Perfil audiológico e análise da autopercepção auditiva pós COVID-19
Data
2023-11-14
Autores
Felix, Larissa de Assis 
Orientadores
Andrade, Adriana Neves de
Tipo
Trabalho de conclusão de curso
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ISSN da Revista
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Resumo
Introdução: A Síndrome Respiratória Aguda Grave (SARS-Cov-2) está relacionada ao coronavírus 2 que apresenta sintomas semelhantes a um quadro gripal. Estudos evidenciaram que o SARS-CoV-2 afeta diversos sistemas sensoriais do ser humano, e o impacto vascular e imunológico, decorrente da infecção viral, pode afetar as estruturas sensoriais e mecânicas do sistema auditivo. Objetivo: Analisar os resultados da anamnese, avaliação audiológica e da autopercepção auditiva em indivíduos pós diagnóstico confirmado de COVID-19. Método: Foi realizado um estudo retrospectivo/prospectivo em pacientes com diagnóstico confirmado de COVID-19, encaminhados para a avaliação audiológica no período de março de 2021 a março de 2023. Os dados foram coletados mediante a análise das respostas dos questionários com informações genéricas sobre saúde, audição e específicos da COVID-19 e da avaliação audiológica básica (audiometria tonal, logoaudiometria e medidas de imitância acústica). Os resultados foram submetidos à análise descritiva. Resultados: Foram avaliados 22 indivíduos entre 18 e 53 anos de idade (média de idade de 42,5 anos) sendo 72,7% do sexo feminino e com boa saúde geral. 95,5% da amostra procurou atendimento por queixas de perda auditiva, zumbido, tontura e outros. A maioria dos participantes foi diagnosticado por PCR-RT, Cerca de 78% dos indivíduos afirmaram ter sequelas pós COVID-19 e 50% perceberam piora na audição. Na audiometria, 66,7% da amostra apresentou limiares auditivos normais em uma das orelhas; 77,30% desempenho adequado no índice de reconhecimento de fala e 72,8% boa mobilidade da membrana timpânica com reflexos acústicos contralaterais presentes em níveis normais (54,5%). Conclusão: Os indivíduos avaliados tinham boa saúde geral, mas apresentaram queixas auditivas e sequelas após a infecção por COVID-19. Na avaliação audiológica a maioria da amostra não apresentou perda auditiva, dificuldades para entender a fala e/ou alteração no sistema tímpano ossicular. Metade dos indivíduos relataram piora da audição pós COVID-19.
Introduction: Severe Acute Respiratory Syndrome (SARS-Cov-2) is related to coronavirus 2, which presents flu-like symptoms. Studies have shown that SARS-CoV-2 affects various human sensory systems, and the vascular and immunological impact of viral infection can affect the sensory and mechanical structures of the auditory system. Objective: To analyze the results of anamnesis, audiological assessment and auditory self-perception in individuals after a confirmed diagnosis of COVID-19. Method: A retrospective and prospective study was carried out on patients with a confirmed diagnosis of COVID-19, referred for audiological assessment between March 2021 and March 2023. Data was collected by analyzing the answers to questionnaires with generic information on health, hearing and specific to COVID-19 and the basic audiological evaluation (pure tone audiometry, logoaudiometry and acoustic immittance measurements). The results were analysed descriptively. Results: 22 individuals between the ages of 18 and 53 (mean age 42.5 years) were assessed, 72.7% of whom were female and in good general health. 95.5% of the sample sought care for complaints of hearing loss, tinnitus, dizziness and others. Most of the participants were diagnosed by PCR-RT, around 78% of the individuals said they had sequelae after COVID-19 and 50% noticed a worsening in their hearing. In audiometry, 66.7% of the sample had normal hearing thresholds in one ear; 77.30% had adequate performance in the speech recognition index and 72.8% had good tympanic membrane mobility with contralateral acoustic reflexes present at normal levels (54.5%). Conclusion: The individuals assessed were in good general health but had hearing complaints and sequelae after COVID-19 infection. In the audiological evaluation, most of the sample did not present hearing loss, difficulties in understanding speech and/or alterations in the tympanic-ossicular system. Half of the individuals reported worsening hearing after COVID-19.
Introduction: Severe Acute Respiratory Syndrome (SARS-Cov-2) is related to coronavirus 2, which presents flu-like symptoms. Studies have shown that SARS-CoV-2 affects various human sensory systems, and the vascular and immunological impact of viral infection can affect the sensory and mechanical structures of the auditory system. Objective: To analyze the results of anamnesis, audiological assessment and auditory self-perception in individuals after a confirmed diagnosis of COVID-19. Method: A retrospective and prospective study was carried out on patients with a confirmed diagnosis of COVID-19, referred for audiological assessment between March 2021 and March 2023. Data was collected by analyzing the answers to questionnaires with generic information on health, hearing and specific to COVID-19 and the basic audiological evaluation (pure tone audiometry, logoaudiometry and acoustic immittance measurements). The results were analysed descriptively. Results: 22 individuals between the ages of 18 and 53 (mean age 42.5 years) were assessed, 72.7% of whom were female and in good general health. 95.5% of the sample sought care for complaints of hearing loss, tinnitus, dizziness and others. Most of the participants were diagnosed by PCR-RT, around 78% of the individuals said they had sequelae after COVID-19 and 50% noticed a worsening in their hearing. In audiometry, 66.7% of the sample had normal hearing thresholds in one ear; 77.30% had adequate performance in the speech recognition index and 72.8% had good tympanic membrane mobility with contralateral acoustic reflexes present at normal levels (54.5%). Conclusion: The individuals assessed were in good general health but had hearing complaints and sequelae after COVID-19 infection. In the audiological evaluation, most of the sample did not present hearing loss, difficulties in understanding speech and/or alterations in the tympanic-ossicular system. Half of the individuals reported worsening hearing after COVID-19.