Avaliação das perdas auditivas em crianças e adolescentes com HIV/Aids

Hearing loss in children with HIV/AIDS

“…In this case, the presence of electrophysiological abnormalities is common in the brainstem auditory-evoked potentials of middle and/or long latency, including P300, throughout the progression of the disease (8) . Studies with HIV-positive individuals indicate that this population is especially vulnerable to auditory disorders (4,(9)(10)(11)(12)(13)(14)(15) .…”

Avaliação da saúde auditiva em crianças com HIV/AIDS

“…In studies of hearing assessment in children and adolescents with HIV/AIDS using pure-tone audiometry, conductive hearing loss was the most frequently reported type (17,18) . Author (7) observed reported conductive (58%), mixed (23.6%), and sensorineural (18.4%) hearing loss in affected juvenile patients. Another study (19) investigated the hearing loss type in each ear and reported conductive hearing loss in the right ear in 22.5% of patients and left in 33.7%, sensorineural in the right in 10.1% and left in 7.9%, and mixed in the right ear in 9% of patient and left in 7.9%.…”

“…Another study (27) detected a high viral load in patients with otologic clinical manifestations, further indicating the association between hearing loss and the time of diagnosis. Most studies of HIV-infected individuals (children or adults) report a higher prevalence of ear infections in addition to auditory symptoms, such as buzzing and ear ache, especially in patients undergoing antiretroviral therapy (7,19,24,27,28) . Therefore, audiometric examinations are important to monitor the hearing of children with HIV/AIDS, with the aim of preventing future hearing loss and other otic sequelae.…”

“…Another study (7) reports a higher prevalence of hearing loss (59.4%) in children and adolescents with HIV/AIDS, in addition to alterations in the central auditory pathways (5,6) . As hearing loss increases in severity, vocabulary, phonological awareness, auditory discrimination, and school achievement declines, and the incidence of articulation difficulties, changes, and omissions increases (10) .…”

“…Studies (3)(4)(5)(6)(7) suggest that children with HIV are especially vulnerable to hearing disorders. Hearing loss hampers or destroys oral communication, which has direct repercussions on the social and family environments.…”