腭裂修复术对中耳功能的影响

The effect of palate repair on middle ear function

为研究腭裂修复术对中耳功能的影响，应用声导抗及耳镜检查，以43例腭裂患者于腭裂修复术前及术后半年，进行分泌性中耳炎（SOM）发病情况及中耳功能检测。资料显示：SOM发病率术前为61．63％（53／86），≤9岁患儿发病率高于＞9岁患儿（P＜0．05）；腭裂类型对SOM的发生率无影响（P＞0．05）；腭裂修复术后患者SOM发病率有所下降，中耳功能较术前均有明显改善（P＜0.01）。表明腭裂患者SOM发病率高；腭裂修复术能够使患者的中耳功能得到一定程度的改善。

By means of acoustic impadance and otoscopic examinations the middle ear function and incidence of secretory otitis media (SOM) were demonstrated in 43 cases of cleft palate children pre-and post palatal closure. The results showed that 61. 36% of the 86 ears had SOM prior to palatal closure and there was no difference between cleft types (P >0. 05). The patient with the age of 9 years or less have higher incidence of SOM than the older ones (P <0. 05). The study indicated that the middle ear status can be improved by palatal surgery for the cleft palate children.