Structural abnormalities of the central auditory pathway in infants with nonsyndromic cleft lip and/or palate

Cleft Palate Craniofac J. 2012 Mar;49(2):137-45. doi: 10.1597/11-014. Epub 2011 Aug 17.

Abstract

Objective: To investigate possible structural abnormalities of the central auditory pathway in infants with nonsyndromic cleft lip and/or palate (NSCL/P).

Participants: Twenty-seven Chinese infants with NSCL/P, aged from 6 to 24 months.

Intervention: Morphological magnetic resonance imaging (MRI) measurements of the central auditory nervous system (CANS) in infants with NSCL/P were analyzed and compared with those of age- and sex-matched normal controls.

Results: No significant group differences were found in general brain measurements, including volumes of the brain stem and right hemisphere. However, infants with NSCL/P had statistically significantly smaller volumes of the left thalamus and left auditory cortex and notably decreased thickness of the left auditory cortex.

Conclusion: Cortical abnormalities were more marked compared with other MRI measurements. Structural CANS abnormalities in infants with NSCL/P may be located mainly in the left cerebral hemisphere. The development and maturation of the auditory cortex in infants with NSCL/P may be abnormal when compared with those of normal children.

MeSH terms

  • Audiometry
  • Auditory Pathways / abnormalities*
  • China
  • Cleft Lip / physiopathology*
  • Cleft Palate / physiopathology*
  • Female
  • Humans
  • Infant
  • Magnetic Resonance Imaging
  • Male