1.南华大学衡阳医学院;2.湖南省儿童医院 耳鼻咽喉头颈外科,;3.湖南省儿童医院 耳鼻咽喉头颈外科
腭裂（Cleft palate，CP）是最常见的先天性口腔颌面部畸形，其发病率较高?， 其严重影响患儿听力及语言功能。腭裂患儿常常伴有分泌性中耳炎（Otitis media with effusion，OME），其发病机制主要是由于软腭肌肉组织缺陷致咽鼓管功能障碍，而OME可影响患儿的听力，进一步则可导致语音障碍。然而对于腭裂伴OME患儿的治疗方式以及治疗时机目前尚未达成共识，其主要是根据患儿病情的严重程度进行个体化治疗。目前的治疗方式主要包括保守治疗、鼓膜置管（Insertion of ventilation tubes，VTI）及其他治疗。本文将对近年来有关腭裂伴OME的患儿在治疗方面,主要包括鼓膜置管的治疗时机、特点、并发症以及预后等方面进行综述，从而为其治疗提供一定建设性意见。
Cleft palate (CP) is the most common congenital oral and maxillofacial deformity，It has a high incidence and seriously affects the hearing and speech function of children.Children with cleft palate often lead to Otitis media with effusion（OME）, which pathogenesis is mainly due to the soft palate muscle tissue defects resulting in eustachian tube dysfunction and affects the hearing of children, and can further lead to voice disorders.No consensus has been reached on the treatment mode and timing of cleft palate children with OME, which is mainly individualized treatment according to the severity of the child's condition. Current treatment methods mainly include conservative treatment, Insertion of ventilation tubes(VTI) and other treatments. This article reviews the treatment of cleft palate with OME in children in recent years,mainly including the timing of treatment, characteristics, complications and prognosis of VTI，which provide some constructive advice for their treatment.