Liu Lin, Sun Yong-gang, Ma Lian, Zhao Wei, Wu Rong
Peking University School of Stomatology, Beijing 100081, China.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2004 Apr;39(4):216-8.
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.
探讨腭裂修复术中鼓膜置管对减轻腭裂患者中耳积液（OME）及听力损失的效果。
19例患有OME及听力损失的腭裂患儿的19只耳朵在腭裂修复术中进行了鼓膜置管治疗，而未治疗的对侧耳朵作为对照组。所有患者术后2周~18个月进行随访，通过耳镜检查和纯音听力测定重新评估中耳状况和听力阈值。
治疗耳术前和术后患者的听力损失发生率存在显著差异，未治疗耳无差异。术后听力阈值低于术前，且治疗耳未发现严重并发症。
中耳置管对恢复腭裂患者因OME导致的听力损害安全有效。它可作为腭裂患儿OME和听力损失的常规治疗方法。
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