International Journal of Pediatric Otorhinolaryngology2026年9月17日

Yo-IFOS 對唇顎裂兒童聽力管理的調查

// Yo-IFOS survey on hearing management in children with cleft

67小兒耳鼻喉科醫師調查顯示腭裂兒聽力照護差異大|50.7% 首選鼓膜通氣管置入(通氣管),53.7% 無法手術時採助聽器,85.1% 避免咽鼓管氣球擴張|主要障礙:候診長25.4%、家庭認知低22.4%;呼籲循證共識指南以統一照護、改善預後。

// This study surveyed international pediatric otolaryngologists (43‑item online survey, Jan–Mar 2026; n=67) to map current hearing surveillance and management for children with cleft palate. Responses showed wide variation: 50.7% favored tympanostomy tube insertion as first‑line (timing varied), 53.7% used hearing amplification when surgery was not feasible, 85.1% avoided Eustachian tube balloon dilation, and 50.7% used intensive surveillance for syndromic cases. Main barriers were long appointment wait times (25.4%) and low family awareness (22.4%), despite most respondents working in tertiary/high‑resource centers. The authors conclude there is substantial international variation and call for consensus, evidence‑based guidelines to standardize cleft‑related hearing care and improve outcomes.

#Otitis Media with Effusion#Cleft Palate#Hearing Loss, Conductive#Practice Patterns, Physicians'

Published 2026年9月8日

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