Feniman Mariza Ribeiro, Daniel Bárbara Tavares, De Vitto Luciana Paula Maximino, Lemos Isabel Cristina Cavalcanti, Lauris José Roberto Pereira
Speech and Hearing Therapy Department, Faculdade de Odontologia de Bauru, FOB-USP.
Braz J Otorhinolaryngol. 2008 Jul-Aug;74(4):601-5. doi: 10.1016/s1808-8694(15)30610-8.
The first two years of life are critical for the acquisition and development of hearing and speaking skills.
This prospective study aims to verify the performance of infants with cleft lip and palate (CLP) with and without risk factors for hearing (RFH) in the verbal recognition test (VRT).
The parents of 100 infants (9 to 18 months of age) with CLP were interviewed to investigate the presence of RFH and to sort out the characteristics of the study groups. All infants underwent VRT.
Otologic diseases, lack of breastfeeding, parental smoking, upper airway insufficiency, stay in an incubator, and family history of hearing impairment were the most frequent RFH. Eighty-five infants had RFH, among which 40% had altered VRT results; fifteen did not have any RFH and 73% performed as expected for their age range in the VRT. There was no significant difference (p=0.326) between groups. Fifty-four infants had history of otitis media (OM), among which 31% had altered VRT results; forty-six had no history of OM and performed as expected for their age range in the VRT; Statistically significant difference (p=0.000) was found.
Other risk factors for hearing aside CLP were found. Infants with and without history of RFH performed similarly in the VRT. The presence of otologic diseases significantly interfered with the VRT.
生命的头两年对于听力和语言技能的获得与发展至关重要。
这项前瞻性研究旨在验证唇腭裂(CLP)婴儿在有无听力风险因素(RFH)情况下在言语识别测试(VRT)中的表现。
对100名9至18个月大的CLP婴儿的父母进行访谈,以调查RFH的存在情况并梳理研究组的特征。所有婴儿均接受VRT测试。
耳部疾病、缺乏母乳喂养、父母吸烟、上呼吸道功能不全、入住保温箱以及听力障碍家族史是最常见的RFH。85名婴儿有RFH,其中40%的VRT结果异常;15名没有任何RFH,73%在VRT中的表现符合其年龄范围预期。两组之间无显著差异(p = 0.326)。54名婴儿有中耳炎(OM)病史,其中31%的VRT结果异常;46名没有OM病史,在VRT中的表现符合其年龄范围预期;发现有统计学显著差异(p = 0.000)。
发现了除CLP之外的其他听力风险因素。有和没有RFH病史的婴儿在VRT中的表现相似。耳部疾病的存在显著干扰了VRT。