Comparison of Eustachian tube ventilation function between cleft palate and normal patients using sonotubometry

Objective: To compare Eustachian tube ventilation function between cleft palate subjects and normal subjects using sonotubometry. Method: A comparative cross-sectional study was conducted at the Department Otolaryngology-Head and Neck Surgery of Ciptomangunkusumo National Hospital, Universitas Indon...

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Main Authors: Dini Widiarni Widodo, Adila Hisyam, Widayat Alviandi, Muchtaruddin Mansyur
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:JPRAS Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352587821000346
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author Dini Widiarni Widodo
Adila Hisyam
Widayat Alviandi
Muchtaruddin Mansyur
author_facet Dini Widiarni Widodo
Adila Hisyam
Widayat Alviandi
Muchtaruddin Mansyur
author_sort Dini Widiarni Widodo
collection DOAJ
description Objective: To compare Eustachian tube ventilation function between cleft palate subjects and normal subjects using sonotubometry. Method: A comparative cross-sectional study was conducted at the Department Otolaryngology-Head and Neck Surgery of Ciptomangunkusumo National Hospital, Universitas Indonesia, Jakarta, from June 2013 to January 2014.There were 31 subjects with cleft palate and 62 healthy subjects aged ≤18 years, and both groups were matched according to age. Each subject underwent ear, nose, and throat examination with Veau classification and sonotubometry, a new assembly test in Indonesia. The results of the sonotubogram (the number of Eustachian tube openings, amplitude enhancement in dB, and the duration of Eustachian tube opening in ms) were then analyzed with SPSS using chi-square and Mann–Whitney tests. Results: Subjects with cleft palate had lower Eustachian tube function than healthy subjects using three sonotubometry parameters (p < 0.001). The proportion of Eustachian tube dysfunction based on the Veau classification was significant (p < 0.001). In multivariate analysis, several determinant factors of Eustachian tube dysfunction were found, such as adenoid hypertrophy (risk factor6.46), the number of Eustachian tube openings (risk factor 36.21), and higher Veau classification (risk factor 10.41). Conclusion: Sonotubometry could be used to assess parameters of Eustachian tube function. Subjects with cleft palate have a higher risk of having Eustachian tube dysfunction, as do subjects with adenoid hypertrophy.
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spelling doaj.art-f32818c82ac5410289d9b4bfc43ecf102022-12-21T20:03:03ZengElsevierJPRAS Open2352-58782021-09-01293240Comparison of Eustachian tube ventilation function between cleft palate and normal patients using sonotubometryDini Widiarni Widodo0Adila Hisyam1Widayat Alviandi2Muchtaruddin Mansyur3Department of Otolaryngology, Cipto Mangunkusumo Hospital – Universitas Indonesia, P.Diponegoro Street no. 71, Senen, Central Jakarta, 10430, Indonesia; Corresponding author.Department of Otolaryngology, Cipto Mangunkusumo Hospital – Universitas Indonesia, P.Diponegoro Street no. 71, Senen, Central Jakarta, 10430, IndonesiaDepartment of Otolaryngology, Cipto Mangunkusumo Hospital – Universitas Indonesia, P.Diponegoro Street no. 71, Senen, Central Jakarta, 10430, IndonesiaDepartment of Public Health and Community, Cipto Mangunkusumo Hospital – Universitas Indonesia, P.Diponegoro Street no. 71, Senen, Central Jakarta, 10430, IndonesiaObjective: To compare Eustachian tube ventilation function between cleft palate subjects and normal subjects using sonotubometry. Method: A comparative cross-sectional study was conducted at the Department Otolaryngology-Head and Neck Surgery of Ciptomangunkusumo National Hospital, Universitas Indonesia, Jakarta, from June 2013 to January 2014.There were 31 subjects with cleft palate and 62 healthy subjects aged ≤18 years, and both groups were matched according to age. Each subject underwent ear, nose, and throat examination with Veau classification and sonotubometry, a new assembly test in Indonesia. The results of the sonotubogram (the number of Eustachian tube openings, amplitude enhancement in dB, and the duration of Eustachian tube opening in ms) were then analyzed with SPSS using chi-square and Mann–Whitney tests. Results: Subjects with cleft palate had lower Eustachian tube function than healthy subjects using three sonotubometry parameters (p < 0.001). The proportion of Eustachian tube dysfunction based on the Veau classification was significant (p < 0.001). In multivariate analysis, several determinant factors of Eustachian tube dysfunction were found, such as adenoid hypertrophy (risk factor6.46), the number of Eustachian tube openings (risk factor 36.21), and higher Veau classification (risk factor 10.41). Conclusion: Sonotubometry could be used to assess parameters of Eustachian tube function. Subjects with cleft palate have a higher risk of having Eustachian tube dysfunction, as do subjects with adenoid hypertrophy.http://www.sciencedirect.com/science/article/pii/S2352587821000346Eustachian tube functionCleft palateSonotubometry
spellingShingle Dini Widiarni Widodo
Adila Hisyam
Widayat Alviandi
Muchtaruddin Mansyur
Comparison of Eustachian tube ventilation function between cleft palate and normal patients using sonotubometry
JPRAS Open
Eustachian tube function
Cleft palate
Sonotubometry
title Comparison of Eustachian tube ventilation function between cleft palate and normal patients using sonotubometry
title_full Comparison of Eustachian tube ventilation function between cleft palate and normal patients using sonotubometry
title_fullStr Comparison of Eustachian tube ventilation function between cleft palate and normal patients using sonotubometry
title_full_unstemmed Comparison of Eustachian tube ventilation function between cleft palate and normal patients using sonotubometry
title_short Comparison of Eustachian tube ventilation function between cleft palate and normal patients using sonotubometry
title_sort comparison of eustachian tube ventilation function between cleft palate and normal patients using sonotubometry
topic Eustachian tube function
Cleft palate
Sonotubometry
url http://www.sciencedirect.com/science/article/pii/S2352587821000346
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