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唇腭裂患儿中耳积液的发病率及长期临床结果

Incidence of otitis media with effusion and long-term clinical findings in children with cleft lip and palate types.

作者信息

Çağlar Özge, Bülbül Figen, Sennaroğlu Levent

机构信息

Department of Otolaryngology, Medicine Faculty of Hacettepe University, 06100 Sıhhiye, Ankara, Turkey.

出版信息

Kulak Burun Bogaz Ihtis Derg. 2013 Sep-Oct;23(5):268-74. doi: 10.5606/kbbihtisas.2013.52724.

DOI:10.5606/kbbihtisas.2013.52724
PMID:24010800
Abstract

OBJECTIVES

This study aims to investigate the incidence of otitis media with effusion and to report long-term clinical findings in children with cleft lip and palate types.

PATIENTS AND METHODS

Between March 2000 - October 2010, medical data of 175 patients (84 females, 95 males; mean age 8 years; range, 4 to 20 years) who were operated due to otitis media with effusion with long-term follow-up data were retrospectively analyzed.

RESULTS

A total of 105 patients had a complete cleft lip and palate. In the first examination, 134 patients had ear effusion, the eustachian tube were not patent in 146 patients, and middle ear pressure was measured as -200 and below in 121 patients. After the operations, the eardrums had ear effusion in 89 patients, in 93 patients middle ear pressure was lower than -200, and 11 patients had chronic otitis media in the final examination.

CONCLUSION

Our study results suggested that there was a statistically significant relationship among the middle ear disease, function of eustachian tube, treatment outcomes, middle ear pressure, cleft palate type and bilaterality of the disease. We believe that it is of utmost importance as it may affect the treatment process and the patient follow-up in such patients.

摘要

目的

本研究旨在调查分泌性中耳炎的发病率,并报告唇腭裂类型患儿的长期临床结果。

患者与方法

回顾性分析2000年3月至2010年10月间175例因分泌性中耳炎接受手术且有长期随访数据患者的医疗资料(84例女性,95例男性;平均年龄8岁;范围4至20岁)。

结果

共有105例患者患有完全性唇腭裂。初次检查时,134例患者有耳积液,146例患者咽鼓管不通畅,121例患者中耳压力测量为-200及以下。手术后,89例患者鼓膜有耳积液,93例患者中耳压力低于-200,最后检查时有11例患者患有慢性中耳炎。

结论

我们的研究结果表明,中耳疾病、咽鼓管功能、治疗结果、中耳压力、腭裂类型和疾病双侧性之间存在统计学上的显著关系。我们认为这至关重要,因为它可能影响此类患者的治疗过程和随访。

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