口蓋形成術時に鼓膜換気チューブ留置術を施行した症例の検討

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  • Otitis media with effusion in cases undergoing routine ventilation tube placement in addition to palatoplasty

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  Otitis media with effusion is very common in cleft palate cases. We studied 52 children who had undergone ventilation tube placement or tympanotomy at the same time as palatoplasty from 2006 to 2011. Fifteen children had bilateral lip and cleft palate, 22 had unilateral lip and cleft palate, 15 had cleft palate, and one had submucous cleft palate. Long-term ventilation tubes were placed in 25 children, while grommets were inserted in 26 children. Before surgery, 100 of 104 ears had effusion. After surgery, effusion was observed in 79 of 104 ears. Sixty-one ears had mucous effusion, and 18 had serous effusion. Therefore, routine ventilation tube placement is necessary in cleft palate cases. After ventilation tube insertion, tubes dropped out of 64 ears. Seven ears developed eardrum perforation, and otitis media recurred in 21 ears. There was no relationship between the types of ventilation tubes and duration of tube placement and the prognosis of otitis media.

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