Kemaloğlu Y K, Göksu N, Ozbilen S, Akyildiz N
Gazi University, Faculty of Medicine, Department of Otorhinolaryngology, Besevler, Ankara, Türkiye.
Int J Pediatr Otorhinolaryngol. 1995 Apr;32(1):69-76. doi: 10.1016/0165-5876(94)01117-g.
Secretory otitis media (SOM) is a disease of childhood, and this period is characterized by active growing of the craniofacial skeleton (CFS). In this study, we purposed to answer the question 'how deviations in CFS play a role in ethiopathogenesis of SOM'? Therefore, we evaluated the 'mastoid-middle ear-Eustachian tube (M-ME-ET) system' in 30 SOM cases and 30 healthy children by using lateral cephalographies on which reference points and one line related to CFS and 'M-ME-ET system' were pointed. The results disclosed that the bony Eustachian tube, the vertical portion of the tensor veli palatini (TVP) muscle and the mastoid air cell system were smaller in SOM cases. In the view of the statements of Enlow (1990) on craniofacial growth, we suggest that the deviations in the growth process of the nasomaxillary complex lead to corresponding imbalances in the bony tube and vertical portion of the TVP. However, since regional imbalances often tend to compensate for one another to provide functional equilibrium (Enlow, 1990), improvement of the tubal function occurs with age.
分泌性中耳炎（SOM）是一种儿童疾病，而这个时期的特点是颅面骨骼（CFS）生长活跃。在本研究中，我们旨在回答“CFS的偏差如何在SOM的病因发病机制中起作用”这个问题？因此，我们通过使用头颅侧位片对30例SOM患儿和30名健康儿童的“乳突-中耳-咽鼓管（M-ME-ET）系统”进行了评估，在头颅侧位片上标记了与CFS和“M-ME-ET系统”相关的参考点和一条线。结果显示，SOM患儿的骨性咽鼓管、腭帆张肌（TVP）的垂直部分和乳突气房系统较小。根据恩洛（1990年）关于颅面生长的论述，我们认为鼻上颌复合体生长过程中的偏差会导致骨性咽鼓管和TVP垂直部分出现相应的失衡。然而，由于局部失衡往往倾向于相互补偿以提供功能平衡（恩洛，1990年），随着年龄的增长，咽鼓管功能会得到改善。
