Formula Otorrhea in Pediatric Patients With Cleft Palate

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

Research output: Contribution to journalArticlepeer-review


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 languageEnglish (US)
Pages (from-to)1029-1031
Number of pages3
JournalCleft Palate Journal
Issue number8
StatePublished - Aug 2023

Bibliographical note

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


  • hearing loss
  • palatal development
  • palatoplasty
  • quality of life

PubMed: MeSH publication types

  • Journal Article


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