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Parental perceptions of grommet insertion in children with cleft palate

Published online by Cambridge University Press:  29 June 2007

A. V. H. Greig ,
M. E. Papesch  and
A. R. Rowsell
A. V. H. Greig*
Affiliation:
Department of Otorhinolaryngology, Guy's Hospital, London, UK.
M. E. Papesch
Affiliation:
Department of Otorhinolaryngology, Guy's Hospital, London, UK.
A. R. Rowsell
Affiliation:
Department of Plastic Surgery, Guy's Hospital, London, UK.
*
Address for correspondence: A. V. H. Greig, M.A., F.R.C.S., Research Fellow, Autonomic Neuroscience Institute, Royal Free Hospital and University College School of Medicine, Royal Free Campus, Rowland Hill Street, London NW3 2PF.
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Abstract

Otitis media with effusion is almost universal in children with cleft palate and can delay speech, language and educational development by causing hearing loss. Grommet insertion at the time of cleft palate repair is common. There is debate about whether the benefits of grommets outweigh the risk of complications. A postal questionnaire was used to investigate parental perceptions of middle-ear ventilation via grommet insertion in children attending the multidisciplinary cleft palate clinic. These children's case notes were reviewed. Many children had speech and language delay, but parents thought this improved after grommet insertion. Overall parents were pleased with the results. This confirms that grommets have an important part to play in the management of children with cleft palate.

Keywords

Cleft palateMiddle ear ventilationOutcome assessment (health care)Otitis media with effusionParents
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 12 , December 1999 , pp. 1068 - 1071
Copyright
Copyright © JLO (1984) Limited 1999

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References

Davison, J. A., Mirlohi, H., Rowsell, A. R. (1998) Modified diagram of Friedman's symbolic representation of cleft lip and palate anomalies. British Journal of Plastic Surgery 51: 281–284.CrossRefGoogle ScholarPubMed
Gates, G. A. (1993) Acute otitis media and otitis media with effusion. In Otolaryngology – Head and Neck Surgery vol. 4, (Cummings, C. W.) Mosby-Year Book, St Louis, pp 2802–2822.Google Scholar
Gordon, A. S., Jean-Louis, F., Morton, R. P. (1988) Late ear sequelae in cleft palate patients. International Journal of Pediatric Otorhinolarynology 15 (2): 149–156.Google ScholarPubMed
Grant, H. R., Quiney, R. E., Mercer, D. M., Lodge, S. (1988) Cleft palate and glue ear. Archives of Diseases in Childhood 63: 176–179.CrossRefGoogle ScholarPubMed
Hellier, W. P. L., Corbridge, R. J., Watters, G., Freeland, A. P. (1997) Grominets and patient satisfaction: an audit. Annals of the Royal College of Surgeons of England 79: 428–431.Google ScholarPubMed
Karkanevatos, A., Lesser, T. H. J. (1998) Grommet insertion in children: a survey of parental perceptions. Journal of Laryngology and Otology 112: 732–741.CrossRefGoogle ScholarPubMed
Riley, D. N., Herberger, S., McBride, G., Law, K. (1997) Myringotomy and ventilation tube insertion: a ten year follow up. Journal of Laryngology and Otology 111: 257–261.CrossRefGoogle ScholarPubMed
Robson, A. K., Blanshard, J. D., Jones, K., Albery, E. H., Smith, I. M., Maw, A. R. (1992) A conservative approach to the management of otitis media with effusion in cleft palate children. Journal of Laryngology and Otology 106: 788–792.CrossRefGoogle Scholar
Schonweiler, R., Schonweiler, B., Schmelzeisen, R. (1994) Hearing capacity and speech production in 417 children with facial cleft abnormalities (German). HNO 42 (11): 691–696.Google Scholar