Trujillo L
Phoniatric Department, Hospital San Juan de Dios, Caracas, Venezuela.
Folia Phoniatr Logop. 1994;46(3):123-6. doi: 10.1159/000266303.
One of the most common complications of cleft palate patients is the high frequency of otitis media episodes that they present, due to eustachian tube dysfunction. This is not only a problem for the otolaryngologist who must handle these patients, but just as well for the phoniatrician, who must evaluate and rehabilitate the speech and language disorders which can be enhanced by conductive hearing loss. Thus, we designed an isometric exercise to achieve an artificial drainage of the secretions produced in the middle ear, by means of opening the lumen of the eustachian tube, which, when done frequently enough, proved to be an excellent way to prevent secretions from remaining long enough in the middle ear cavity so as to have a secondary infection, that would lead to otitis media and subsequent conductive hearing loss. Isometric exercise also develops the muscles of each hemi-uvula.
腭裂患者最常见的并发症之一是由于咽鼓管功能障碍而频繁出现中耳炎发作。这不仅给必须治疗这些患者的耳鼻喉科医生带来问题，对于语音治疗师来说也是如此，他们必须评估和康复可能因传导性听力损失而加重的言语和语言障碍。因此，我们设计了一种等长运动，通过打开咽鼓管腔来实现中耳产生分泌物的人工引流，当这种运动进行得足够频繁时，被证明是一种很好的方法，可以防止分泌物在中耳腔内停留足够长的时间而引发继发感染，继发感染会导致中耳炎和随后的传导性听力损失。等长运动还能锻炼每个半小舌的肌肉。
