Chaudhuri P K, Bowen-Jones E
J Laryngol Otol. 1978 Jan;92(1):29-40. doi: 10.1017/s0022215100084899.
An otorhinological study of 245 children with cleft palate was carried out in two groups from two different hospitals. The incidences of deafness and exudative otitis media were much higher in the group where each child was seen by an otologist and hearing tested by audiogram. The lower incidence in the second group could be explained by the fact that a large number of children with exudative otitis media and deafness were missed as they were neither routinely seen by an otologist nor were they screened by audiograms. We found 37% of asymptomatic children were deaf. It is important therefore that all children with clefts of the palate should be seen by an otologist and investigated by audiogram and impedance test. The incidence of deafness was less if the cleft involved soft palate only and if the palate was repaired early. The incidence was also less in children who had their tonsils and adenoids removed. Infracture of the pterygoid hamulus during the repair of the soft palate failed to show any increase in the incidence of deafness. In this study we found a higher incidence of deafness amongst children with nasal escape. Fifty per cent of the children with clefts of the palate and lip had deviated nasal septum producing nasal obstruction.
在两家不同医院对245名腭裂患儿进行了耳鼻喉科研究，并分为两组。在由耳科医生对每个患儿进行检查并通过听力图进行听力测试的组中，耳聋和渗出性中耳炎的发生率要高得多。第二组发生率较低的原因是，大量患有渗出性中耳炎和耳聋的患儿未被发现，因为他们既没有由耳科医生进行常规检查，也没有通过听力图进行筛查。我们发现37%的无症状患儿存在耳聋。因此，重要的是所有腭裂患儿都应由耳科医生检查，并通过听力图和阻抗测试进行评估。如果腭裂仅累及软腭且腭裂修复较早，耳聋的发生率较低。扁桃体和腺样体切除的患儿中发生率也较低。软腭修复过程中翼钩骨折并未显示耳聋发生率有任何增加。在本研究中，我们发现有鼻漏的患儿中耳聋发生率较高。50%的唇腭裂患儿有鼻中隔偏曲导致鼻塞。
