Abstract:RESUMOObjetivo: descrever as características audiológicas de indivíduos com fissura labiopalatina operada (FLP) e indicação de cirurgia otológica, comparando os grupos quanto ao tipo e grau da perda auditiva, bem como a curva timpanométrica. Método: análise de 150 prontuários, ambos os gêneros, idade igual ou superior a 4 anos, FLP e indicação de cirurgia otológica, divididos em 3 grupos: I -Tubo de ventilação (TV), II -Timpanoplastia e III -Timpanomastoidectomia, analisando aspectos quanto a entrevista audiol… Show more
“…Um grande número de indivíduos com FLP apresentam perda auditiva do tipo condutiva de grau leve e bilateral, como sequelas decorrentes das otites médias, muito comum nessa população (Santos, et al, 2011).…”
Objetivo: Investigar o efeito do treinamento muscular expiratório na capacidade respiratória de crianças com Fissura Lábio-palatina. Metodologia: Ensaio clinico randomizado de período longitudinal e prospectivo. Estudo realizado nos ambulatórios de especialidades um Hospital pediátrico de uma cidade do Sul do Brasil, junto a uma Universidade Federal. Incluídos sujeitos com Fissura Lábio-palatina, entre três a 12 anos, já corrigidos por cirurgias de queiloplastia e palatoplastia. Excluídos sujeitos com deficiência intelectual ou de outra malformação associadas. Os sujeitos foram avaliados pré e pós intervenção, além de reavaliados em um follow-up de 3 meses. O treinamento seguiu, em ambos os grupos, a realização de 3 séries de 10 repetições por semana, durante seis semanas. O Grupo Água fez uso de PEP em Selo de Água, enquanto o Grupo Respiron fez uso do Respiron®. Resultados: Em relação à força muscular e à capacidade respiratória, todos os sujeitos apresentaram melhora com diferença estatística (p= <0,001). O Grupo Água apresentou diferença estatística para à capacidade vital (p=0,007). Os dados posturais não mostraram diferença entre os períodos avaliados. Conclusão: Sujeitos com Fissura Lábio-palatina são beneficiados com o uso de dispositivos incentivadores respiratórios através de um treinamento muscular expiratório.
“…Um grande número de indivíduos com FLP apresentam perda auditiva do tipo condutiva de grau leve e bilateral, como sequelas decorrentes das otites médias, muito comum nessa população (Santos, et al, 2011).…”
Objetivo: Investigar o efeito do treinamento muscular expiratório na capacidade respiratória de crianças com Fissura Lábio-palatina. Metodologia: Ensaio clinico randomizado de período longitudinal e prospectivo. Estudo realizado nos ambulatórios de especialidades um Hospital pediátrico de uma cidade do Sul do Brasil, junto a uma Universidade Federal. Incluídos sujeitos com Fissura Lábio-palatina, entre três a 12 anos, já corrigidos por cirurgias de queiloplastia e palatoplastia. Excluídos sujeitos com deficiência intelectual ou de outra malformação associadas. Os sujeitos foram avaliados pré e pós intervenção, além de reavaliados em um follow-up de 3 meses. O treinamento seguiu, em ambos os grupos, a realização de 3 séries de 10 repetições por semana, durante seis semanas. O Grupo Água fez uso de PEP em Selo de Água, enquanto o Grupo Respiron fez uso do Respiron®. Resultados: Em relação à força muscular e à capacidade respiratória, todos os sujeitos apresentaram melhora com diferença estatística (p= <0,001). O Grupo Água apresentou diferença estatística para à capacidade vital (p=0,007). Os dados posturais não mostraram diferença entre os períodos avaliados. Conclusão: Sujeitos com Fissura Lábio-palatina são beneficiados com o uso de dispositivos incentivadores respiratórios através de um treinamento muscular expiratório.
“…The relationship between CAP disorders in children with CLP is widely discussed in the literature and has as a causal factor the constant alteration of ME found in these patients. This chronic alteration of ME occurs due to malformation of the eustachian tube, caused by an alteration in the trajectory and insertion of the muscles: tensor and levatorvelipalatini on the ipsilateral hard palate, being that the normality is their insertion bilaterally 7,10 . This alteration brings as consequence the malfunctioning of the eustachian tube that remaining closed most of the time, without ventilation, produces a fluid in the ME and recurrent episodes of otitis media.…”
Section: Discussionmentioning
confidence: 99%
“…The eustachian tubehas communication with the tympanic cavity and the nasopharynx, remaining closed for most of the time, having the functions of balancing the air pressure in the middle ear with atmospheric pressure, protecting against the pressure and secretions coming from the nasopharynx to make the drainage of these secretions, through Tensor VeliPalatini muscle, responsible for opening and closing the eustachian tubeduring swallowing. However, for this function to occur, or this process adequately it is essencialthe integrity of the palate and its structures 7,10 .…”
Section: Introductionmentioning
confidence: 99%
“…In individuals with CLP, mechanisms responsible for the opening of the eustachian tube are defective due to an alteration in the trajectory and insertion of the tensor and levatorvelipalatini muscles on the palate, since there is no bilateral union of these muscles in the midline and soft palate, and on the other hand, the insertion occurs at the edge of the ipsilateral cleft hard palate. This persistent tube dysfunction causes many recurrent events of otitis media, because the obstructedeustachian tubegenerates the lack of ventilation in the middle ear, increasing the production of liquid in it 7,10 .…”
Purpose: to verify the impact of home auditory training performed by parents for 30 days and the contribution to a better performance of the central auditory processing in children with auditory disorders resulting from cleft lip and palate. Methods: case studies were carried out with three children above seven years of age, presented with operated cleft lip and palate. Tests to assess peripheral hearing, behavioral and electrophysiological tests for central hearing assessment and Sustained Attention Auditory Ability ones, before and after the auditory training, were performed. Those responsible for the children answered a questionnaire which verified the auditory and attention behaviors altered by the impairment of the auditory processing. Results: improvement was seen in the majority of the behavioral tests of the auditory processing disorders, and in those which did not show variation after the training, the performance was maintained. Improvement was observed in the sustained attention as well as in the monitoring of all children of the study, post training. Improvement of the auditory behavior and also the decrease of latencies and the increase of amplitude of Na and Pa waves, after the training, were found. Conclusion: there was an enhancement in the performance of the central auditory processing of all children with operated cleft lip and palate, following auditory stimulation.
“…Regarding the types of auditory complaint, a study 11 conducted with 150 medical records showed that 83% of the sample had some type of hearing complaint, the most frequent being unilateral or bilateral hearing loss (64%). Otitis and otorrhea (current or previous) were more prevalent in the presurgical groups undergoing tympanoplasty and tympanomastoidectomy.…”
Summary
Introduction: At the initial consultation, the speech–language pathologist and audiologist may consider possible diagnostic hypotheses based on the child's history and the parents' complaint.
Aim: To investigate the association of hearing complaints with the findings obtained in the conventional audiologic assessment in children with cleft lip and palate. Retrospective study.
Methods: We analyzed medical charts of 1000 patients with cleft lip and palate who underwent surgical repair between 1988 and 1995 at a mean age of 6 years 8 months. We excluded charts with records of inconsistent audiological responses and charts with missing data for any of the audiologic evaluations considered. Thus, the sample consisted of 393 records.
Results: Two hundred thirty-nine patients presented hearing loss in one or both ears, but only 3.8% reported hearing complaints. The most frequent were otorrhea followed by otalgia. There was no statistical significance between the complaint and gender (p = 0.26) nor between the complaint and hearing loss (p = 0.83).
Conclusion: This study showed no association between the hearing complaint and the conventional audiologic assessment.
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