Paradise J L
Ann Otol Rhinol Laryngol. 1976 Mar-Apr;85(2 Suppl 25 Pt 2):285-8. doi: 10.1177/00034894760850S254.
Middle ear effusion is now generally recognized as a virtually universal complication in infants with cleft palate. Such infants may therefore be assumed to experience conductive hearing loss of some degree or other throughout infancy. Hoping to prevent not only deficits in intellectual and language development, but also permanent otic and auditory handicaps, we have routinely treated such infants as early as practicable with myringotomy and tympanostomy tube insertion. Subsequently, we have repeated the operation whenever blockage or extrusion of the tubes resulted in recurrence of persistent effusion. In this manner we have been able to maintain most infants in satisfactory middle ear status most of the time. Otorrhea, however, has been a frequent complication. Preliminary findings suggest that infants managed according to this regimen may eventually develop better language function than those not receiving such management. A current study is designed to test the advantages and disadvantages that might result from deferring the initial routine myringotomy until somewhate later in infancy.
中耳积液目前被普遍认为是腭裂婴儿几乎普遍存在的并发症。因此,可以假定此类婴儿在整个婴儿期都会经历某种程度的传导性听力损失。为了不仅预防智力和语言发育缺陷,还预防永久性耳部和听觉障碍,我们常规地在可行的情况下尽早对这类婴儿进行鼓膜切开术和鼓膜造孔管插入术治疗。随后,每当导管堵塞或脱出导致持续性积液复发时,我们都会重复该手术。通过这种方式,我们能够使大多数婴儿在大多数时间保持满意的中耳状态。然而,耳漏一直是一种常见的并发症。初步研究结果表明,按照这种方案治疗的婴儿最终可能比未接受此类治疗的婴儿发展出更好的语言功能。当前的一项研究旨在测试将初始常规鼓膜切开术推迟到婴儿期稍晚些时候可能产生的优缺点。