Effect of ventilation tube insertion on otitis media with effusion in cleft palate children

目的观察鼓室置管术在治疗腭裂患儿分泌性中耳炎听力损失的疗效,探讨中耳通气管的选择、手术适应证及注意事项.方法双耳伴发分泌性中耳炎伴听力损失的住院腭裂患儿19例,平均年龄5.8岁,平均气导语频听阈较大的一侧耳在腭裂修复术同期行鼓室置管术,对侧未置管耳作为对照组,术后2周至18个月复查,比较置管组及对照组腭裂术前、术后听阈的变化情况.结果置管组耳术后平均气导语频听阈(27.0±6.5)dB较术前(42.7±8.2) dB显著降低,而对照组耳术前(29.0±6.1) dB、术后(27.0±4.1) dB听阈差异无显著性.置管组未见严重耳科并发症.结论腭裂修复术同期鼓室置管术安全、有效,可恢复患者听力,有利于腭裂术后语音学习.To explore the effect of eardrum tubing in the repair of cleft palate on alleviating the otitis media with effusion (OME) and hearing loss in cleft palate patients.Nineteen ears of 19 cleft palate children with OME and hearing loss were treated with the ventilation tube insertion in the repair of the cleft palates, while the untreated opposite ears were selected as the control group. All patients were followed up from 2 weeks to 18 months postoperatively and their middle ear condition and hearing thresholds were reevaluated by otoscopy and pure-tone audiometry.Significant differences were found in the incidences of hearing loss between pre and postoperative patients in treated ears, and there are no differences in the untreated ears. Postoperative hearing thresholds become lower than that before the operation and no serious complications were found in the treated ears.The ventilation tube insertion in medial ear is safe and effective to restore the hearing impaired by OME in the cleft palate patients. It can be used as a regular management for OME and hearing loss in cleft palate children.PubMed中文核心期刊要目总览(PKU)中国科学引文数据库(CSCD)04216-2183