Navegando por Palavras-chave "Hearing disorders"
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- ItemAcesso aberto (Open Access)Alterações fonoaudiológicas presentes em um caso de síndrome de Goldenhar(Sociedade Brasileira de Fonoaudiologia, 2007-06-01) Lima, Fernanda Thieme; Araújo, Camila Brenner de [UNIFESP]; Sousa, Elaine Colombo [UNIFESP]; Chiari, Brasilia Maria [UNIFESP]; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)Language is a complex process that involves the participation and interaction of all of its components: phonology, semantics, morphology, syntax and pragmatics. The acquisition and organization of these components are related to internal capacities of the human being and also to his environment. Any implication in one or more of these components brings consequences to language development in general. In Goldenhar's syndrome, different implications may affect the individual's ability to communicate. Thus, the purpose of this research was to describe the speech, language and hearing impairments found in a child with Goldenhar's syndrome and to provide additional information that might contribute to the apropriate speech-language and hearing intervention. The child, a female 8 years and 8 months old, was submitted to language, speech, voice, hearing and oral motricity evaluations. Deficits in the cognitive aspects of language were observed: spatial orientation notion, logical abstract reasoning, memory and attention; as well as deficits of oral expression and comprehension, phonoarticulatory organs, neurovegetative functions and hearing (bilateral hearing loss). Many cases of Goldenhar's syndrome have been described in literature. However, great part of them emphasize the description of genetic and fenotipic manifestations of the studied individuals. Hence, the speech-language and hearing findings of the present study cannot be generalized to all of the individuals with Goldenhar's syndrome, since this is a report of single case. These findings evidence the need for the diagnostic and interventive participation of the speech-language and hearing therapist as part of a multidisciplinary team, in cases of genetic syndromes.
- ItemAcesso aberto (Open Access)Avaliação do resultado de implante coclear em perdas auditivas pós-meningite(Universidade Federal de São Paulo (UNIFESP), 2017-03-29) Britto, Fernanda Carneiro Corujeira de [UNIFESP]; Cruz, Oswaldo Laercio Mendonça [UNIFESP]; http://lattes.cnpq.br/3152241414526004; http://lattes.cnpq.br/5549090058807804; Universidade Federal de São Paulo (UNIFESP)Objetivo: Analisar os resultados audiológicos do implante coclear em pacientes com perda auditiva pós-lingual secundária a meningite bacteriana, bem como compará-los com os resultados nas perdas auditivas por outras etiologias. Métodos: Trata-se de uma estudo retrospectivo, do tipo caso-controle, no qual foram avaliados 22 pacientes com surdez pós-lingual, submetidos à cirurgia de implante coclear, sendo 11 com suspeita diagnóstica de meningite bacteriana (casos) e 11 com outro tipo de etiologia (controles). Os pacientes foram avaliados quanto aos limiares auditivos, com a média tri-tonal, índice de reconhecimento de palavras e de sentenças em conjunto fechado e aberto, no período pré-implante coclear e após a ativação do mesmo (6, 12 e 24 meses). Resultados: Não foi observada diferença com significância estatística nos resultados audiológicos e no s testes de desempenho de fala entre os grupos, após a cirurgia do implante coclear. Conclusão: A surdez pós-meningite, por si só, não parece estar relacionado um pior desempenho com implante coclear.
- ItemAcesso aberto (Open Access)Avaliação dos comportamentos auditivos de figura-fundo e de resolução temporal e da percepção de limitações de atividades comunicativas em crianças e adolescentes portadores de deficiência auditiva unilateral(Universidade Federal de São Paulo (UNIFESP), 2010-01-27) Vieira, Márcia Ribeiro [UNIFESP]; Pereira, Liliane Desgualdo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Purpose: To test the hearing behavior of figure-to-ground and temporal resolution and the self-perception of limitations on activities of children and adolescents with unilateral hearing loss. Methods: Participated 38 individuals, between the age of 8 and 19 (average 12.32), divided into: experimental group (with unilateral hearing loss) and control group (normal-hearing individuals), each one formed of 19 individuals, matched according to their gender, age and educational level. They have all been submitted to anamneses, to a complete audiology test and to the procedures of study: a self-report questionnaire of limitations on communicative activities with questions about noisy and silent situations, and sound localization. The participants have been submitted to the Gap-In-Noise and the Pediatric Speech Intelligibility tests at 0, -10 and -15 reference. The statistical analysis has been done through non-parametric tests at the significance level of 0.05. Results: In the experimental group the unilateral hearing loss has been classified as profound in most participants, having started at the pre-schooling stage, with unknown or undefined etiologies (e.g. meningitis, traumas, mumps and measles). Most individuals have presented complaints of learning difficulties, and have shown limitations on communicative activities, of moderate degree predominantly, and especially in noisy situations. The degree and the ear with unilateral hearing loss have not interfered in the severity of the limitation. The worst results, both at the thresholds of gap detection and the Pediatric Speech Intelligibility test on the good ear, have been found in the experimental group. There was no correlation between the thresholds of gap detection on the good ear and the side of the bad one. Conclusions: Individuals with unilateral hearing loss present limitations on communicative activities, especially in noisy environments which are related to worse hearing abilities of temporal resolution and figure-to-ground.
- ItemAcesso aberto (Open Access)Caracterização eletrofisiológica da audição em prematuros nascidos pequenos para a idade gestacional(Sociedade Brasileira de Fonoaudiologia, 2013-01-01) Angrisani, Rosanna Mariangela Giaffredo; Azevedo, Marisa Frasson de [UNIFESP]; Carvallo, Renata Mota Mamede; Diniz, Edna Maria De Albuquerque; Ferraro, Alexandre Archanjo; Guinsburg, Ruth [UNIFESP]; Matas, Carla Gentile; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)PURPOSE: To characterize the Auditory Brainstem Response (ABR) of small for gestational age preterm newborns and to compare the findings to those of appropriate for gestational age premature newborns in order to verify whether the small for gestational age condition is a risk factor for hearing loss. METHODS: This prospective cross-sectional multicenter study evaluated 72 preterm newborns of both genders (35 small and 37 appropriate for gestational age), who were born at 30 to 36 weeks of gestational age and were evaluated before hospital discharge. Only newborns with present transient evoked otoacoustic emissions and tympanometry type A were included. The ABR was performed with click stimuli. The quantitative data analysis was performed using mean and standard deviation measures for each group. For qualitative analysis, the ABR results were classified as normal or altered according to the absolute latencies of waves I, III, V and interpeaks I-III, III-V, I-V. The analysis was carried out considering the age of the newborn at the time of examination. RESULTS: Alterations were evident in 32 newborns (44.44%), being 15 small (43%) and 17 appropriate for gestational age (46%), with no between-groups difference. Of the 15 small for gestational age newborns with altered ABR, six presented as auditory risk only the small for gestational age condition. In the group of adequate for gestational age newborns, there was a higher occurrence of alteration in males. CONCLUSION: There was no difference in responses of auditory evoked potential between small and appropriate for gestational age preterm newborns. Therefore, the condition does not behave as a risk factor for retrocochlear impairment.
- ItemAcesso aberto (Open Access)Crianças com fenilcetonúria: avaliação audiológica básica e supressão das otoemissões(Sociedade Brasileira de Fonoaudiologia, 2012-01-01) Ribeiro, Patrícia Souza; Torres, Tatiana Lopes; Starling, Ana Lúcia Pimenta; Iorio, Maria Cecilia Martinelli [UNIFESP]; Mancini, Patrícia Cotta [UNIFESP]; Universidade Federal de Minas Gerais; Universidade Federal de São Paulo (UNIFESP)PURPOSE: To evaluate the auditory pathways of children with early-treated phenylketonuria through audiometry, immitance tests, and suppression of transient otoacoustic emissions. METHODS: Prospective cross-sectional study with sample composed by 28 children: 12 with phenylketonuria and 16 without the disease. Participants underwent auditory evaluations composed of air- and bone-conduction pure-tone audiometry, speech audiometry, immittance tests and suppression of transient otoacoustic emissions. RESULTS: All participants presented normal results in pure-tone and speech audiometry; however, speech discrimination scores were lower on the phenylketonuria group. Immitance tests revealed normal tympanograms for all children, but stapedial reflex thresholds demonstrated higher thresholds in 2 and 4 kHz for children with phenylketonuria. The suppresion of transient otoacoustic emissions did not show difference in the comparison between groups. CONCLUSION: The basic audiologic assessment do not identify hearing disorders in children with phenylketonuria; however, speech discrimination scores were lower and stapedial reflexes were higher in these children, which may indicate auditory processing disorders. The study of the suppression of transient otoacoustic emissions demonstrated integrity of the olivocochlear efferent system in children with phenylketonuria.
- ItemSomente MetadadadosThe Effect of Citalopram Versus a Placebo on Central Auditory Processing in the Elderly(Lippincott Williams & Wilkins, 2017) Polanski, Jose Fernando [UNIFESP]; Soares, Alexandra Dezani [UNIFESP]; Pereira, Liliane Desgualdo [UNIFESP]; de Mendonca Cruz, Oswaldo Laercio [UNIFESP]Objective: Evaluate the effects of therapy with citalopram on the central auditory processing in the elderly measured by central auditory tests. Study Design: Prospective, randomized, double-blind, placebo-controlled study. Setting: Tertiary referral center. Patients: Thirty-nine patients older than 60 years with normal hearing thresholds or symmetrical sensorineural hearing loss up to 70 dBHL, word-recognition score equal to or better than 70%, and diagnosed with central auditory processing disorders completed the study. They underwent the mini-mental state examination, as a way to screen those with the possibility of dementia
- ItemAcesso aberto (Open Access)Electrophysiological study of hearing in full-term small-for-gestational-age newborns(Sociedade Brasileira de Fonoaudiologia, 2012-01-01) Angrisani, Rosanna Mariangela Giaffredo; Azevedo, Marisa Frasson de [UNIFESP]; Carvallo, Renata Mota Mamede; Diniz, Edna Maria De Albuquerque; Matas, Carla Gentile; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)PURPOSE: To describe the Brainstem Auditory Evoked Potential (BAEP) results of full-term small-for-gestational-age newborns, comparing them to the results of full-term appropriate-for-gestational-age newborns, in order to verify whether the small-for-gestational-age condition is a risk indicator for retrocochlear hearing impairment. METHODS: This multicentric prospective cross-sectional study assessed 86 full-term newborns - 47 small- (Study Group) and 39 appropriate-for-gestational-age (Control Group - of both genders, with ages between 2 and 12 days. Newborns with presence of transient evoked otoacoustic emissions and type A tympanometry were included in the study. Quantitative analysis was based on the mean and standard deviation of the absolute latencies of waves I, III and V and interpeak intervals I-III, III-V and I-V, for each group. For qualitative analysis, the BAEP results were classified as normal or altered by analyzing these data considering the age range of the newborn at the time of testing. RESULTS: In the Study Group, nine of the 18 (38%) subjects with altered BAEP results had the condition of small-for-gestational-age as the only risk factor for hearing impairments. In the Control Group, seven (18%) had altered results. Female subjects from the Study Group tended to present more central alterations. In the Control Group, the male group tended to have more alterations. CONCLUSION: Full-term children born small or appropriate for gestational age might present transitory or permanent central hearing impairments, regardless of the presence of risk indicators.
- ItemAcesso aberto (Open Access)Hemorragia peri-intraventricular: estudo do efeito de supressão nas vias auditivas.(Universidade Federal de São Paulo (UNIFESP), 2018-12-07) Sousa, Elaine Colombo [UNIFESP]; Azevedo, Marisa Frasson de [UNIFESP]; http://lattes.cnpq.br/3499728717437032; http://lattes.cnpq.br/5031701812524795; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: Determine the functioning of the efferent auditory system in premature newborns with intraventricular hemorrhage. METHOD: The study group was composed of 22 newborns with intraventricular hemorrhage and the control group was composed of 22 newborns without intraventricular hemorrhage, matched to the study group for gestational age, correct gestational age and sex. The groups were submitted to the study of otoacoustic emissions evoked by a transient stimulus and suppression in otoacoustic emissions (equipment ILOv6Otodynamics Ltda®) and the study of the auditory evoked potential with and without contralateral noise (equipment SmartEPIntelligent Hearing Systems®). RESULTS: Newborns with intraventricular hemorrhage exhibited a higher occurrence of central hearing alteration as well as a greater occurrence of the absence of the suppression in otoacoustic emissions and auditory evoked potential compared to the newborns without this condition. An association was found between central hearing alteration and a lower occurrence of suppression. Agreement was found between the suppression test on otoacoustic emissions and the suppression test on latency of the auditory evoked potential. CONCLUSION: Premature newborns with intraventricular hemorrhage have a greater occurrence of functional abnormality of the afferent auditory system, which can be effectively identified through an evaluation of the suppression of otoacoustic emissions evoked by a transient stimulus and the latency in the brainstem auditory evoked potential.
- ItemAcesso aberto (Open Access)Percepção de limitações de atividades comunicativas, resolução temporal e figura-fundo em perda auditiva unilateral(Sociedade Brasileira de Fonoaudiologia, 2011-12-01) Vieira, Márcia Ribeiro [UNIFESP]; Nishihata, Regiane [UNIFESP]; Chiari, Brasilia Maria [UNIFESP]; Pereira, Liliane Desgualdo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)PURPOSE: To evaluate the hearing behavior of figure-to-ground and temporal resolution, and the self-perception of limitations on communicative activities of children and adolescents with unilateral hearing loss. METHODS: Participants were 38 individuals, with ages between 8 and 19 years, divided into: experimental group (with unilateral hearing loss) and control group (normal-hearing individuals), each comprising 19 individuals, matched according to gender, age and educational level. All subjects carried out anamnesis, audiological evaluation, and the procedures of study: a self-report questionnaire of limitations on communicative activities, and the auditory processing tests Gaps-in-Noise and Pediatric Speech Intelligibility Test. Statistical analysis was conducted using non-parametric tests. RESULTS: In the experimental group the unilateral hearing loss was profound in most participants, having started during the pre-school stage, with unknown or identified etiologies (e.g. meningitis, traumas, mumps and measles). Most subjects presented learning difficulties complaints, and showed predominantly moderate limitations on communicative activities, mainly in noisy situations. The worst results were observed in the experimental group, both for the thresholds of gap detection and the Pediatric Speech Intelligibility Test carried out in the normal ear. There was no significant correlation between the thresholds of gap detection on the normal ear and the side of the ear with hearing loss. CONCLUSION: Individuals with unilateral hearing loss present limitations on communicative activities, especially in noisy environments, associated with worse auditory processing abilities of temporal resolution and figure-to-ground.
- ItemAcesso aberto (Open Access)Questionário Hearing Handicap Inventory for the Elderly - Screening version (HHIE-S): estudo da sensibilidade e especificidade(Sociedade Brasileira de Fonoaudiologia, 2009-01-01) Rosis, Ana Carolina Argondizo de; Souza, Marilia Rodrigues Freitas de [UNIFESP]; Iorio, Maria Cecilia Martinelli [UNIFESP]; Irmandade da Santa Casa de Misericórdia de São Paulo; Universidade Federal de São Paulo (UNIFESP)PURPOSE: To investigate the sensitivity and specificity of the questionnaire Hearing Handicap Inventory for the Elderly - Screening version (HHIE-S) in the hearing screening of elderly people who seek for different health care services (audiological clinic and other clinics). METHODS: The hearing of 78 elderly - 23 attended at the Discipline of Geriatrics and Gerontology of the institution who did not, necessarily, have complaints regarding their hearing, and 55 attended at the Audiology Clinic of the same institution with complaints related to the auditory and/or vestibular systems - was assessed. The HHIE-S questionnaire was applied, and its total score was divided into three categories, according to the handicap perception. RESULTS: A statistically significant relationship was found between handicap and degree of hearing loss in both patients from the Audiology Clinic (p=0.009*) and from the Geriatrics Clinic (p=0.002). In the first group, the HHIE-S questionnaire showed low sensitivity (23.5%) and high specificity (73.7%). In the group of patients from the Geriatrics Clinic, the values of sensitivity (94.7%) and specificity (75%) were both high. CONCLUSIONS: There was positive association between the degree of hearing loss and the handicap referred by both groups of subjects. The HHIE-S questionnaire is a hearing screening instrument with high sensitivity and specificity in identifying hearing loss in elderly people that seek health care services that are not specific for attention related to hearing disorders.
- ItemAcesso aberto (Open Access)Resolução Temporal, localização e identificação de sons verbais degradados em portadores de perda auditiva unilateral com e sem dificuldade de linguagem(Universidade Federal de São Paulo (UNIFESP), 2010-02-24) Nishihata, Regiane [UNIFESP]; Chiari, Brasilia Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The goal of this research is to verify the temporal resolution , sound localization and identification of degraded verbal sounds in individuals with unilateral hearing loss and investigate possible associations with learning or language disorders. Method: Twenty-six 8 to 15 year-old girls and boys participated in this study .Thirteen had normal hearing ( GSP ).Thirteen had a unilateral hearing loss ( GP ) and were divided into 2 groups: GPAD, with right hearing loss, and GPAE, with left hearing loss . An anamnesis was performed with parents who provided information about child’s auditory, communicative and linguistic behavior as well as performance at school. They informed what the risk factors were, the age of the child when they suspected there might be a hearing loss and the age when the diagnosis was established .The individuals underwent auditory processing assessment with speech in noise tests, sound localization and a gap detection test (RGDT).The data were analyzed with non- parametric tests and a 0.05 significance level. Results. There was no significant difference between the group with hearing loss (GP) and the group without hearing loss (GSP) as to temporal resolution. There was significant difference between the group with hearing loss (GP) and the group without loss (GSP) in degraded sound analysis through speech in noise test. There was significant difference between the group with hearing loss (GP) and the group without loss (GSP) in sound localization in five directions. The group with hearing loss (GP) presented more auditory, communicative and linguistic difficulties than the group without hearing loss. Within the group with hearing loss (GP), the children with right hearing loss ( GPAD ) had a history of speech and language delay, failed at school, attended school remedial programmes , and had behavioural problems more often than GPAE, the children with left hearing loss . Conclusion: Temporal resolution did not distinguish individuals without hearing loss and those with unilateral hearing loss. Individuals with unilateral hearing loss did less well in sound localization and closure tasks and did not communicate as proficiently as those without hearing loss. The Individuals with right hearing loss (GPAD) had often had speech and language delay, academic difficulty, and behavioural problems.