Broen P A, Moller K T, Carlstrom J, Doyle S S, Devers M, Keenan K M
Department of Communication Disorders, University of Minnesota, Minneapolis 55455, USA.
Cleft Palate Craniofac J. 1996 Mar;33(2):127-33. doi: 10.1597/1545-1569_1996_033_0127_cothho_2.3.co_2.
Aggressive otologic management has been recommended for children with cleft palate because of the almost universal occurrence of otitis media with effusion (OME) in these children and the association of OME with hearing loss and possible language, cognitive, and academic delays. In this study, 28 children with cleft palate and 29 noncleft children were seen at 3-month intervals from 9 to 30 months to compare otologic treatment and management. Hearing and middle ear function were tested at each session; information on ventilation tube placement was obtained from medical records. Ventilation tubes were placed earlier and more often in children with cleft palate, but children with cleft palates failed the hearing screening more often. The correlation between age at first tube placement and frequency of hearing screening failures was significant for the children with cleft palate, indicating that the later tubes were first placed, the poorer the child's hearing.
由于腭裂患儿几乎普遍患有中耳积液（OME），且OME与听力损失以及可能的语言、认知和学业发育迟缓有关，因此建议对腭裂患儿进行积极的耳科治疗。在本研究中，对28名腭裂患儿和29名非腭裂患儿从9个月至30个月每隔3个月进行一次检查，以比较耳科治疗和管理情况。每次检查时都对听力和中耳功能进行测试；从病历中获取有关置管的信息。腭裂患儿置管时间更早且更频繁，但腭裂患儿听力筛查失败的情况更常见。对于腭裂患儿，首次置管年龄与听力筛查失败频率之间的相关性显著，这表明首次置管时间越晚，患儿的听力越差。
