Otitis Media and Hearing Loss in Patients With Nonsyndromic Craniosynostosis: A Multicenter Study.
Document Type
Article
Publication Date
5-18-2021
Abstract
OBJECTIVES: The objectives of this study were to: (1) determine the prevalence of otitis media with effusion in patients with nonsyndromic craniosynostosis; (2) determine the prevalence of hearing loss in patients with nonsyndromic craniosynostosis; and (3) identify potential patterns and outcomes in patients with nonsyndromic craniosynostosis.
METHODS: A retrospective chart review was conducted at 2 academic institutions, St Christopher's Hospital for Children and SUNY Upstate Medical University, from January 2015 through August 2018, to identify patients having nonsyndromic craniosynostosis with a concurrent diagnosis of otitis media and/or hearing loss. The demographic data and categorical variables were analyzed using descriptive statistics and chi-square testing, respectively.
RESULTS: In the entire cohort of patients (N = 113, age range 0-123 months), 36% had otitis media with effusion on either history, physical examination, tympanometry, and/or imaging. Half (50%) of patients with coronal synostosis had otitis media with effusion compared to sagittal (40.7%), metopic (26.3%), multiple (25%), and lambdoid (0%). However, these differences were not statistically significant (P = .190). Most patients had normal hearing (91%), while a minority had either conductive (7%) or sensorineural (2%) hearing loss.
CONCLUSION: The presence of otitis media in our cohort of patients with nonsyndromic craniosynostosis appears to be at the upper limit of normal when compared to historical rates in normocephalic children. Synostosis subtype did not appear to predict the presence of otitis media. Only 9% of patients with nonsyndromic craniosynostosis were found to have a hearing loss.
Publication Title
The Cleft Palate-Craniofacial Journal
Recommended Citation
Grewal, Jeewanjot S; Cohn, Jason E; Burdett, Jacob; Tampio, Alex; Licata, Jordan; Davis, Wellington J; Tatum, Sherard A; and Nicholas, Brian D, "Otitis Media and Hearing Loss in Patients With Nonsyndromic Craniosynostosis: A Multicenter Study." (2021). Otolaryngology (ENT) Resident Research. 78.
https://digitalcommons.pcom.edu/ent_residents/78
PubMed ID
34000844
Comments
This article was published in Cleft Palate-Craniofacial Journal.
The published version is available at https://doi.org/10.1177/10556656211017795.
Copyright © 2021 SAGE Publications.