Doyle W J, Reilly J S, Jardini L, Rovnak S
Cleft Palate J. 1986 Jan;23(1):63-8.
Eustachian tube function of 24 children with cleft palate (37 ears) was evaluated longitudinally utilizing the inflation-deflation and forced-response tests before and after palatoplasty. Our results for children in this longitudinal study showed that the passive function of the tube was improved following palatoplasty. Active tubal function, which measures the muscle-induced tubal dilations, was little affected by the procedure. The majority of ears tested both before and after palatoplasty demonstrated tubal dilations with swallowing. In contrast, cross-sectional data conducted on the children with a history of otitis media and repaired cleft palates, documented a severe defect in this active tubal function with 70 percent of the tests evidencing a tubal constriction. These data suggest that the results of Eustachian tube function tests may be prognostic of the future course of ear disease in these children.
利用充气-放气试验和强制反应试验,对24例腭裂患儿(37耳)在腭裂修复术前和术后进行了咽鼓管功能的纵向评估。我们在这项纵向研究中对患儿的研究结果表明,腭裂修复术后咽鼓管的被动功能得到改善。测量肌肉引起的咽鼓管扩张的主动咽鼓管功能受该手术影响较小。大多数在腭裂修复术前和术后测试的耳朵在吞咽时都显示出咽鼓管扩张。相比之下,对有中耳炎病史且腭裂已修复的患儿进行的横断面数据记录显示,这种主动咽鼓管功能存在严重缺陷,70%的测试显示咽鼓管狭窄。这些数据表明,咽鼓管功能测试结果可能预示着这些患儿未来耳部疾病的发展进程。