Efeitos da expansão rápida de maxila nos limiares auditivos e funcionamento da orelha média
Effects of rapid maxillary expansion on auditory thresholds and middle ear functioning
Cassiele Fontoura Moraes; Erissandra Gomes; Rebeca Cardona Santa Helena; Pricila Sleifer
Resumo
Palavras-chave
Abstract
Purpose To ascertain whether Rapid Maxillary Expansion (RME) elicits effects on the functioning of the middle ear and air-bone gaps in children and adolescents.
Methods Single-arm clinical trial, with data collection at four time points: before initiating Rapid Maxillary Expansion (RME) (T0), upon completion of RME (T1), three months post-RME completion (T2), and six months post-RME procedure (T3). The audiological assessment, conducted at all four time points, comprised otoscopy, pure tone and speech audiometry, tympanometry, and acoustic reflex investigation.
Results Eighteen children and adolescents met the eligibility criteria. There was a reduction in air-bone gaps and an improvement in middle ear function throughout the follow-up period, between T0, T1, T2, and T3. Three months after the completion of RME, at T2, all patients exhibited type A tympanometric curves, and six months after RME, at T3, there was an absence of air-bone gaps and ipsilateral and contralateral acoustic reflexes present in the entire sample.
Conclusion In the studied sample, it was observed that Rapid Maxillary Expansion (RME) led to a gradual reduction in air-bone gaps, resulting in appropriate middle ear function in children and adolescents with transverse maxillary atresia.
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Referências
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Submetido em:
06/01/2024
Aceito em:
30/05/2024
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