Lokman S, Loh T, Said H, Omar I
Department of Otorhinolaryngology, Medical Faculty, Universiti Kebangsaan Malaysia.
Med J Malaysia. 1992 Mar;47(1):51-5.
For a complete overall rehabilitation of cleft palate patients a multi-disciplinary approach should be adopted. Plastic and Head and Neck Surgeons in whom most of the treatment are entrusted should be concerned not only at achieving palatal function and cosmetic acceptability but also the various other problems associated with cleft palate especially hearing loss. In this study, 66 patients with repaired and unrepaired cleft palates were examined for the presence of hearing loss due to middle ear effusion. The incidence of middle ear effusion was high (57.6%). It was also found that only eight of these patients (12.1%) ever complained of hearing loss or any associated symptoms and repair of the cleft palate did not influence the incidence of middle ear effusion. As such, screening should be done in all cleft palates and otolaryngologists should therefore play an important role in the multi-disciplinary team which should comprise the paediatrician, plastic surgeon, speech therapist, orthodontist and dental specialist.
对于腭裂患者的全面康复，应采用多学科方法。大部分治疗工作委托给的整形外科医生和头颈外科医生不仅应关注实现腭部功能和外观可接受性，还应关注与腭裂相关的各种其他问题，尤其是听力损失。在本研究中，对66例腭裂已修复和未修复的患者进行了中耳积液导致的听力损失检查。中耳积液的发生率很高（57.6%）。还发现这些患者中只有8例（12.1%）曾抱怨听力损失或任何相关症状，并且腭裂修复并不影响中耳积液的发生率。因此，应对所有腭裂患者进行筛查，耳鼻喉科医生应在由儿科医生、整形外科医生、言语治疗师、正畸医生和牙科专家组成的多学科团队中发挥重要作用。
