腭裂患儿渗出性中耳炎与听力减退的发病情况  

Otitis Media with Effusion and Hearing Loss in Cleft Palate Children

作　　者：朱宁文 王有祥[1] 孙湧泉 蔡润琦 

机构地区：[1]英国凡恩赛医院,山东医科大学附属医院

出　　处：《华西口腔医学杂志》1996年第4期296-298,共3页West China Journal of Stomatology

摘　　要：对５６例腭裂患儿和５０例正常儿童的渗出性中耳炎及听力减退的发病情况进行了观察。研究对象年龄在５～１４岁．所有儿童均进行耳科常规检查，听力测验及声阻抗检查。发现腭裂患儿渗出性中耳炎的发病率高，为４６％；正常对照儿童为６％。腭裂患儿听力减退的发生率也明显高于对照儿童，语言频率气－骨导差值在１１ｄＢ以上者占５７％，而对照儿童仅占４％。腭裂患儿的合理治疗需要多科医师的共同配合完成，而且还不应忽视与腭裂相关的其它问题，特别是听力减退。Middle ear problems in children with cleft Palate have received inadequate attention in the past years.The present study was designed to evaluate the prevalence of otitis media with effusion and hearing loss among 56 children with cleft palate, and in a control group of 50 children without cleft palate. The children's ages ranged from 5 to 14 years.All children underwent routine otoscopic examination of the ears, nose, and throat.They were also examined using a Madsen acoustic impedance and Magashima audiometer. A significantly (P<0.0001)greater prevalence of otitis media with effusion was found among children with cleft palate (46%)than in the group with normal palate(6%).Children with cleft palate had significantly poorer hearing than that of children without cleft palate. The authors findings indicated that 57% of children with cleft palate had a significantly air-bone gap greater than 11 dB. A muti-disciplinary approach should be adopted for a complete overall rehabilitation of cleft palate children. Cleft palate specialist who are concerned with most of the treatments in these cases should aim not only at achieving palatal function and acceptable speech, but should also consider the various other problems associated with cleft palate, especially hearing loss.

关 键 词：腭裂 渗出性中耳炎 听力减退 儿童 

分 类 号：R782.22[医药卫生—口腔医学] R764.21[医药卫生—临床医学]