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Vojnosanitetski pregled
2018, vol. 75, br. 3, str. 253-259
jezik rada: engleski
vrsta rada: izvorni naučni članak
objavljeno: 31/05/2018
doi: 10.2298/VSP160708240S
Creative Commons License 4.0
Značaj rane insercije ventilacionih cevčica kod hroničnog sekretornog otitisa kod dece sa urođenim rascepom nepca
aUniverzitet u Beogradu, Medicinski fakultet, Institut za zdravstvenu zaštitu majke i deteta Republike Srbije 'Dr Vukan Čupić'
bKlinički centar Srbije, Klinika za ORL i MFH, Beograd

e-adresa: vsubarevic@gmail.com

Sažetak

Uvod/Cilj. Otitis media sa efuzijom (OME) je gotovo univerzalna pojava kod dece sa rascepom nepca sa učestalošću većom od 90%, ali se pristup rešavanju ovog problema veoma razlikuje između autora. Disfunkcija Eustahijeve tube je glavni faktor za nastajanje sekreta u srednjem uvu, što je naročito izraženo kod dece sa urođenim rascepom nepca i objašnjava dugotrajnost ovog procesa. Cilj istraživanja bio je da se utvrdi efektivnost rane insercije ventilacionih cevčica kod dece sa rascepom nepca prilikom palatoplastike, posmatrajući tok i dugotrajnost oboljenja, kao i razvoj komplikacija. Metode. U prospektivnoj studiji sa unapred određenim pravilnim intervalima i obeležjima posmatranja praćene su dve grupe dece. U prvoj grupi (E) bilo je 45 dece sa urođenim rascepom nepca kojima je urađena rana insecija ventilacionih cevčica prilikom palatoplastike, a u drugoj (K) isti broj dece sa rascepom nepca koja su po potrebi lečena konzervativnim tretmanima. Obeležja posmatranja bila su nalazi otomikroskopije, timpanometrije i tonalne liminarne audiometrije. Svako dete pojedinačno je praćeno punih pet godina na ukupno devet kontrola. Rezultati. Analiza rezultata pokazala je da ne postoje statistič ki značajne razlike između dve posmatrane grupe u odnosu na tok i dugotrajnost prisustva sekreta u srednjem uvu, kao ni na razvoj komplikacija i govora. Zaključak. Na osnovu rezultata koje smo dobili možemo da zaključimo da ne postoji veliki benefit u ranoj inserciji ventilacionih cevčica kod dece sa rascepom nepca, te je naša preporuka redovno praćenje deteta i konzervativna terapija po potrebi, a insercija ventilacionih cevčica onda kada hirurg na osnovu svog iskustva i individualnog nalaza ispitanika to smatra neophodnim.

Ključne reči

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