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https://codas.org.br/article/doi/10.1590/2317-1782/20232021273en
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Revisão Sistemática

Occurrence of changes in the auditory evoked potentials of smokers: systematic review of the literature

Ocorrência de alterações nos potenciais evocados auditivos de fumantes: revisão sistemática da literatura

Dayane Stephanie Potgurski; Georgea Espindola Ribeiro; Daniela Polo Camargo da Silva

http://dx.doi.org/10.1590/2317-1782/20232021273en CoDAS, vol.35, n4, e20210273, 2023
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Abstract

Purpose

To verify the occurrence of abnormal auditory evoked potentials (AEP) tests in adult smokers.

Research strategies

Systematic review of the literature according to the PRISMA guidelines, to answer the question: “Are there any changes in the AEP results in adult smokers?”, PECOS strategy. Research carried out on PubMed, Embase, CINAHL, LIVIVO, Scopus, Web of Science, LILACS and Scielo databases. Additional search of gray literature: Google Scholar and ProQuest hand searching of reference lists of the included studies.

Selection criteria

Cross-sectional studies were selected, without restriction on the year of publication and language.

Data analysis

First, the titles and abstracts of all the studies were analyzed, followed by the full reading of the eligible studies.

Results

898 articles were collected, after the duplicate studies were removed and after blind analysis by three researchers, 8 studies of the observational type were selected. Most studies have found an association between active smoking and changes in electrophysiological tests.

Conclusion

Normal hearing adult smokers present alterations in short and long AEP. In the auditory brainstem response, the main altered components were the increase in waves latencies of I and III and in the interpeaks I - III and III - V, as well as a decrease in the amplitude of the waves. In Mismatch Negativity, there was a significant increase in wave amplitude and latency. In the long latency potential, P300, there was an increase in latencies and decreased amplitudes in the components N1 (in Fz) and P3.

Keywords

Smokers; Electrophysiology; Hearing; Cochlear Nerve; Auditory Evoked Potentials

Resumo

Objetivo

Verificar a ocorrência de alterações nos exames de potencial evocado (PEA) auditivo em adultos fumantes normo-ouvintes.

Estratégia de pesquisa

Revisão sistemática da literatura de acordo com recomendações do PRISMA, buscando responder à pergunta: “Há alterações nos resultados do exame de PEA em adultos fumantes?”, estratégia PECOS. Pesquisa realizada nas bases de dados PubMed, Embase, CINAHL, LIVIVO, Scopus, Web of Science, LILACS e Scielo. Busca adicional da literatura cinzenta: Google Scholar e ProQuest e busca manual das referências dos estudos incluídos.

Critérios de seleção

Foram selecionados estudos com delineamento transversal, sem restrição do ano de publicação e idioma.

Análise dos dados

Primeiramente foram analisados os títulos e resumos de todos os estudos encontrados, seguido da leitura na íntegra dos estudos elegíveis.

Resultados

Foram obtidos 898 artigos, que após remoção dos duplicados e análise cega por três pesquisadores, foram selecionados oito trabalhos. Grande parte dos estudos encontrou uma associação entre tabagismo ativo e alterações nos testes eletrofisiológicos.

Conclusão

Adultos fumantes normo-ouvintes apresentam alterações nos exames de PEA de curta e longa latência. No potencial evocado auditivo de tronco encefálico, os principais componentes alterados foram o aumento das latências das ondas I e III e nos interpicos I - III e III - V, bem como diminuição da amplitude das ondas. No Mismatch Negativity, houve aumento significativo da amplitude da onda e da latência. No potencial de longa latência, P300, houve aumento das latências e redução das amplitudes nos componentes N1 (em Fz) e P3.

Palavras-chave

Fumante; Eletrofisiologia; Audição; Nervo Coclear; Potenciais Evocados Auditivos

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