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Dentistry · Oral and maxillofacial surgery and facial fractures: cleft palate sequelae
Sample itemAn infant with an unrepaired cleft palate has recurrent middle ear problems with hearing loss. Which is the most common ear complication in these children?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Otitis media with effusion
Cleft palate disturbs the tensor veli palatini action on the eustachian tube, causing persistent middle ear effusion and conductive hearing loss. Hearing assessment and grommets are often needed.
Option by option
A. Meniere disease
Meniere disease is an inner ear fluid disorder with vertigo.
B. Otosclerosis
Otosclerosis is stapes fixation in adults.
C. Acoustic neuroma
Acoustic neuroma is a tumour of the vestibular nerve.
D. Otitis media with effusion (correct)
Correct. Eustachian dysfunction leads to effusion.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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