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http://www.codas.periodikos.com.br/article/doi/10.1590/2317-1782/e20240032pt
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Original Article

Efeito da prótese ativa de orelha média na percepção auditiva da fala em indivíduos com malformação de orelha

Effect of active middle ear implant on auditory speech perception in individuals with ear malformation

Eliane Aparecida Techi Catisquini; Mylena Malavazi Teixeira; Cláudia Daniele Pelanda Zampronio; Jerusa Roberta Massola Oliveira; Maria Fernanda Capoani Garcia Mondelli; Luiz Fernando Manzoni Lourençone; Rubens Vuono de Brito Neto

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Resumo

RESUMO: Objetivo: Verificar os resultados da prótese ativa de orelha média na audibilidade e na percepção auditiva da fala em indivíduos com malformação de orelha externa e/ou média.

Método: Estudo primário, observacional, retrospectivo, por meio da análise de prontuários de indivíduos com malformação de orelha externa e/ou média bilateral, usuários unilaterais de prótese ativa de orelha média. Os dados coletados referem-se aos limiares auditivos obtidos por meio da audiometria em campo livre e avaliação da percepção auditiva da fala - reconhecimento de sentenças no silêncio e no ruído, nas seguintes situações: sem a prótese, no momento da ativação, no primeiro e no terceiro mês de uso.

Resultados: Nove indivíduos foram incluídos no estudo. A idade média no momento da ativação foi de 24,6 anos (mínimo 12 e máximo 40 anos). Melhora estatisticamente significante dos limiares auditivos (p<0,05) e no teste de reconhecimento de sentenças no silêncio e no ruído (p<0,05) foi observada no momento da ativação da prótese. Não houve diferença significante entre as situações de avaliação após a ativação, indicando aclimatização pelo usuário.

Conclusão: Os resultados da prótese ativa de orelha média VSB (MED-EL) na audibilidade e na percepção auditiva da fala em indivíduos com malformação de orelha externa e/ou média foram melhores na condição da ativação, em comparação à condição pré-cirúrgica, mantendo-se estável ao longo do tempo; o que reforça sua indicação para essa população.

Palavras-chave

Perda Auditiva, Auxiliares de Audição, Prótese Ossicular, Percepção da Fala, Anormalidades Congênitas

Abstract

Purpose  To verify the results of active middle ear implant on audibility and auditory speech perception in individuals with external and/or middle ear malformations.

Methods  Primary, observational, retrospective study, through analysis of medical records of individuals with bilateral external and/or middle ear malformations, unilateral users of active middle ear implant. The data collected refer to auditory thresholds obtained through free-field audiometry and assessment of auditory speech perception - sentence recognition in silence and noise, in the following situations: without the implant, at the time of activation, in the first and in the third month of use.

Results  Nine individuals were included in the study. The average age at the time of activation was 24.6 years (minimum 12 and maximum 40 years). Statistically significant improvement in auditory thresholds (p<0.05) and in the sentence recognition test in silence and noise (p<0.05) was observed at the time of activation. There was no significant difference between the evaluation situations after activation, indicating acclimatization by the user.

Conclusion  The results of the active middle ear implant VSB (MED-EL) users on the audibility and auditory speech perception, in individual with external and/or middle ear malformation were better in the activation condition compared to the pre-surgical condition, maintaining stable over time; which reinforces its indication for this population.

Keywords

Hearing Loss; Hearing Aids; Ossicular Prosthesis; Speech Perception; Congenital Abnormalities

References

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Submitted date:
02/26/2024

Accepted date:
10/05/2024

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