Ear Infection in Isolated Cleft Lip: Etiological Implications

Details

• Alternative Title:
  Cleft Palate Craniofac J
• Personal Author:
  Ruegg, Teresa A. ; Cooper, Margaret E. ; Leslie, Elizabeth J. ; Ford, Matthew D. ; Wehby, George L. ; Deleyiannis, Frederic W.B. ; Czeizel, Andrew E. ; Hecht, Jacqueline T. ; Marazita, Mary L. ; Weinberg, Seth M.
• Description:
  Background and Hypothesis
  
  Chronic ear infections are a common occurrence in children with orofacial clefts involving the secondary palate. Less is known about the middle ear status of individuals with isolated clefts of the lip, although several studies have reported elevated rates of ear infection in this group. The purpose of this retrospective study was to test the hypothesis that chronic ear infections occur more frequently in isolated cleft lip cases (n=94) compared with controls (n=183).
  
  Methods
  
  A questionnaire was used to obtain information on history of chronic ear infection. The association between ear infection status (present/absent) and cleft lip status (cleft lip case/control) was tested using both chi-square and logistic regression.
  
  Results and Conclusions
  
  The reported occurrence of chronic ear infection was significantly greater in cleft lipcases (31%) compared to unaffected controls (11%). After adjusting for age and sex, having a cleft lip increased the odds of being positive for ear infection by a factor greater than three (OR=3.698; 95%CI=1.91–7.14). Within cleft lipcases, there was no difference in the occurrence of ear infection by defect laterality or by the type of clefting present in the family history. Although velopharyngeal insufficiency was present in 18.4% of our cleft lip sample, there was no statistical association between ear infection and abnormal speech patterns. These results may have potential implications both for the clinical management of isolated cleft lip cases and for understanding the etiology of orofacial clefting.
  
  
• Subjects:
  Article Cleft Lip Ear Infection Otitis Media Velopharyngeal Insufficiency
• Source:
  Cleft Palate Craniofac J. 54(2):189-192.
• Pubmed ID:
  26153759
• Pubmed Central ID:
  PMC4706498
• Document Type:
  Journal Article
• Funding:
  K99 DE025060/DE/NIDCR NIH HHS/United States ; R01 DD000295/DD/NCBDD CDC HHS/United States ; R01 DE011931/DE/NIDCR NIH HHS/United States ; R01 DE016148/DE/NIDCR NIH HHS/United States
• Volume:
  54
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:2a08dc23f135dc45f3643ddfe0f238e0d295f932390e206fc916b792bc84a776
• Download URL:
  https://stacks.cdc.gov/view/cdc/37379/cdc_37379_DS1.pdf
• File Type:
  [PDF - 58.04 KB ]