Río. Hospital Pediátrico Provincial Docente “Pepe Portilla”. Pinar del RíoUniversidad de Ciencias Médicas de Pinar del Río. Hospital Clínico Quirúrgico Docente “Dr. León Cuervo Rubio”. Pinar del RíoIntroduction: cleft palate predisposes to ear infections, hearing loss, speech and oral communication. Objective: to characterize the otologic affectations and speech disorders in children operated on for cleft palate. Methods: observational, descriptive, longitudinal and retrospective study in 31 patients operated for alveolo-palatine clefts in the Maxillofacial Surgery Service at Pepe Portilla Provincial Pediatric Teaching Hospital in Pinar del Rio, between 2014 and 2020. A non-probabilistic intentional sampling was carried out, comprising a sample of 20 patients. Evaluation by Otolaryngology and Speech Therapy was carried out, as well as the review of clinical histories. Descriptive statistics was applied.  Results: patients who presented incomplete fissures reached 55 % and 50 % of them received mixed feeding. The analysis of the quality of the surgical-orthodontic intervention assessed 75 % as good quality. Sixty percent of the patients presented ear infections, being of a very frequent type in 20 % of the cases; 35 % presented some degree of affectation of the auditory sphere and 80 % presented language disorders, the latter being mild in 40 %; and 55 % of the patients presented phonetic-auditory affectations, where 50 % of the cases presented good level of school learning and social-emotional adaptation. Conclusions: patients who underwent surgery for alveolo-palatal fissures presented mostly mild language and auditory alterations, with very frequent ear infections and phonetic-auditory affectation that influenced on their school-learning and social-emotional adjustment.https://revgaleno.sld.cu/index.php/ump/article/view/759fisura del paladarpérdida auditivatrastornos del lenguaje
spellingShingle Ana Belén Morales-Ortega
Heily Quintana-Domínguez
Ana Laura Valido-Fra
María Teresa Corbo-Rodríguez
Yusimy Bravo González
Otologic affectations and language disorders in children operated on for cleft palate and palate
Universidad Médica Pinareña
fisura del paladar
pérdida auditiva
trastornos del lenguaje
title Otologic affectations and language disorders in children operated on for cleft palate and palate
title_full Otologic affectations and language disorders in children operated on for cleft palate and palate
title_fullStr Otologic affectations and language disorders in children operated on for cleft palate and palate
title_full_unstemmed Otologic affectations and language disorders in children operated on for cleft palate and palate
title_short Otologic affectations and language disorders in children operated on for cleft palate and palate
title_sort otologic affectations and language disorders in children operated on for cleft palate and palate
topic fisura del paladar
pérdida auditiva
trastornos del lenguaje
url https://revgaleno.sld.cu/index.php/ump/article/view/759
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