Prognosis of otitis media with effusion in pediatric patients with cleft palate during language-acquisition period treated by simultaneous tympanostomy tube placement with palatoplasty
Prognosis of otitis media with effusion in pediatric patients with cleft palate during language-acquisition period treated by simultaneous tympanostomy tube placement with palatoplasty
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DOI：
10.1016/j.ijporl.2022.111071
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发表时间：
2022-02-22
影响因子：
1.5
通讯作者：
Omori, Koichi
中科院分区：
文献类型：
--
作者：
Iemura-Kashiwagi, Maho;Okano, Takayuki;Omori, Koichi
目的：儿童腭裂(CP)常因咽鼓管功能障碍并发渗出性中耳炎(OME)。虽然鼓膜造口置管(TT)在治疗OME以预防短期听力损失方面是有益的，但对于TT置入的适应症和时机还没有达成共识。本研究旨在明确在语言习得期内同时进行腭裂成形术的安全性和有效性。方法：我们回顾了2010年6月至2018年10月在京都大学医院三级医学中心接受腭裂成形术的儿童患者的病历。TT保留时间用Kaplan-Meier法估算。根据患者的性别、CP类型、TT中位保留时间和液体类型，比较4个Veau分类组的OME复发发生率。结果：76例(150耳)患者纳入研究。首次放置TT后的中位随访期为48.7月(18.2-108.0个月)。第一个TT保留时间为
Objective: Cleft palate (CP) in children is frequently complicated by otitis media with effusion (OME) due to Eustachian tube dysfunction. Although tympanostomy tube (TT) placement can be beneficial in the treatment of OME to prevent short-term hearing loss, there is no consensus regarding the indications for and timing of TT insertion. The present study was performed to define the safety and effectiveness of simultaneous TT placement with palatoplasty during the language-acquisition period.Methods: We retrospectively reviewed the medical charts of pediatric patients who underwent palatoplasty for CP in a tertiary medical center, Kyoto University Hospital, from June 2010 to October 2018. The TT retention time was estimated using the Kaplan-Meier method. The incidence of OME recurrence was compared among four Veau classification groups based on the patients' sex, type of CP, median TT retention time, and type of fluid.Results: Seventy-six subjects (150 ears) were enrolled in the study. The median follow-up duration was 48.7 months (range, 18.2-108.0 months) after the first TT placement. A first TT retention time of