Pure tone hearing threshold of patients with cleft palate anomaly in Kaduna, Nigeria
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20180695Keywords:
Cleft palate, Pure tone hearing threshold, Smile Train centreAbstract
Background: Hearing loss is common in people with isolated cleft palate (ICP) or cleft lip and palate (CLP). There is renewed hope for surgical repair for people with cleft deformity in Nigeria today due to serious commitment in offering them free surgeries by Smile Train and other non-governmental organizations. While effort at corrective surgery is very commendable, the need for proper diagnosis and management of hearing loss among the cleft population cannot be overemphasized. The aim of this study was to assess the pure tone hearing threshold of patients with cleft palate anomaly at Smile Train Centre Kaduna, Nigeria.
Methods: This was a prospective cross-sectional case controlled study to assess the pure tone hearing threshold of consecutive adults and children not less than 5 years of age with repaired or unrepaired cleft lip and cleft palate attending Etomie Smile Train Centre in Kaduna, Nigeria compared with a control group of non-cleft volunteers matched for age and sex. Ethical clearance and informed consent were obtained. History, ear examination and pure tone audiometry were performed. Data collected were analyzed using SPSS version 16. Simple statistical parameters, Chi - Square and paired-samples T-test were used as appropriate. The level of statistical significance was set at p<0.05.
Results: The prevalence of hearing loss was 59.4% in patients with CLP and ICP and 12% among the control group.
Conclusions: There is high prevalence of conductive hearing loss among patients with cleft palate anomaly at Etomie Smile Train Centre Kaduna.
References
Lee DR. Congenital Anomalies of the Head and Neck. In: Ballenger Snow JJ, Ashley BC Decker Inc. Ballenger’s Manual of Otorhinolaryngology Head and Neck Surgery. 17th edn. Shelton, Connecticut: Peoples medical publishing house; 2009: 829-838.
Eigbobo JO, Akadiri OA. Pattern of cleft lip and palate deformities and associated anomalies in a selected Nigerian population. Nigerian J Plastic Surg. 2011;7:59-64.
Umweni A, Agbontaen –Eghafona K, Sauter H. Social Analysis of Cleft Lip and Palate Abnormality in Nigeria. Journal of Social, Behavioral, and Health Sciences 2009;3:1–19.
Butali A, Mossey PA. Epidemiology of Orofacial clefts in Africa: Methodological challenges in ascertainment. Pan Afri Med J. 2009;2:5
Friedman O, Wang TD, Mikzuk HA. Cleft lip and palate. In: Cummings Otolaryngology Head and Neck Surgery. 5th edn. Richardson MA (Ed) Mosby Elsevier, Philadelphia. 2010;186:2659-85.
Sharma RK, Nanda V. Problems of middle ear and hearing in cleft children. Indian J Plast Surg. 2009;42:144–8.
Kuo CL, Lien CF, Chu CH, Shiao AS. Otitis media with effusion in children with cleft lip and palate: a narrative review. Int J Pediatr Otorhinolaryngol. 2013;77:1403-9.
Thanawirattananit P, Prathanee B, Thanaviratananich S. Audiological Status in Patients with Cleft Lip and Palate at Srinagarind Hospital. J Med Assoc Thai. 2012;95(11):93-9.
Nwawolo CC, Oyeneyin JO, Williams OO. A Controlled study of middle ear disease in Nigerian children with cleft lip and or palate. Nigerian Quarterly J Hospital Med. 2001;11:1-4.
Adeola DS, Ononiwu CN, Eguma SA. Cleft lip and palate in Northern Nigerian children. Ann African Med. 2003;2:6–8.
Okafor KS, Ugwu BT, Momoh JT. Cleft lip and palate: the Jos experience. East African Med J. 2002;79(10):510-3.
Onah II, Opara KO, Olaitan PB, Ogbonnaya IS. Cleft lip and palate repair: the experience from two West African sub-regional centres. J Plast Reconstr Aesthe. 2007;61(8):879-82.
Akinmoladun VI, Obimakinde OS. Team approach concept in management of oro-facial clefts: a survey of Nigerian practitioners. Head Face Med. 2009;5:11.
Fadeyibi IO, Sorunke ME, Onigbinde OO, Ogunbanjo VO, Ogunbanjo BO, Ademiluyi S. Oral Health Status of Individuals with Cleft Lip, Cleft Palate or Both in a Nigerian Population. Maced J Med Sci. 2011;4(3):265-70.
Ryan BG, Lori SW, Joan CA. Pediatric Audiology: a review. Pediatrics Rev. 2004;25:224–33.
D’Mello J, Kumar S. Audiological findings in patients with cleft palate attending speech camp. Indian J Med Res. 2007;125(6):777-82.
Gautam P, Sharma R, Prakash A, Kumar S, Taneja V. Assessment of middle ear function in patients with cleft palate treated under "Smile Train Project". Indian J Otol. 2011;17(3):105-8.
Handzic-Cuk J, Cuk V, Risavi R, Katusic D, Stajner-Katusic S. Hearing levels and age in cleft palate patients. Int J Pediatr Otorhinolaryngol. 1996;37(3):227–42.
Broen PA, Moller KT, Carlstrom J, Doyles SS, Devers M, Keenan KM. Comparison of the hearing histories of children with and without cleft palate. Cleft Palate Craniofac J. 1996;33:127–33.
Sheahan P, Blayney AW, Sheahan JN, Earley MJ. Sequelae of otitis media with effusion among children with cleft lip and/or cleft palate. Clin Otolaryngo 2002;27:494–500.
Gani B, Kinshuck AJ, Sharma R. A Review of Hearing Loss in Cleft Palate Patients. Int J Otolaryngol. 2012;90:691-6.