구개열 환자에 있어 중이염의 치료
Treatment of Otitis Media in Cleft Palate
방강미, 지영민, 김성민, 명훈, 최진영, 이종호, 정필훈, 김명진, 황순정,
소속 상세정보
방강미 ( Bang Kang-Mi ) - 서울대학교 치과대학 구강악안면외과학교실
지영민 ( Ji Young-Min ) - 서울대학교 치과대학 구강악안면외과학교실
김성민 ( Kim Soung-Min ) - 서울대학교 치과대학 구강악안면외과학교실
명훈 ( Myoung Hoon ) - 서울대학교 치과대학 구강악안면외과학교실
최진영 ( Choi Jin-Young ) - 서울대학교 치의학대학원 구강악안면외과학교실
이종호 ( Lee Jong-Ho ) - 서울대학교 치의학대학원 구강악안면외과학교실
정필훈 ( Choung Pill-Hoon ) - 서울대학교 치과대학 구강악안면외과학교실
김명진 ( Kim Myung-Jin ) - 서울대학교 치과대학 구강악안면외과학교실
황순정 ( Hwang Soon-Jung ) - 서울대학교 치의학대학원 구강악안면외과학교실
KMID : 0952820070100020089
Abstract
Otitis media with effusion is known to be very common among children with cleft palate and is the common cause of acquired hearing loss in childhood. The purpose of the present study was to examine the anatomic variances, incidence and treatment of middle ear disease in children with cleft palate. In Korea, before 4-year-old age, the prevalence of otitis media was as high as 91.7%. Common treatments for otitis media were conservative or surgical treatment. The medical treatment options include the use of decongestants, antihistamines, antibiotics and mucolytics. Surgical treatment options include grommet insertion, myringotomy. Unlike the case for children without clefts, cleft patient has a higher incidence of recurrence, so surgical treatment between the age of 3 month and 6 month was recommended. The effect of palatoplasty on middle ear disease has remained controversial. Early and periodic evaluation on the symptomatic infection or significant of hearing loss was recommended.
키워드
Cleft palate;Otitis media
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