Nery Cláudio de Góis, Buranello Fernando Stefanato, Pereira Cícero, Di Francesco Renata Cantisani
Departamento de Ortodontia, UFG, São Paulo.
Braz J Otorhinolaryngol. 2011 Jan-Feb;77(1):84-7. doi: 10.1590/s1808-86942011000100014.
Abnormalities in craniofacial morphology are associated with Eustachian tube dysfunction and otitis media with effusion (OME). to evaluate the relationship between facial pattern and craniofacial growth direction, and OME in children with enlarged tonsils and adenoids (ETA). Clinical prospective survey in 79 children (41 male and 38 female), ranging from 4 to 10 years of age, with tonsil and adenoid enlargement (Brodsky's grades III and IV). Forty children presented with OME (study group) and 39 did not (control group). Cephalometric analysis was used to determine the facial pattern. There was no correlation observed between facial pattern and OME (c 2 = 0.25 = 0.88). Facial Axis was larger in the OME group (F(1.75) = 3.68 = 0.05) and the Lower Anterior Facial height was smaller (F(1. 75) = 3.99 = 0.05) in children with otitis media with effusion. There was no correlation between OME and facial pattern in children with ETA although a more horizontal facial growth direction, and a smaller lower anterior facial height was observed consistently among subjects in this group. This suggests that abnormal positioning of the eustachian tube influences the development of OME in children with ETA.
颅面形态异常与咽鼓管功能障碍及分泌性中耳炎（OME）相关。本研究旨在评估扁桃体和腺样体肥大（ETA）患儿的面型与颅面生长方向及OME之间的关系。对79名年龄在4至10岁、扁桃体和腺样体肿大（布罗德斯基分级III级和IV级）的儿童（41名男性和38名女性）进行了临床前瞻性调查。40名儿童患有OME（研究组），39名儿童未患OME（对照组）。采用头影测量分析来确定面型。未观察到面型与OME之间存在相关性（c² = 0.25，P = 0.88）。分泌性中耳炎患儿的面轴在OME组中更大（F(1,75) = 3.68，P = 0.05），而下前面部高度更小（F(1,75) = 3.99，P = 0.05）。在ETA患儿中，虽然该组受试者始终观察到更水平的面部生长方向和更小的下前面部高度，但OME与面型之间没有相关性。这表明咽鼓管的异常位置会影响ETA患儿OME的发生发展。
