Yabe R, Abe M, Sawashima M
Nihon Jibiinkoka Gakkai Kaiho. 1989 Jul;92(7):1012-20. doi: 10.3950/jibiinkoka.92.1012.
The incidences of otitis media with effusion (OME), otoscopic findings of the ear drum, hearing acuity and tympanometric findings were evaluated in 56 cases of cleft palate (CP), 33 cases of submucous cleft palate (SMCP) and 25 cases of congenital velopharyngeal insufficiency without cleft (CVPI). In all the cases, the incidences of OME, the pathological findings in otoscopy and the hearing test were far poorer in the group 8 years old and up than in the younger group. In the younger age group, the incidence of OME was 69% among the CP group, 62% in the SMCP group and showed significantly less incidence in the CVPI group (28%). The incidence of pathological findings in the ear drum was significantly less in the CVPI group than in either the CP group or the SMCP group. Hearing impairment was more frequent in the CP group than in both the SMPC and CVPI groups, while fewer incidences of abnormal tympanogram were found in the CVPI group than in the other two groups. Nearly 14% of the younger CP group developed pathological findings after surgery for velopharyngeal improvement. Most cases were found after push back operations, but rare after pharyngeal flap operations.
对56例腭裂（CP）、33例黏膜下腭裂（SMCP）和25例无腭裂的先天性腭咽闭合不全（CVPI）患者，评估了中耳积液（OME）的发生率、鼓膜的耳镜检查结果、听力敏锐度和鼓室导抗图检查结果。在所有病例中，8岁及以上组的OME发生率、耳镜检查的病理结果和听力测试均比年龄较小的组差得多。在年龄较小的组中，CP组的OME发生率为69%，SMCP组为62%，而CVPI组的发生率显著较低（28%）。CVPI组鼓膜的病理检查结果发生率显著低于CP组和SMCP组。CP组的听力障碍比SMPC组和CVPI组更常见，而CVPI组鼓室导抗图异常的发生率比其他两组少。年龄较小的CP组中近14%的患者在进行腭咽改善手术后出现了病理检查结果。大多数病例是在推回手术之后发现的，但在咽瓣手术之后很少见。
