Abstract

This study evaluates the effect of ventilating tubes (VT) in cleft palate children. Twenty patients younger than 1 year with bilateral SOM were treated with VT bilaterally. In 68 % of all ears the VT had to be removed within 1 year due to otorrhea or movement of the VT in the ear drum, or both. Forty patients 2 years of age with bilateral SOM were treated with unilateral VT. 20 % developed otorrhea within 1 year but the VT could be kept in place. 10 % of VT had to be removed due to granulation formation. In 89 % below the age of 6 years, retractions of the ear drum could effectively be treated with VT. Ten patients, older than 6 years, had retractions of the ear drum. In 25 % of cases the ear drum regained normal position after treatment with VT. The use of unilateral VT is advocated even in bilateral eases of SOM and gave satisfactory results in 62 % of patients. A restricted use of VT in infancy seems wise.

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