Audiološki profil pacijenata s rascjepom nepca

master's thesis

• Title (english): Audiological profile of patients with cleft palate
• Author: Barbara Klarić
• Mentor: Luka Bonetti (mentor)
• Committee member: Luka Bonetti (predsjednik povjerenstva)
• Committee member: Iva Hrastinski (član povjerenstva)
• Committee member: Marina Milković (član povjerenstva)
• Granter: University of Zagreb; Faculty of Education and Rehabilitation Sciences; Zagreb
• Defense date and country: 2020-09-16, Croatia
• Scientific / art field, discipline and subdiscipline: SOCIAL SCIENCES; Speech Therapy

Abstract

Rascjepi usne i nepca ubrajaju se među najčešće kongenitalne malformacije glave i vrata, s procijenjenom incidencijom od 1,25 na 1000 novorođene djece. Ovaj kompleksan i multidimenzionalan fenomen utječe na izgled, gutanje, hranjenje, sluh, govor, glas te cjelokupnu kvalitetu života pojedinca, zbog čega njegovo uspješno liječenje ovisi o multidisciplinarnoj suradnji stručnjaka različitih profila. Rascjep nepca usko je vezan uz disfunkciju Eustahijeve tube uslijed koje dolazi do izljeva tekućine u srednje uho koja, zbog nedostatne ventilacije, tamo i perzistira, uzrokujući tako sekretornu upalu srednjeg uha. Takvo patološko stanje srednjeg uha se javlja kod oko 90% djece s rascjepom nepca te ga prati provodno oštećenje sluha. Ugradnja ventilacijskih cjevčica u timpansku membranu je najčešći kirurški odabir liječenja sekretorne upale srednjeg uha, no pitanje njihovog učinka i dugoročne koristi je i dalje kontroverzno. Ovim radom nastoji se dati pregled dosadašnjih istraživanja i spoznaja iz recentne literature o mehanizmu nastanka i obilježjima oštećenja sluha kod pacijenata s rascjepom nepca te prednostima i manama pojedinih intervencijskih opcija. Prepoznavanje dugoročnih audioloških ishoda osoba s rascjepom nepca i njihovih implikacija iznimno je važno za osiguravanje njihove najbolje moguće kvalitete života, stoga je svrha ovog rada ukazati na potrebu kontinuiranog praćenja audiološkog statusa ove populacije kroz djetinjstvo, adolescenciju i odraslu dob.

Abstract (english)

Cleft lip and palate is one of the most common congenital head and neck malformations with an estimated incidence of 1,25 in 1000 newborn children. Because this complex and multidimensional phenomenon affects one's appearance, swallowing, feeding, hearing, speech, voice, and overall quality of life, its successful management requires multidisciplinary teamwork. Cleft palate is associated with Eustachian tube dysfunction which leads to secretion of fluid into the middle ear space. Inadequate ventilation of the middle ear results in persistence of fluid causing otitis media with effusion. This type of middle ear pathology occurs in about 90% cases of cleft palate and is accompanied by conductive hearing loss.
Despite the fact that the insertion of ventilation tubes into the tympanic membrane is the most common surgical choice for treating otitis media with effusion, its effectiveness and long term benefit is still controversial. The objective of this paper is to provide a review of current studies and recent knowledge about mechanism of pathophysiology and characteristics of hearing loss in cleft palate population including pros and cons of different intervention approaches. Acknowledging long term hearing outcomes in patients with cleft palate and their implications is incredibly important for attaining the best possible quality of life, therefore, the purpose of this paper is to express the need for regular audiological follow ups all through childhood, adolescence and adulthood.

• Keywords: rascjep nepca; sekretorna upala srednjeg uha; provodno oštećenje sluha; ventilacijske cjevčice
• Keywords (english): cleft palate; otitis media with effusion; conductive hearing loss; ventilation tubes
• Language: croatian
• URN:NBN: urn:nbn:hr:158:755726
• Study programme: Title: Graduate study of Speech and Language Pathology; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra logopedije (magistar/magistra logopedije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2020-10-26 13:36:55