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KMID : 0361020020450090862
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Korean Journal of Otolaryngology - Head and Neck Surgery
2002 Volume.45 No. 9 p.862 ~ p.865
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The Analysis of Temporal Bone Pneumatization between Children with Otitis Media with Effusion and Cleft Palate
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박철원/Chul Won Park
정연기/정진석/지용배/이승환/Yeon Gi Jeong/Jin Suk Jeong/Yong Bae Chi/Seung Hwan Lee
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Abstract
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Background and Objectives: A number of studies have documented that the incidence of otitis media with effusion (OME) is greater than 90% in children with cleft palates. The purpose of this study was to evaluate the correlation of OME and
mastoid
pneumatization in children with cleft palate.
Subjects and Method: We studied 175 ears in 95 patients. They were categorized into three groups according to otologic finding : normal children (38 ears), children with OME (89 ears), children with cleft palates (38 ears). The mastoid
pnuematization was graded into 5 groups.
Results: The masoid pneumatization was relatively good in 76.3% of normal children. The mastoid pneumatization was poor in 40.4% of the children with OME. All children with cleft palate had OME in both ears and their mastoid pneumatizations
were
very poor, with 16.7% of grade Ⅳ and 83.3% of grade Ⅴ.
Conclusion: The mastoid pneumatization of children with cleft palate was very poor compared to those without cleft palate. We believe that mastoid pneumatization was influenced by the disease of middle ear and mastoid, environmental
factors.
Special consideration is needed to deal with otologic problems in children with cleft palate.
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