腭裂手术和鼓室置管对中耳功能的影响

目的:了解早期腭裂整复术和鼓室置管术对患者的听力及中耳功能的影响。方法:比较已做腭裂整复术但仍伴分泌性中耳炎的22侧患耳鼓室置管前后及38例行腭裂整复术患者术前术后听力及中耳功能变化。结果:22 侧鼓室置管患耳听阈平均提高了17 dB;早期腭裂修复术对患者中耳功能有一定的改善但尚无统计学差异(P> 0105)。结论:对伴发分泌性中耳炎的腭裂患者应积极采用置管术以改善患者的听力,利于语言的学习。

The Influence of Palatoplasty and Tympanotomy on Middle Ear Function in Cleft Palate Patients

Objective:The aim of this study is to explore the influence of palatoplasty and tympanotomy on middle ear function or hearing condition in cleft palate patients.Methods:A total of 22 ears with otitis media with effusion in cleft palate patients were inserted with PE tubes, and Pre_and post_operative hearing level and middle ear function in these patients were tested and compared respectively, in order to demonstrate the action of tympanotomy and PE insertion on hearing and middle ear function. Another 38 patients with cleft palate were operated in their early age with the proper operation method, and pre_ and post_operative middle ear function were examined and compared to show the influence of the operation on the middle ear function.Results:PE Tube insertion and tympanotomy changed the pressure condition of middle ear cavity and raised the hearing level about 17dB in the middle_ear_diseased cleft palate patients, and patients with palatoplasty did not show obvious changes in middle ear function in the short_term trail. Conclusion:Early and active tympanotomy do help in improving the function of the middle ear, and it is suggested to improve patients' hearing and middle ear function as early as possible. Palatoplasty did not affect the function of middle ear.