Pediatrics Investigation Center /CIPED/FCM/UNICAMP.
Braz J Otorhinolaryngol. 2010 Mar-Apr;76(2):164-71. doi: 10.1590/S1808-86942010000200004.
Children with cleft lip/palate often present otitis media as a result of anatomic and/or functional alterations of the Eustachian tube.
To analyze the results of Basic Audiologic Evaluation (BAE) and Auditory Processing Screening (APS) in children with cleft lip/palate.
Prospective cross-sectional cohort.
Forty-four male and female children, within the 8 to 14 age range with non-syndromic cleft lip/palate, referred by the institution where the study was carried out. The BAE was made up by an interview, otoscopy, threshold tonal audiometry, logoaudiometry and impedance test. The APS was made up of 3 basic tests: Sound Localization Test, Sequential Memory for verbal and non-verbal sounds and Dichotic Listening Test.
The BAE revealed that 77.27% of the children presented normal hearing; 13.6% had conductive hearing loss and 2.2% presented mixed hearing loss. 21.2% of the children had type C tympanometry curve; 7.1% had a type B curve and 3.5% had an Ad curve. The APS was altered in 72.7% of the children and 45.5% of them presented altered results on the Dichotic Listening Test.
Children with cleft lip/palate had altered results on BAE and APS, which justifies audiological and medical follow-up.
分析唇腭裂儿童基本听力学评估(BAE)和听觉处理筛查(APS)的结果。
前瞻性队列研究。
44 名男性和女性儿童,年龄在 8 至 14 岁之间,患有非综合征性唇腭裂,由开展研究的机构转介。BAE 由访谈、耳镜检查、阈值纯音测听、言语和非言语听力测试以及阻抗测试组成。APS 由 3 个基本测试组成:声音定位测试、言语和非言语声音的顺序记忆测试和双耳分听测试。
BAE 显示 77.27%的儿童听力正常;13.6%有传导性听力损失,2.2%有混合性听力损失。21.2%的儿童鼓室图为 C 型;7.1%为 B 型,3.5%为 Ad 型。APS 异常的儿童占 72.7%,其中 45.5%的儿童双耳分听测试结果异常。
唇腭裂儿童的 BAE 和 APS 结果异常,需要进行听力和医学随访。