CoDAS
https://codas.org.br/article/doi/10.1590/2317-1782/20212021065
CoDAS
Original Article

Hearing rehabilitation of children and adolescents with unilateral hearing loss

Ângela Leusin Mattiazzi; Ana Clara de Lima Malheiros; Julia Dalcin PintoIara; Denise Endruweit Battisti; Eliara Pinto Vieira Biaggio

Downloads: 1
Views: 671

Abstract

Purpose

To describe the audiological characteristics and the type of intervention chosen on unilateral hearing loss cases in children and adolescents as well as to analyze correlations between the degree of hearing loss, the indication and the use of electronic devices.

Methods

Observational, descriptive and retrospective study, carried out with information of 34 medical records from children and adolescents with unilateral hearing loss, assessed by two auditory rehabilitation services of medium complexity, throughout 2016 to 2019. Descriptive and Inferential statistical analysis were performed with the data.

Results

A predominance of profound sensorineural unilateral hearing loss in the right ear, of pre-lingual character, with 20.6% of malformations. The most adopted intervention was the hearing aid indication, although its use is low, regardless of the degree of the hearing loss. An association was found between the degree of the hearing loss and the healthcare professionals in indicating the use of the devices.

Conclusion

The indication of hearing aids is the most frequent and this decision is influenced by the degree of the hearing loss, in which the devices are mostly indicated for mild to severe losses, with bigger divergence of conduct for profound hearing losses.

Keywords

Unilateral Hearing Loss; Child; Hearing Aids; Rehabilitation; Hearing

Referências

  1. Fitzpatrick EM, Al-Essa RS, Whittingham J, Fitzpatrick J. Characteristics of children with unilateral hearing loss. Int J Audiol. 2017;56(11):819-28. http://dx.doi.org/10.1080/14992027.2017.1337938 PMid:28639843.

  2. Pupo AC, Barzaghi L, Boechát EM. Intervenção fonoaudiológica nas perdas auditivas unilaterais em crianças. In: Boéchat EM, Menezes PL, Couto CM, Frizzo ACF, Scharlach RC, Anastasio ART, editors. Tratado de audiologia. Rio de Janeiro: Guanabara Koogan; 2015. p. 470-76.

  3. Pupo AC, Esturaro GT, Barzaghi L, Trenche MCB. Perda auditiva unilateral em crianças: avaliação fonológica e do vocabulário. Audiol Commun Res. 2016;21(0):e1695. http://dx.doi.org/10.1590/2317-6431-2016-1695

  4. Paul A, Marlin S, Parodi M, Rouillon I, Guerlain J, Pingault V, et al. Unilateral sensorineural hearing loss: medical context and etiology. Audiol Neurootol. 2017;22(2):83-8. http://dx.doi.org/10.1159/000474928 PMid:28738350.

  5. Fitzpatrick EM, Durieux-Smith A, Whittingham J. Clinical practice for children with mild bilateral and unilateral hearing loss. Ear Hear. 2010;31(3):392-400. http://dx.doi.org/10.1097/AUD.0b013e3181cdb2b9 PMid:20054278.

  6. Sano H. Associated health issues of patients with acquired unilateral hearing loss. In: Zanetti D, editor. Advances in rehabilitation of hearing loss. London: IntechOpen; 2019. p. 1-11.

  7. Rohlfs AK, Friedhoff J, Bohnert A, Breitfuss A, Hess M, Müller F, et al. Unilateral hearing loss in children: a retrospective study and a review of the current literature. Eur J Pediatr. 2017;176(4):475-86. http://dx.doi.org/10.1007/s00431-016-2827-2 PMid:28132094.

  8. Roland L, Fischer C, Tran K, Rachakonda T, Kallogjeri D, Lieu J. Quality of life in children with hearing impairment: systematic review and meta-analysis. Otolaryngol Head Neck Surg. 2016;155(2):208-19. http://dx.doi.org/10.1177/0194599816640485 PMid:27118820.

  9. Purcell PL, Shinn JR, Davis GE, Sie KCY. Children with unilateral hearing loss may have lower intelligence quotient scores: a meta-analysis. Laryngoscope. 2016;126(3):746-54. PMid:26452077.

  10. Castiquini EAT, Silveira TS, Shayeb DR, Meyer ASA. Avaliação audiológica de indivíduos portadores de malformação de orelha. Int Arch Otorhinolaryngol. 2006;10(2):98-103.

  11. Appachi S, Specht JL, Raol N, Lieu JEC, Cohen M, Dedhia K, et al. Auditory outcomes with hearing rehabilitation in children with unilateral hearing loss: a systematic review. Otolaryngol Head Neck Surg. 2017;157(4):565-71. http://dx.doi.org/10.1177/0194599817726757 PMid:28849705.

  12. Brasil. Ministério da Saúde. Portaria nº 2.073, de 28 de setembro de 2004. Institui a Política Nacional de Atenção à Saúde Auditiva [Internet]. Diário Oficial da União; Brasília; 29 sep. 2004 [cited 2020 Mar 27]. Available from: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2004/prt2073_28_09_2004.html

  13. Brasil. Ministério da Saúde [Internet]. Rede de cuidados à pessoa com deficiência no âmbito do SUS. Instrutivos de reabilitação auditiva, física, intelectual e visual. Brasília: Ministério da Saúde; 2014 [cited 2020 Mar 27]. Available from: https://saude.rs.gov.br/upload/arquivos/carga20171051/20165156-instrutivo-reabilitacao-rede-pcd-saips-01-06-14-ft.pdf

  14. Muse C, Harrison J, Yoshinaga-Itano C, Grimes A, Brookhouser PE, Epstein S, et al. Supplement to the JCIH 2007 position statement: principles and guidelines for early intervention after confirmation that a child is deaf or hard of hearing. Pediatrics. 2013;131(4):e1324-49. http://dx.doi.org/10.1542/peds.2013-0008 PMid:23530178.

  15. Joint Committee on Infant Hearing. Year 2019 position statement: principles and guidelines for early hearing detection and intervention programs. J Early Hear Detect Interv. 2019;4(2):1-44.

  16. Silman S, Silverman CA. Basic audiologic testing. In: Silman S, Silverman CA, editors. Auditory diagnosis: principles and applications. San Diego: Singular Publishing Group; 1997. p. 44-52.

  17. Lloyd LL, Kaplan H. Audiometric interpretation: a manual of basic audiometry. Baltimore: University Park Press; 1978.

  18. Northern JL, Downs MP. Hearing in children. Philadelphia: Lippincott Williams & Wilkins; 2002.

  19. Bagatto M, Moodie S, Brown C, Malandrino A, Richert F, Clench D, et al. Prescribing and verifying hearing aids applying the American Academy of Audiology Pediatric Amplification Guideline: protocols and outcomes from the Ontario Infant Hearing Program. J Am Acad Audiol. 2016;27(3):188-203. http://dx.doi.org/10.3766/jaaa.15051 PMid:26967361.

  20. Anne S, Lieu JEC, Cohen MS. Speech and language consequences of unilateral hearing loss: a systematic review. Otolaryngol Head Neck Surg. 2017;157(4):572-9. http://dx.doi.org/10.1177/0194599817726326 PMid:28828919.

  21. Mondelli MFCG, Santos MM, José MR. Speech perception in noise in unilateral hearing loss. Braz J Otorhinolaryngol. 2016;82(4):427-32. http://dx.doi.org/10.1016/j.bjorl.2015.08.019 PMid:26699444.

  22. Nishihata R, Vieira MR, Pereira LD, Chiari BM. Processamento temporal, localização e fechamento auditivo em portadores de perda auditiva unilateral. Pro Fono. 2012;17(3):266-73.

  23. Zernotti ME, Gregorio MF, Sarasty ACB. Middle ear implants: functional gain in mixed hearing loss. Braz J Otorhinolaryngol. 2012;78(1):109-12. http://dx.doi.org/10.1590/S1808-86942012000100017 PMid:22392247.

  24. Bento RF, Miniti A, Butugan O. Doenças congênitas do ouvido. In: Bento RF, Miniti A, Marone SAM, editors. Tratado de otologia. São Paulo: EDUSP/Fundação Otorrinolaringologia; 1998. p. 135-42.

  25. Pinto MM, Raimundo JC, Samelli AG, Carvalho ACM, Matas CG, Ferrari GMS, et al. Age at the diagnosis and in the beginning of intervention from hearing impaired children, in a public Brazilian hearing health services. Arq Int Otorrinolaringol. 2012;16(1):44-9. http://dx.doi.org/10.7162/S1809-48722012000100006

  26. Almeida GVM, Ribas A, Ataíde AL. Reabilitação de perdas auditivas unilaterais por próteses auditivas implantáveis: revisão sistemática. Audiol Commun Res. 2017;22(0):e1847. http://dx.doi.org/10.1590/2317-6431-2017-1847

  27. Choi JE, Ma SM, Park H, Cho YS, Hong SH, Moon J. A comparison between wireless CROS/BiCROS and soft-band BAHA for patients with unilateral hearing loss. PLoS One. 2019;14(2):e0212503. http://dx.doi.org/10.1371/journal.pone.0212503 PMid:30789931.

  28.  

    Costa LD, Santos SN, Costa MJ. Perda auditiva unilateral e o uso de prótese auditiva: reconhecimento de fala, benefício, autopercepção do desempenho funcional e satisfação. Rev CEFAC. 2019;21(1):1-13.

63e3c90fa953950f205e9376 codas Articles

CoDAS

Share this page
Page Sections