**Tympanostomy Tube Placement for Otitis Media with Effusion in Children with Cleft Lip and Palate Tympanostomy Tube Placement for Otitis Media with Effusion in Children with Cleft Lip and Palate**

Chin‐Lung Kuo and An‐Suey Shiao Chin‐Lung Kuo and An‐Suey Shiao Additional information is available at the end of the chapter

Additional information is available at the end of the chapter

http://dx.doi.org/10.5772/67122

#### **Abstract**

The condition of cleft lip/palate (CLP) in children is psychologically stressful for family members and debilitating for the patients themselves. These children must undergo a series of major invasive surgeries following birth, including cleft lip repair surgery, cleft palate repair surgery, bone grafting surgery, and dental implant surgery. Unfortunately, the clinical significance of otitis media with effusion (OME), a complication associated with CLP, is often overlooked, and very few studies have explored this condition in depth. This chapter reviews pathogenesis, clinical manifestations, consequences, exami‐ nation, and diagnosis related to OME in children with CLP. Controversies surrounding the treatment of OME in CLP children are also discussed. We also provide a flowchart for management guidance in OME in children with CLP.

**Keywords:** otitis media, middle ear effusion, cleft lip and palate, conductive hearing loss, grommet tube, children
