Formula Otorrhea in Pediatric Patients With Cleft Palate

Tyler Gathman; Janet S. Choi; Brianne Barnett Roby; Tina Huang

doi:10.1177/10556656221097822

Formula Otorrhea in Pediatric Patients With Cleft Palate

Tyler Gathman, Janet S. Choi, Brianne Barnett Roby, Tina Huang

Otolaryngology

Research output: Contribution to journal › Article › peer-review

Abstract

The case series details 2 unusual cases of male newborns with cleft lip and palate (CLP) that later developed formula otorrhea. Both patients underwent bilateral myringotomies with the insertion of pressure equalizing (PE) tubes for chronic otitis media with effusion (OME). Chronic otorrhea associated with feeding occurred post-PE tube insertion and the otorrhea was later confirmed to be due to reflux of formula. Patients were treated with antibiotic ear drops, routine ear cleaning, anti-reflux medication, and reflux precautions. After definite cleft palate repair, formula otorrhea completely resolved. When patients with CLP develop chronic OME or otorrhea following PE tube placement, reflux of formula into the middle ear should be considered and treated accordingly.

Original language	English (US)
Pages (from-to)	1029-1031
Number of pages	3
Journal	Cleft Palate Journal
Volume	60
Issue number	8
DOIs	https://doi.org/10.1177/10556656221097822
State	Published - Aug 2023

Bibliographical note

Publisher Copyright:
© 2022, American Cleft Palate-Craniofacial Association.

Keywords

hearing loss
palatal development
palatoplasty
quality of life

PubMed: MeSH publication types

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10.1177/10556656221097822

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abstract = "The case series details 2 unusual cases of male newborns with cleft lip and palate (CLP) that later developed formula otorrhea. Both patients underwent bilateral myringotomies with the insertion of pressure equalizing (PE) tubes for chronic otitis media with effusion (OME). Chronic otorrhea associated with feeding occurred post-PE tube insertion and the otorrhea was later confirmed to be due to reflux of formula. Patients were treated with antibiotic ear drops, routine ear cleaning, anti-reflux medication, and reflux precautions. After definite cleft palate repair, formula otorrhea completely resolved. When patients with CLP develop chronic OME or otorrhea following PE tube placement, reflux of formula into the middle ear should be considered and treated accordingly.",

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AU - Huang, Tina

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Formula Otorrhea in Pediatric Patients With Cleft Palate

Abstract

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