Silva Jéssica Dayane da, Leal Gouveia Mariana de Carvalho, Hora Laís Cristine Delgado da, Venancio Leonardo Gleygson Ângelo, Muniz Lilian Ferreira
Universidade Federal de Pernambuco (UFPE), Programa de Pós-Graduação em Saúde da Comunicação Humana, Recife, PE, Brazil.
Universidade Federal de Pernambuco (UFPE), Departamento de Cirurgia, Recife, PE, Brazil.
Braz J Otorhinolaryngol. 2025 Jan-Feb;91(1):101485. doi: 10.1016/j.bjorl.2024.101485. Epub 2024 Aug 9.
To investigate, through a systematic review of the literature, whether there are differences in the results of otoacoustic emissions suppression tests in individuals with and without central auditory processing disorder.
Searches were carried out in the scientific databases Latin American and Caribbean Health Sciences Literature, PubMed, Scientific Electronic Library Online, Web of Science, Scopus, Science Direct and Cochrane, as well as the databases of gray literature British Library, OpenGrey.eu and Object View and Interaction Design. A systematic review of the literature was carried out, with the descriptors otoacoustic emissions and auditory perceptual disorders and their synonyms, combined by the Boolean operators AND and OR. The reading of the studies was done by peers independently and in case of disagreement in the inclusion of studies, a third researcher was consulted. Original cross-sectional articles with a comparison group that suppressed transient evoked otoacoustic emissions in individuals with and without central auditory processing disorder were included.
Seven studies that evaluated children aged between 7 and 14 years old were included, with methodological variability in the performance and analysis of the exam, the contralateral noise was the most used to elicit suppression. In only three studies did the group with central auditory processing disorder show lower suppression values, however the meta-analysis shows significant differences between the groups, with lower suppression values in the study groups.
This study points the need for a protocol that standardizes the measurement of OAE suppression and its findings, aiming to reduce the inclusion of results unrelated to the olivocochlear system.
通过对文献的系统评价，调查患有和未患有中枢听觉处理障碍的个体在耳声发射抑制测试结果上是否存在差异。
在科学数据库拉丁美洲和加勒比健康科学文献数据库、PubMed、科学电子图书馆在线数据库、科学网、Scopus、Science Direct和Cochrane以及灰色文献数据库大英图书馆、OpenGrey.eu和Object View与交互设计数据库中进行检索。对文献进行系统评价，使用耳声发射和听觉感知障碍及其同义词作为描述词，并通过布尔运算符AND和OR进行组合。研究由同行独立阅读，若在纳入研究方面存在分歧，则咨询第三位研究人员。纳入具有比较组的原始横断面文章，这些文章比较了患有和未患有中枢听觉处理障碍的个体中瞬态诱发耳声发射的抑制情况。
纳入了七项评估7至14岁儿童的研究，这些研究在检查的执行和分析方面存在方法学差异，对侧噪声是最常用于诱发抑制的方法。只有三项研究中，患有中枢听觉处理障碍的组显示出较低的抑制值，然而荟萃分析显示两组之间存在显著差异，研究组的抑制值较低。
本研究指出需要一种规范耳声发射抑制测量及其结果的方案，旨在减少纳入与橄榄耳蜗系统无关的结果。
