Jin Lei, Li Keyong, Li Xiaoyan
a Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine , Department of Otolaryngology, Head and Neck Surgery , Shanghai , China.
b Shanghai Children's Hospital, Shanghai Jiao Tong University, Department of Otolaryngology, Head and Neck Surgery , Shanghai , China.
Acta Otolaryngol. 2019 Jan;139(1):1-5. doi: 10.1080/00016489.2018.1522449. Epub 2019 Feb 3.
Diagnosis and treatment strategies for CP with OME and the timing of ear tube insertion remain controversial.
To analyze the clinical outcomes of otitis media with effusion in children with incomplete cleft palate after palatoplasty prospectively.
A total of 30 children (10 months-2 years old) with incomplete CP were enrolled in this study and received at least 6 months of follow-up evaluations after palatoplasty.
The overall improvement rate of OME was as high as 26% in this group. Average air conduction hearing threshold was significantly better than that before surgery in the 8 patients with improved OME (p < .05). Among the 8 children with improved OME, 7 (87.5%) were found to have middle ear effusion that improved within 6 months after CP repair. There was no significant difference in the improvement rate between the severe degree II group and the mild group.
A 6-month follow-up period is recommended. The severity of incomplete CP is not fully related to the function of the eustachian tube.
The overall improvement rate was as high as 26%, and effusion in the tympanic cavity subsided in 7 out of 8 cases within 6 months after the CP repair.
腭裂伴中耳积液（OME）的诊断和治疗策略以及鼓膜置管时机仍存在争议。
前瞻性分析腭裂修复术后不完全性腭裂患儿中耳积液的临床结局。
本研究共纳入30例年龄在10个月至2岁之间的不完全性腭裂患儿，腭裂修复术后接受至少6个月的随访评估。
该组OME的总体改善率高达26%。8例OME改善的患儿平均气导听力阈值明显优于术前（p < 0.05）。在8例OME改善的患儿中，7例（87.5%）中耳积液在腭裂修复术后6个月内改善。重度II组和轻度组的改善率无显著差异。
建议随访6个月。不完全性腭裂的严重程度与咽鼓管功能不完全相关。
总体改善率高达26%，8例中有7例鼓膜腔积液在腭裂修复术后6个月内消退。
