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High incidence of cleft palate and vomer deformities in patients with Eustachian tube dysfunction

Authors
 Seong Hoon Bae  ;  Jun-Young Kim  ;  Mincheol Jeong  ;  In Seok Moon  ;  Sung Huhn Kim  ;  Jae Young Choi  ;  Jinsei Jung 
Citation
 SCIENTIFIC REPORTS, Vol.12(1) : 10121, 2022-06 
Journal Title
SCIENTIFIC REPORTS
Issue Date
2022-06
MeSH
Cleft Palate* / complications ; Cleft Palate* / diagnosis ; Cleft Palate* / epidemiology ; Ear Diseases* ; Eustachian Tube* ; Humans ; Incidence ; Palate, Hard ; Vomer
Abstract
Although the cleft palate is regarded as a contraindication for Eustachian tube ballooning, the presence of submucosal cleft palate may be overlooked while diagnosing Eustachian tube dysfunction. Therefore, we aimed to determine the incidence of the presence of a hard palate bony notch and vomer defect, which indicate the presence of submucosal cleft palate in patients with Eustachian tube dysfunction. In the Eustachian tube dysfunction group (n = 28), 4 patients (14.3%) exhibited a hard palate bony notch and a concurrent vomer defect. Three of them exhibited the presence of occult submucosal cleft palate, which had not been diagnosed previously. None of the control group (n = 39) showed any of these findings. The hard palate length of patients in the Eustachian tube dysfunction group was significantly lesser than that of those in the control group (34.2 ± 5.6 mm vs. 37.2 ± 2.1 mm, P = 0.016). Patients with Eustachian tube dysfunction have a high incidence of submucosal cleft palate and its occult variant, which are challenging to diagnose without any preexisting suspicion. Clinicians should evaluate the hard palate and vomer to exclude the presence of occult submucosal cleft palate while diagnosing Eustachian tube dysfunction.
Files in This Item:
T202202425.pdf Download
DOI
10.1038/s41598-022-14011-5
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sung Huhn(김성헌)
Kim, Jun-Young(김준영) ORCID logo https://orcid.org/0000-0002-6596-6135
Moon, In Seok(문인석) ORCID logo https://orcid.org/0000-0002-3951-5074
Bae, Seong Hoon(배성훈) ORCID logo https://orcid.org/0000-0001-9243-9392
Jung, Jinsei(정진세) ORCID logo https://orcid.org/0000-0003-1906-6969
Choi, Jae Young(최재영) ORCID logo https://orcid.org/0000-0001-9493-3458
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/189419
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