Laczkowska-Przybylska J, Szyfter W
Klinika Otolaryngologii Katedry Chorób Ucha, Nosa, Gardła i Krtani im. K. Marcinkowskiego w Poznaniu.
Otolaryngol Pol. 1999;53(1):83-6.
61 patients with Down's syndrome were examined. Otitis media was diagnosed in 19 patients. Conductive hearing impairment after otitis media was observed in pure tone audiometry and speech audiometry. It was emphasized that conductive hearing loss in children with Down's syndrome is a very important factor in retarded speech development. Children with recurrent otitis media were treated by surgery (9 adenotomies) and conservative treatment such as insufflation and catheterisation of Eustachian tubes, pharmacotherapy. Treatment of otitis media was difficult because of anatomical anomalies of facialocranium, atrophic mucous membrane of upper respiratory tract, reduced immunity.
对61例唐氏综合征患者进行了检查。19例被诊断为中耳炎。在纯音听力测定和言语听力测定中观察到中耳炎后的传导性听力障碍。强调唐氏综合征患儿的传导性听力损失是言语发育迟缓的一个非常重要的因素。复发性中耳炎患儿接受了手术治疗(9例腺样体切除术)以及诸如咽鼓管吹张和置管、药物治疗等保守治疗。由于面颅解剖异常、上呼吸道黏膜萎缩、免疫力降低,中耳炎的治疗很困难。