唇腭裂手术修复患儿的听觉主诉及听力学评估
Auditory complaints and audiologic assessment in children with surgically repaired cleft lip and palate.
作者信息
Lourenço Cerom Jaqueline, Renata José Maria, Azenha Fabiana de Souza Pinto, Macedo Camila de Cássia, Alvarenga Kátia de Freitas, Lopes Andréa Cintra, Feniman Mariza Ribeiro
机构信息
Speech Therapist. Speech-Language Pathology and Audiology Graduate Program (Master's Degree) in the field of Communication Disorders, Bauru School of Dentistry, University of São Paulo-USP, Bauru (SP), Brazil.
Master of Science. Master's Degree in Science in the field of Communication Disorders, Audiologist at the Speech-Language Pathology and Audiology Clinic of the Bauru School of Dentistry, University of São Paulo-USP.
出版信息
Int Arch Otorhinolaryngol. 2013 Apr;17(2):184-8. doi: 10.7162/S1809-97772013000200011.
INTRODUCTION
At the initial consultation, the speech-language pathologist and audiologist may consider possible diagnostic hypotheses based on the child's history and the parents' complaint.
AIM
To investigate the association of hearing complaints with the findings obtained in the conventional audiologic assessment in children with cleft lip and palate. Retrospective study.
METHODS
We analyzed medical charts of 1000 patients with cleft lip and palate who underwent surgical repair between 1988 and 1995 at a mean age of 6 years 8 months. We excluded charts with records of inconsistent audiological responses and charts with missing data for any of the audiologic evaluations considered. Thus, the sample consisted of 393 records.
RESULTS
Two hundred thirty-nine patients presented hearing loss in one or both ears, but only 3.8% reported hearing complaints. The most frequent were otorrhea followed by otalgia. There was no statistical significance between the complaint and gender (p = 0.26) nor between the complaint and hearing loss (p = 0.83).
CONCLUSION
This study showed no association between the hearing complaint and the conventional audiologic assessment.
引言
在初次会诊时，言语病理学家和听力学家可根据患儿病史及家长主诉考虑可能的诊断假设。
目的
研究唇腭裂患儿听力主诉与传统听力评估结果之间的关联。回顾性研究。
方法
我们分析了1988年至1995年间平均年龄为6岁8个月时接受手术修复的1000例唇腭裂患者的病历。我们排除了听力反应记录不一致的病历以及任何一项所考虑的听力评估数据缺失的病历。因此，样本由393份记录组成。
结果
239例患者出现单耳或双耳听力损失，但只有3.8%报告有听力主诉。最常见的是耳漏，其次是耳痛。主诉与性别之间（p = 0.26）以及主诉与听力损失之间（p = 0.83）均无统计学意义。
结论
本研究表明听力主诉与传统听力评估之间无关联。
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