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Middle Ear Pressure Disregulation in Cleft Palate Patients
This study is currently recruiting participants.
Study NCT00423072   Information provided by Children's Hospital of Pittsburgh
First Received: January 12, 2007   Last Updated: February 13, 2009   History of Changes

January 12, 2007
February 13, 2009
August 2006
 
 
 
Complete list of historical versions of study NCT00423072 on ClinicalTrials.gov Archive Site
 
 
 
Middle Ear Pressure Disregulation in Cleft Palate Patients
Middle Ear Pressure Disregulation in Cleft Palate Patients: Form-Function Correlates

The investigators know that middle-ear disease is very common in infants with cleft palate and causes hearing loss that can last into childhood. It is thought that a poor ability to keep the pressure in the middle ear at a similar level to that in the environment causes middle-ear disease and that this depends on the opening function of a natural tube that connects the back of the nose with the middle ear, called the Eustachian tube. The investigators believe that the middle-ear disease in cleft palate infants and children is caused by poor Eustachian tube function that in turn is caused by anatomical problems in the muscles that open the tube. The investigators plan to test these relationships by studying the changes between 5-24 months and 6 years in middle-ear health, the way the Eustachian tube works and Eustachian tube anatomy in cleft palate children.

Otitis media with effusion (OME) is recognized as nearly universal in the population of infants and children with cleft palate (CP) and is often associated with long-standing conductive and, perhaps, sensorineural hearing losses. Most evidence suggests that OME in CP patients is a complication of inefficient Eustachian tube function (ETF). We plan to use our most complete tests to characterize ETF in CP infants tested at age 5-24 months and followed up through age 6 years by yearly collection of clinical data for the presence/absence of OME and repeat ETF testing. To obtain anatomical data, we will obtain basal and lateral cephalograms at age 3 years in all subjects and perform MRI tests prepalatoplasty when possible and then at 3 and 5 years on a subset of the enrolled children. Functional-anatomical reconstructions based on the MRI data will be studied for the mechanical interactions underlying the phenomenon of ET constriction in CP patients and examined for the possibility of surgical interventions to correct identified abnormal interactions.

 
Observational
Cohort, Prospective
Cleft Palate
 
children with cleft palate birth-24 months of age
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
220
 
 

Inclusion Criteria:

  • birth-24 months
  • unrepaired or recently repaired cleft palate

Exclusion Criteria:

  • cleft palate associated with syndrome
  • known immune deficiency
Both
up to 24 Months
No
Contact: Kathy Tekely, RN 412-692-5463
Contact: Ellen Mandel, MD 412-692-5463
United States
 
NCT00423072
William J. Doyle, PhD, University of Pittsburgh School of Medicine
0607009, NIH 1P50DC007667
Children's Hospital of Pittsburgh
National Institute on Deafness and Other Communication Disorders (NIDCD)
Principal Investigator: William Doyle, PhD Children's Hospital of Pittsburgh
Study Director: Cuneyt Alper, MD Children's Hospital of Pittsburgh
Children's Hospital of Pittsburgh
February 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP