timberland scarpe Same period in the middle ear cl

xp574088 · Wysłany: Wto 15:13, 15 Mar 2011

Same period in the middle ear cleft palate repair treatment of otitis media with effusion tube

3 ear ventilation tube obstruction were given timely treatment, the rest of the ventilation tube in the position of each referral and ventilation conditions are good, 12-month return visit or remove the snorkel off on their own, after falling off the tympanic membrane visible scar, retraction, most of the tympanic membrane normal. Catheter group and the conventional group before surgery, the average response threshold of wave v, hearing loss and tympanometry for statistical comparison in Table l ~ 3. Yuan an ear tube group and the conventional group mean response threshold crossing v = 1l62, P O05 Yuan 2, group and the conventional tube middle ear hearing loss group routine inspection group of normal catheter group (%) Mild (%) moderate (%) Normal (%) Mild (%) moderate (%) Wood before 0 (0.0) 15 (33.3) 30 (667) 0 (00) ~ 3 (419) 18 (58I) of wood after the 16 (356) 25 (55.6) 4 (8 Cool

4 (12. 9) ~ 6 (516) II (355) = 388, P (0001; = 246, P> 005 Yuan 3,[link widoczny dla zalogowanych], middle group and the conventional group home attic Wai (A, B type) compared 3 (2 = 40.65, P 005 Discussion 1. palate in patients with middle ear dysfunction and hearing loss causes and effects: abnormal eustachian tube function in cleft palate patients due account for 75-83%, 8341% J. tympanic poor ventilation, negative pressure was abnormal, while abnormal mucus intratympanic eustachian tube can not be discharged from the block, so that the drum room full of viscous liquid, was non-suppurative otitis media. sometimes complicated by tympanic membrane perforation, cholesteatoma, adhesive otitis media caused by permanent hearing loss. currently no effective treatment of adhesive otitis media _] l4J, and should therefore be avoided. but more serious is the development of language features, seriously affect the psychological development of children with cleft palate, learning ability and subsequent work and study. myringotomy in purpose is to act ear tube eustachian tube function, reduce or avoid hearing loss, but also conducive to language development. 2. in cleft palate patients abroad to carry out routine examination and treatment of middle ear function. In 1954 the first time by the American scholar BeverlyWArnstrorag Tympanotomy to address the problem of secretory otitis media has been widely used to treat middle ear disease _6 』cleft palate patients. intratympanic catheter to keep the purpose of ventilation, exhaust, revolves around thick liquid, took the eustachian tube function, reduce or avoid hearing loss in children with cleft palate. palate same tube to repair the middle ear otitis media with effusion and improve treatment of hearing, the treatment is better than cleft palate repair surgery. From a clinical point of view confirmed in the same period myringotomy the middle ear cleft palate repair tube, which can effectively eliminate the middle ear effusion, rapid recovery of hearing, can be used as otitis media with effusion in patients with cleft palate and hearing loss,[link widoczny dla zalogowanych], conventional surgery, with surgical injury is simple, effective,[link widoczny dla zalogowanych], etc., should be widely applied. 3. palate repair earlier myringotomy the middle ear tube has the following advantages: ① improve eustachian tube function, reduce or avoid the hearing loss,[link widoczny dla zalogowanych], which will help children with language and mental development; ② simple operation, to avoid the second operation, to reduce the pain and expense of patients; ③ sequence cleft lip and palate treatment in line with modern views. Tympanotomy tube should be noted: ① inner tube after endoscopic examination twice a week to observe the position through the trachea, ventilation conditions and a non-blocking; ② postoperative catheter orderly and chymotrypsin alternating antibiotic eardrops to prevent middle ear bacterial infections; ③ When the regular review of catheter obstruction is found to be smooth in time and resume,[link widoczny dla zalogowanych], found off tube, such as healing of the drum interior into holes possible review tympanogram, type B tympanogram is still possible second tube, smooth drum pipe can be retained for one year review schedule should be removed or fall off; ④ periodic review evaluation of middle ear function and hearing cases, and preoperative and control group. ■ 1 reference Bo Yu Chuan Wen, Hong-Zhang Huang, Ren Chuan Duo, editor of cleft lip and palate Treatment Research and Development Series. Wuhan: Hubei Science and Technology Press .1996,1082 Fuxin Guo, Zouwei Yun, Liu cream Indian, etc. .108 down the middle ear function and hearing in patients with cleft palate clinical observation. of Oral Medicine, 2000:14 e3): 196 -1973 Huang Deliang. revolves with otitis media in the Chinese Journal of Otorhinolaryngology .1996,31:2514 Huang Deliang. Yang Wei Yan, Jiang Sichang, Qian adhesive clinical observation of middle ear death of Chinese Journal of Otorhinolaryngology .1996,31:825 field shelter, coffin Huifen. cleft with hearing impairment Foreign Medical STOMATOLOGY, 1998,25 (5) :277-2806MillardDRJrC1eft ∞ h Ⅲ B. s Ⅻ 1: LittleBrown.1980, 121 A I40. (This editor Charles C. Han ■ J
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