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- Title
Effect of Modified Furlow Vs Two-Flap Technique on Eustachian Tube Function.
- Authors
Allam, Mahmoud Sobhy; Abdelmaged, Samir Ahmed; Aboulhassan, Mamdouh M.; Hassaneinen, Kamal A. Hassa; Amer, Islam A.
- Abstract
Background: One of the most common congenital defects of the face is cleft palate (CP). A middle ear issue nearly always affects children who have cleft palates. The way that palatoplasty is performed has a significant impact on how well middle ear function is restored after CP correction. Objective: This study aimed to assess the significance of modified Furlow vs two-flaps technique on Eustachian tube (ET) dysfunction. Patients and methods: Seventy two cleft palate patients were divided into 2 groups: Group1 included 42 patients done by modified Furlow Z-plasty operation. Group 2 included 30 patients done by two flaps palatoplasty. Pre- and post-operative ear evaluation done at 1, 3,6,12 months. Results: Repair of cleft palate leading to direct improvement of ET dysfunction improvement ear function. Modified Furlow showed early improvement at 3 months post-operative of middle ear function (p value 0.004), but had no superiority after one year over two flaps Palato-plasty. Conclusion: The two procedures showed significant effect as regards decreasing severity of ET function and middle ear affection. Thus, supporting conservative management of middle ear effusion instead of prophylactic tube insertion.
- Subjects
EUSTACHIAN tube; MIDDLE ear; PALATE surgery; MIDDLE ear ventilation; OTITIS media with effusion; CLEFT palate; HUMAN abnormalities
- Publication
Egyptian Journal of Hospital Medicine, 2024, Vol 95, p1323
- ISSN
1687-2002
- Publication type
Article
- DOI
10.21608/ejhm.2024.348718