Integrated assessment of middle ear dysfunction in cleft palate patients and optimization of therapeutic schedule
- VernacularTitle:腭裂中耳功能异常的综合评估及治疗方案的优化探讨
- Author:
Wenrong JIANG
1
;
Tao HE
;
Qian ZHENG
;
Wei ZHENG
;
Bing SHI
;
Chao YANG
;
Chenghao LI
Author Information
- Keywords: cleft palate; middle ear dysfunction; otitis media with effusion
- From: West China Journal of Stomatology 2015;(3):255-258
- CountryChina
- Language:Chinese
- Abstract: ObjectiveTo?explore?evaluation?strategies?for?middle?ear?dysfunction?in?cleft?palate?patients,?to?optimize?the?diagnosis?and?treatment?of?this?dysfunction,?and?ultimately?to?improve?the?comprehensive?treatment?of?cleft?palate.?Methods?The?relationship?among?abnormal?tympanic?types?(B,?C,?and?Anomaly),?effusion?rate,?tympanic?pressure,?and?hearing?loss?were?analyzed.?We?collected?relevant?information?on?469?ears?of?cleft?palate?patients?and?traced?one-year?longitudinal?changes?in?the?tympana?of?124?ears?from?62?patients?with?both?cleft?lip?and?cleft?palate.?Results???The?effusion?rates?of?cleft?palate?patients?with?type?B,?type?C,?and?type?Anomaly?were?50.3%?(97/193),?34.8%?(8/23),?and?20.9%?(53/253),?respectively.?The?tympanic?pressure?of?the?ears?with?and?without?effusion?showed?no?significant?difference?(P>0.05).?The?hearing?loss?in?type?B?cleft?palate?patients?with?middle?ear?effusion?was?worse?than?that?in?patients?without?effusion?(P=0.001). However, the hearing?loss?in?type?Anomaly?showed?no?difference?(P>0.05).?The?constituent?ratio?of?each?tympanic?type?remained?constant?during?the?period?between?cheiloplasty?and?palatoplasty?for?cleft?lip?and?palate?patients?(P>0.05).?Conclusion???Cleft?palate?patients?of?all?tympanic?types?may?all?suffer?from?middle?ear?effusion?at?different?rates.?Examination?by?centesis?is?suggested?for?ears?with?abnormal?tympanic?types.?Early?aggressive?therapy?is?essential?for?type?B?cleft?palate?patients?with?middle?ear?effusion?to?avoid?hearing?loss.?However,?catheterization?may?be?not?necessary?for?type?Anomaly?patients,?and?conservative?observation?should?be?performed?instead.?Myringotomy?with?grommet?insertion?during?palatoplasty?does?not?delay?treatment?timing?for?patients?with?both?cleft?lip?and?cleft?palateg.
