DIAGNOSIS OF SUBMUCOSAE CLEFT PALATES BY AN OTORHINOLARINGOLOGIST.


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Abstract

Hidden or submucosae cleft palate (SCP) is a rare form of isolated clefts, which is characterized by damage to the speech-producing structures of the articulatory apparatus with intact mucous membrane of the palate. Patients with SCP require special attention from an otorhinolaryngologist, since this anatomical malformation leads to damage to the middle ear and significantly affects the hearing and quality of life of patients. We analyzed 16 patients with SCP, where the median (Me) age of diagnosis was 6.5 years (from 3 to 13 years), and in 62.5% of cases it was first suspected by an ENT doctor. In 14 patients (87.5%) during the initial examination, a significant decrease in hearing was already noted, in 21.9% of cases otitis media with effusion in the mucosal stage was detected, in 21.9% of cases - adhesive otitis media, in 18.8% of cases - chronic otitis with cholesteatoma. Cases of SCP demonstrate the need for otorhinolaryngologists and pediatricians to know this pathology in order to promptly carry out proper comprehensive rehabilitation for patients.

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About the authors

Irina Andreeva

Children’s Republican Clinical Hospital

Author for correspondence.
Email: arisha.andreeva2008@mail.ru
ORCID iD: 0000-0001-9669-2707

кандидат медицинских наук, врач оториноларингологического отделения ГАУЗ ДРКБ МЗ РТ

Russian Federation

Damir Marapov

Казанская государственная медицинская академия – филиал ФГБОУ ДПО РМАНПО Минздрава России

Email: damirov@list.ru
ORCID iD: 0000-0003-2583-0599

кандидат медицинских наук, доцент кафедры общественного здоровья, экономики и управления здравоохранением Казанской государственной медицинской академии – филиала ФГБОУ ДПО РМАНПО Минздрава России

Pavel Tokarev

Email: facesurg@yandex.ru
ORCID iD: 0000-0003-2439-5492

Nikita Andreev

Email: nikitosandreyev1990@gmail.com
ORCID iD: 0000-0002-1071-0896

References

  1. Leslie E. J., Marazita, M. L. Genetics of cleft lip and cleft palate. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 2013; 163(4):246–258. https://doi.org/10.1002/ajmg.c.31381
  2. Rahimov F, Jugessur A, Murray JC. 2012. Genetics of nonsyndromic orofacial clefts. Cleft Palate Craniofac J. 49:73–91. https://doi.org/10.1597/10-178
  3. Dixon M.J., Marazita M.L., Beaty T.H., Murray J.C. Cleft lip and palate: understanding genetic and environmental influences. Nat Rev Genet. 2011; 12:167-178. https://doi.org/10.1038/nrg2933
  4. Kasimovskaya N.A., Shatova E.A. Congenital Cleft Lip and Palate in Children: Prevalence Rate in Russia and Worldwide, Risk Factors. Current Pediatrics. 2020;19(2):142-145. (In Russ) https://doi.org/10.15690/vsp.v19i2.2107
  5. Inoyatov A.Sh., Saidova M.A., Shodmonov K.E. Analysis of factors contributing to the development of congenital malformations of the maxillofacial region. Bulletin of the Council of Young Scientists and Specialists of the Chelyabinsk Region. 2016; 3(4): 51-55. (In Russ)
  6. Mardanov A.E., Smirnov I.E., Mamedov Ad.A. Diagnostic value of matrix metalloproteinase analysis in children with congenital cleft lip and palate. Russian pediatric journal. 2016; 19 (2): 106-113. (In Russ) https://doi.org/10.18821/1560-9561-2016-19(2)-106-113
  7. Mamedov Ad.A. Congenital cleft palate and ways to eliminate it. - M.: Detstomizdat, 1998. – 309. (In Russ)
  8. Bogoroditskaya A.V., Sarafanova M.E., Radtsig E.Y., Prityko A.G. An otorhinolaryngologist's view on the problem of children with submucous cleft palate. Meditsinskiy sovet = Medical Council. 2015;(15):72-75. (In Russ.)
  9. https://doi.org/10.21518/2079-701X-2015-15-72-75
  10. Boboshko M.Yu.. Lopotko A. I. Eustachian tube – Sankt-Peterburg: Dialog. 2014. – 384 s. (In Russ)
  11. Sharma R.K., Nanda V. Problems of middle ear and hearing in cleft children. Indian J Plast Surg. 2009; Bn. 42 (Suppl. 1):144-148. https://doi.org/10.4103/0970-0358.57198
  12. Andreeva I.G., Krasnozhon V.N. Anatomical predictors for the development of otitis media with effusion in children with congenital cleft lip and palate. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2018; 24 (1):29-35. (In Russ)
  13. Gyanwali B., Li H., Xie L., Xie L., Zhu M., Wu Z., He G., Tang A. The role of tensor veli palatini muscle (TVP) and levetor veli palatini [corrected] muscle (LVP) in the opening and closing of pharyngeal orifice of Eustachian tube. Acta Otolaryngol. 2016; 136 (3):249-255. https://doi.org/10.3109/00016489.2015.1107192
  14. Heidsieck D.S., Smarius B.J., Oomen K.P., Breugem C.C.The role of the tensor veli palatini muscle in the development of cleft palate-associated middle ear problems. Clin Oral Investig. 2016; 20 (7):1389-401. https://doi.org/10.1007/s00784-016-1828-x
  15. Bluestone C.D. Otitis media and eustachian tube dysfunction. Pediatric otolaryngology. – Philadelphia: Saunders, 2003:639-641.
  16. Bluestone C.D. Studies in otitis media: children's hospital of Pittsburgh University of Pittsburgh progress report–2004. Laryngoscope. 2004; 114:1-26.
  17. https://doi.org/10.1097/01.mlg.0000148223.45374.ec
  18. Krasnozhen V.N., Andreeva I.G., Tokarev P.V. Exudative otitis media in children with congenital cleft lip and palate. Rossijskaya otorinolaringologiya. 2018;4:121–127. (In Russ)
  19. https://doi.org/10.18692/1810-4800-2018-4-121-127
  20. Djurhuus B.D., Skytthe A., Faber C.E., Kaare C. Cholesteatoma risk in 8,593 orofacial cleft cases and 6,989 siblings: A nationwide study. Laryngoscope. 2015; 125(5):1225-9. https://doi.org/10.1002/lary.25022.
  21. Harris L., Cushing S. L., Hubbard B., Fisher D., Papsin B. C., James A. L. Impact of cleft palate type on the incidence of acquired cholesteatoma. International Journal of Pediatric Otorhinolaryngology, 2013; 77(5):695–698. https://doi.org/10.1016/j.ijporl.2013.01.020
  22. Andreeva I.G. Diagnosis of submucosae cleft palate and its effect on the middle ear. Proceedings of the XI International Interdisciplinary Congress on Diseases of the Head and Neck Organs. - Sankt-Peterburg. 2023:84-85. (In Russ) https://headneckcongress.ru/static/sbornik/tez.pdf

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