Durr D G, Shapiro R S
Department of Otolaryngology, McGill University, Montreal, Quebec, Canada.
Am J Dis Child. 1989 Jan;143(1):75-7. doi: 10.1001/archpedi.1989.02150130085020.
A study of ear disease in children with congenital velopharyngeal insufficiency (VPI) was undertaken. A retrospective chart analysis of 80 cases of VPI formed the basis of this review. Thirty-seven percent of the children had evidence of middle ear disease, with middle ear effusion and recurrent otitis media being the most frequent findings. Thirty-one percent had abnormal audiograms, with 20% having a conductive or mixed hearing loss. Overall, 46% of the children had otologic manifestations, indicating the need for the pediatrician and the otolaryngologist together to be actively involved in the evaluation and treatment of this group of children, starting in early infancy.
对患有先天性腭咽闭合不全（VPI）的儿童耳部疾病进行了一项研究。对80例VPI病例进行回顾性病历分析构成了本综述的基础。37%的儿童有中耳疾病的证据，中耳积液和复发性中耳炎是最常见的表现。31%的儿童听力图异常，20%有传导性或混合性听力损失。总体而言，46%的儿童有耳部表现，这表明儿科医生和耳鼻喉科医生需要共同积极参与这组儿童从婴儿早期开始的评估和治疗。
