• Journal of Dental Anesthesia and Pain Medicine
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• 제20권3호
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• pp.161-163
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• 2020

Myringotomy and ventilation tube insertion are widely performed in pediatric patients with chronic otitis media. This procedure is performed under general anesthesia or sedation with local anesthesia infiltration in pediatric patients. In this case report, we report a case of transient facial paralysis in a pediatric patient who underwent myringotomy and ventilation tube insertion using sevoflurane inhalation and four-quadrant blocks with lidocaine.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1982년도 제16차 학술대회연제순서 및 초록
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• pp.15.1-15
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• 1982

1979년 7월부터 1981년 8월까지 부산 침례병원 이비인후과에 내원한 환자중 삼출성중이염으로 진단된 95례 (159이)에서 임상적인 고찰을 했으며, 고막절개와 중이내 튜브 유치술을 시행한 성인 및 소아군과 T＆A를 동시에 시행한 소아군을 비교 검토하여 다음과 같은 결과를 얻었다. 1) 성별 분포는 남자가 48례, 여자가 47례 차이가 없었고 연령 분포는 6∼10세 군이 34례 (35%)로 가장 많았다. 2) T & A를 요하는 소아중 14%가 삼출성중이염으로 진단되어 고막절개 및 중이내 튜브 유치술을 동시에 시행했고 이는 같은 기간중의 삼출성중이염 환자의 19%에 해당했다. 3) 양측성 (67%)이 일측성 (33%)인 경우의 두배 였고, 소아환자에서는 양측성이 88%로 현저했으며 T & A를 요하는 소아군에서는 전부가 양측성이었다. 4 ) 중이내 저류액의 성상은 장액성이 49%, 점액성이 33%, 농성이 5%, 혈성이 3%등이었고 성인군에서는 장액성이 59%였으나 소아군 (15세이하)에서는 장액성(41%)과 점액성(43%)의 빈도가 비슷했다. 5) 술전 Tympanogram은 A형이 6%, B형이 91%, C형이 3%였고 이상 Tympanogram(B형 혹은 C형)의 출현 빈도는 T & A를 요하는 소아군(95%)과 요하지 않은 소아군(95%)에서 동일했으며 성인군에서는 93%였다. 6)고막절개 중이내 튜브 유치술후의 기도청력은 T & A를 동시에 시행한 소아군에서 더욱 개선되었다.

• 대한구순구개열학회지
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• 제10권2호
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• pp.89-96
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• 2007

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.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제28권4호
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• pp.295-309
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• 2006

The present study was aimed to evaluate the incidence, etiological factors, and management of cleft lip and palate. Two hundred and twenty patients with cleft lip and/or cleft palate who were treated at Department of Oral and Maxillofacial Surgery, Chonnam National University Hospital, during the period between January 1994 and December 2003 were reviewed. The ratios of cleft lip : cleft lip with cleft palate : and cleft palate were 0.4:1.1:1. Males were more common than females in cleft lip (1.3:1) and cleft lip and palate (2.5:1), while females were more common than males in cleft palate (1:1.3). In the cleft side, left clefts were more prevalent than right clefts (cleft lip 1.3:1, cleft lip and palate 1.6:1). Unilateral clefts were more common than bilateral clefts in cleft lip (79:21). Cleft lip and cleft palate were more common in those with blood type A (34.5%) than those with other types. There was no significant relationship between birth season and frequency of clefts. The clefts were common in the first-born (48.8%), and in mothers aged between 25 and 29 (51.7%). Medication (24.7%) and stress (16.7%) during the first trimester were noted. Positive familial history was noted in 13 cases (5.9%). Thirty-two cases (15%) were associated with other congenital anomalies, in which tonguetie (40.6%) and congenital heart disease (21.9%) were most common. Among 100 patients with cleft palate, 77 patients had middle ear disease (77%), which occurred predominently in the incomplete cleft palate. Seventy-six among the 77 patients received myringotomy and ventilation tube insertion, and the remaining one received antibiotic medication only. Cleft lips were treated primarily at 3 to 6 months, and cleft palates were at 1 to 2 years. Treatment regimens included modified Millard method mainly in the cleft lip, and Wardill V-Y, Dorrance method, and Furlow method in the cleft palate. The percentage of palatal lengthening as type of cleft palate was greater in the incomplete cleft palate group (11.2%) than in the complete cleft palate group (9.6%). The percentage of palatal lengthening as operating method was no difference between the Furlow method (10.9%) and the push back method (10.7%). As postoperative complications, hypertrophic scar was most frequent in the cleft lip, and oronasal fistula in the cleft palate. In summary, it was shown that medication and stress during the first trimester of pregnancy were frequently associated with cleft lip and cleft palate, adequate timing and selection of method of operation are important factors to obtain morphologically and functionally good results. Furthermore prevention and treatment of middle ear disease are important in cleft palate patients because of its high co-occurrence.