唇腭裂术后患儿的听力学特征分析

详细信息

收稿日期: 2014-04-09

Audiologic assessment of the children with cleft lip/palate

- Department of Otolaryngology, Guangzhou Women and Children's Medical Center, Guangzhou, 510623, China

More Information

Received Date: 09 April 2014

摘要: 目的：探讨唇腭裂术后患儿的听力学特征。方法：对62例唇腭裂术后患儿进行DPOAE、ABR和声导抗检查，分析其听力学检查结果。结果：以ABR阈值为诊断标准，诊断为听力异常者共51耳，以轻度和中度异常为主；63耳鼓室导抗图异常，表现为不同程度的中耳功能障碍；26耳DPOAE检查未通过。结论：唇腭裂术后患儿听力异常的比例高。3种客观听力学检查方法在唇腭裂术后的患儿检查中具有高度一致性。
- 唇腭裂 /
- 听力 /
- 儿童
Abstract: Objective: To investigate the audiologic characteristics of the children with cleft lip and/or palate. Method: Sixty-two children with cleft lip/palate were enrolled in the study. Tympanometry, DPOAE, ABR were tested in all the chidren. Result: Regarding the ABR threshold as the diagnostic criteria, 51 (41.13%) ears had hearing loss, mainly moderate. Sixty-three (59.43%) ears had abnormal tympanometry, which meant the disorder function of the middle ear. Twenty-six (56.52%) ears didn't pass the DPOAE. Conclusion: The proportion of the hearingloss in the children with cleft lip/palate was large. There was a good coherence among the three objective examinations when assess the children with cleft lip/palate.
- cleft lip/palate /
- hearing /
- children

[1]	宋儒耀, 柳春明.唇裂与腭裂的修复[M].4版.北京:人民卫生出版社, 2005:5-7.
[2]	周绍楠, 张杰铌, 郑晖, 等.非综合征型唇腭裂病因学研究进展[J].中华口腔医学杂志, 2012, 9(4):274-276.
[3]	郑谦, 石冰.腭裂伴发中耳炎的诊治要点[J].华西口腔医学杂志, 2008, 26(5):463-465.
[4]	YANG F, MCPHERSON B, HUANG S. Evaluation of an auditory assessment protocol for Chinese infants with nonsyndromic cleft lip and/or palate[J]. Cleft Palate Craniofac J, 2012, 49:566-573.
[5]	CHU K M, MCPHERSON B. Audiological status of Chinese patients with cleft lip/palate[J]. Cleft Palate Craniofac J, 2005, 42:280-285.
[6]	HASSAN MOHAMED E, SHERIF A.Does palatal muscle reconstruction affect the functional outcome of cleft palate surgery[J]? Plastic Reconstr Surg, 2007, 119:1859-1865.
[7]	HANDZI-CUK J, CUK V, RISAVI R, et al. Hearing levels and age in cleft palate patients[J].Int J Pediatr Otorhinolaryngol, 1996, 37:227-242.
[8]	MOSS A L, FONSECA S. Audiological issues in children with cleft lip and palate in one area of the U.K[J]. Cleft Palate Craniofac J, 2006, 43:420-428.
[9]	ROSENFELD R M, CULPEPPER L, DOYLE K J. Clinical practice guideline:otitits media with effusion[J]. Otolaryngol Head Neck Surg, 2004, 130:1-14.
[10]	TUNCBILEK G, OZGUR F, BELGIN E. Audiologic and tympanometric findings in children with cleft lip and palate[J]. Cleft Palate Craniofac J, 2003, 40:304-309.