Ear infection in isolated cleft lip: Etiological implications

Teresa A. Ruegg, Margaret E. Cooper, Elizabeth J. Leslie, Matthew D. Ford, George L. Wehby, Frederic W B Deleyiannis, E. Czeizel, Jacqueline T. Hecht, Mary L. Marazita, Seth M. Weinberg

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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 lip cases (31%) compared with 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 3 (odds ratio = 3.698; 95% confidence interval = 1.91 to 7.14). Within cleft lip cases, 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.

Original languageEnglish
Pages (from-to)189-192
Number of pages4
JournalCleft Palate-Craniofacial Journal
Volume54
Issue number2
DOIs
Publication statusPublished - 2017

Fingerprint

Cleft Lip
Ear
Infection
Velopharyngeal Insufficiency
Palate
Middle Ear
Lip
Retrospective Studies
Logistic Models
Odds Ratio
Confidence Intervals

Keywords

  • Cleft lip
  • Ear infection
  • Otitis media
  • V3elopharyngeal insufficiency

ASJC Scopus subject areas

  • Oral Surgery
  • Otorhinolaryngology

Cite this

Ruegg, T. A., Cooper, M. E., Leslie, E. J., Ford, M. D., Wehby, G. L., Deleyiannis, F. W. B., ... Weinberg, S. M. (2017). Ear infection in isolated cleft lip: Etiological implications. Cleft Palate-Craniofacial Journal, 54(2), 189-192. https://doi.org/10.1597/15-010

Ear infection in isolated cleft lip : Etiological implications. / Ruegg, Teresa A.; Cooper, Margaret E.; Leslie, Elizabeth J.; Ford, Matthew D.; Wehby, George L.; Deleyiannis, Frederic W B; Czeizel, E.; Hecht, Jacqueline T.; Marazita, Mary L.; Weinberg, Seth M.

In: Cleft Palate-Craniofacial Journal, Vol. 54, No. 2, 2017, p. 189-192.

Research output: Contribution to journalArticle

Ruegg, TA, Cooper, ME, Leslie, EJ, Ford, MD, Wehby, GL, Deleyiannis, FWB, Czeizel, E, Hecht, JT, Marazita, ML & Weinberg, SM 2017, 'Ear infection in isolated cleft lip: Etiological implications', Cleft Palate-Craniofacial Journal, vol. 54, no. 2, pp. 189-192. https://doi.org/10.1597/15-010
Ruegg TA, Cooper ME, Leslie EJ, Ford MD, Wehby GL, Deleyiannis FWB et al. Ear infection in isolated cleft lip: Etiological implications. Cleft Palate-Craniofacial Journal. 2017;54(2):189-192. https://doi.org/10.1597/15-010
Ruegg, Teresa A. ; Cooper, Margaret E. ; Leslie, Elizabeth J. ; Ford, Matthew D. ; Wehby, George L. ; Deleyiannis, Frederic W B ; Czeizel, E. ; Hecht, Jacqueline T. ; Marazita, Mary L. ; Weinberg, Seth M. / Ear infection in isolated cleft lip : Etiological implications. In: Cleft Palate-Craniofacial Journal. 2017 ; Vol. 54, No. 2. pp. 189-192.
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abstract = "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 lip cases (31{\%}) compared with 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 3 (odds ratio = 3.698; 95{\%} confidence interval = 1.91 to 7.14). Within cleft lip cases, 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.",
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