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鼻窦炎是小儿中耳炎甚至致聋的病因之一。作者对86例无耳部症状的急性化脓性鼻窦炎的患儿进行声阻抗检查,发现鼓室压图明显异常达64例(74.42%)。这是因为中耳与鼻窦等来源于第一咽囊,具有共通的淋巴引流通道,及鼻咽粘膜是鼻腔、鼻窦粘膜与鼻腔粘膜相连,且幼儿咽鼓管比成人直、平、粗,粘膜下组织疏松,鼻窦发生炎症时,常引起咽鼓管病理改变,影响中耳功能。临床上鼻窦炎患儿应注意中耳炎的存在。声阻抗检查是一有效的检查手段。
Sinusitis is one of the causes of deafness in children with otitis media. The authors performed acoustic impedance tests on 86 children with acute suppurative sinusitis without ear symptoms and found that 64 cases (74.42%) had abnormal tympanogram. This is because the middle ear and sinus and other derived from the first pharyngeal capsule, with a common lymphatic drainage channel, and the nasopharyngeal mucosa is the nasal cavity, sinus mucosa and nasal mucosa connected, and children eustachian tube than adults straight, flat, thick, mucous membrane Under the loose tissue, inflammation of the sinuses, often cause eustachian tube pathology, affecting the middle ear function. Children with sinusitis should pay attention to the existence of otitis media. Acoustic impedance test is an effective means of inspection.