What is it about?

Children with #cleft palate have a higher ear disease incidence and worse hearing. Nevertheless, data on adenoidectomy for middle ear disease in these patients are scarce. Adenoidectomy can be safe also in cleft children, given correct modern techniques are employed. We're far from saying that this procedure should be adopted as an alternative to tubes, but its role - as in the general pediatric population - might be worth exploring.

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Why is it important?

Adenoidectomy has a demonstrated and established role in reducing the rate of middle ear disease and hearing loss in the general pediatric population. Our review demonstrates that - despite a growing corpus of safe adenoidectomy techniques for cleft children - research in this field has stopped (Despite good results) in the '70s. Our review wants to spur researchers to reconsider the role of partial adenoidectomy as an additional tool to allow better outcomes in cleft patients with recurrent episodes of middle ear disease. Despite current treatments (such as ear tympanic tubes placement) grant good long-term outcomes, there's still a chance we can even improve these outcomes.


Cleft palate has a considerable incidence in newborns and we're all aware of the importance of preserving hearing capabilities, which are at risk in these children. It was astonishing to retrieve such scarce data on this subject, and we hope that this article could be a milestone in shifting the care model for these children.

Dr alberto maria saibene
Universita degli Studi di Milano

Read the Original

This page is a summary of: Adenoidectomy for middle ear disease in cleft palate children: a systematic review, European Archives of Oto-Rhino-Laryngology, August 2021, Springer Science + Business Media,
DOI: 10.1007/s00405-021-07035-6.
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