Int Arch Otorhinolaryngol 2013; 17(02): 184-188
DOI: 10.7162/S1809-97772013000200011
Original Article
Thieme Publicações Ltda Rio de Janeiro, Brazil

Auditory complaints and audiologic assessment in children with surgically repaired cleft lip and palate

Jaqueline Lourenço Cerom
1   Speech Therapist. Speech–Language Pathology and Audiology Graduate Program (Master's Degree) in the field of Communication Disorders, Bauru School of Dentistry, University of São Paulo–USP, Bauru (SP), Brazil.
,
Maria Renata José
1   Speech Therapist. Speech–Language Pathology and Audiology Graduate Program (Master's Degree) in the field of Communication Disorders, Bauru School of Dentistry, University of São Paulo–USP, Bauru (SP), Brazil.
,
Fabiana de Souza Pinto Azenha
2   Master of Science. Master's Degree in Science in the field of Communication Disorders, Audiologist at the Speech–Language Pathology and Audiology Clinic of the Bauru School of Dentistry, University of São Paulo–USP.
,
Camila de Cássia Macedo
3   Master of Rehabilitation Sciences. Master's Degree in Rehabilitation Sciences in the field of Orofacial Clefts and Related Anomalies, Graduate Program (Doctorate) in Rehabilitation Sciences, Hospital for Rehabilitation of Craniofacial Anomalies.
,
Kátia de Freitas Alvarenga
4   Associate Professor. Associate Professor of the Speech–Language Pathology and Audiology Department, Bauru School of Dentistry, University of São Paulo–USP, Bauru (SP), Brazil.
,
Andréa Cintra Lopes
5   PhD. Associate Professor of the Speech–Language Pathology and Audiology Department, Bauru School of Dentistry, University of São Paulo–USP, Bauru (SP), Brazil.
,
Mariza Ribeiro Feniman
6   Professor. Full Professor of the Speech–Language Pathology and Audiology Department, Bauru School of Dentistry, University of São Paulo–USP, Bauru (SP), Brazil.
› Author Affiliations
Further Information

Publication History

24 October 2012

26 February 2013

Publication Date:
09 January 2014 (online)

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.

 
  • References

  • 1 Murray JC. Gene/environment causes of cleft lip and/or palate. Clinical Genetics 2002; 61 (4) 248-56
  • 2 Pegoraro-Krook MI, Souza JCRD, Teles-Magalhães LC, Feniman MR, Intervenção fonoaudiológica na fissura palatina. In: Ferreira LP, Befi-Lopes DM, Limongi SCO. , editors. Tratado de Fonoaudiologia; São Paulo: Roca; 2004. p. 339–455
  • 3 Arnold WH, Nohadani N, Koch KH. Morphology of the auditory tube and palatal muscles in a case of bilateral cleft palate. Cleft Palate Craniofac J 2005; 42 (2) 197-201
  • 4 Chu KM, McPherson B. Audiological status of Chinese patients with cleft lip/palate. Cleft Palate Craniofac J 2005; 42 (3) 280-5
  • 5 Northern JL, Downs MP. Audição em crianças. 3rd ed. São Paulo: Manole; 1989
  • 6 Sígolo C, Lacerda CBF de. Da suspeita à intervenção em surdez: caracterização deste processo na região de Campinas/SP. J. Soc. Bras. Fonoaudiol 2011; 23 (1) 32-7
  • 7 Balbani APS, Montovani JC. Impacto das otites médias na aquisição da linguagem em crianças. J. Pediatr. (Rio J.) 2003; 79 (5) 391-6
  • 8 Amaral MIR, do, Martins JE, Santos MFC. dos. Estudo da audição em crianças com fissura labiopalatina não sindrômica. Braz. J. Otorhinolaryngol 2010; 76 (2) 164-71
  • 9 Piazentin-Penna SHA. Identificação auditiva em crianças de 3 a 12 meses de idade com fissura labiopalatina [dissertation]. [Bauru]: Hospital de Reabilitação de Anomalias Craniofaciais; 2002. 157 p
  • 10 Souza D, Di Ninno CQ, Borges GP, Silva TM, Miranda ES. Perfil audiológico de indivíduos operados de fissura de palato no Hospital da Baleia de Belo Horizonte. ACTA ORL 2006; 24 (3) 170-3
  • 11 Santos FR, dos, Piazentin-Penna SHA, Brandão GR. Avaliação audiológica pré-cirurgia otológica de indivíduos com fissura labiopalatina operada. Rev. CEFAC 2011; 13 (2) 271-80
  • 12 Hubig DOC, Costa OA. Otite média: considerações em relação à população de creche. In: Lichitig I, Carvalho RMM, , org. Audição abordagens atuais. São Paulo: Pró-Fono: 1997. p. 91-117
  • 13 Gatto C, Tochetto TM. Deficiência auditiva infantil implicações e soluções. Rev. CEFAC 2007; 9 (1) 110-5
  • 14 Lemos ICC, Feniman MR. Teste de Habilidade de Atenção Auditiva Sustentada (THAAS) em crianças de sete anos com fissura labiopalatina. Braz. J. Otorhinolaryngol 2010; 76 (2) 199-205
  • 15 Ferreira S. Otite média em crianças: Incidência e consequências [thesis]. [Campo Grande]: Centro de especialização em Fonoaudiologia clínica; 2000. 34 p
  • 16 Delgado-Pinheiro EMC, Omote S. Conhecimentos de professores sobre perda auditiva e suas atitudes frente à inclusão. Rev. CEFAC 2010; 12 (4) 633-40
  • 17 Vitorelli PT, Doná F, Bataglia P, Scharlach RC, Kasse CA, Branco-Barreiro FCA. Ocorrência de queixas auditivas em escolares com e sem dificuldade de aprendizagem. Revista Equilíbrio Corporal e Saúde 2009; 1 (1) 55-61
  • 18 de Melker RA. Evaluation of the diagnostic value of pneumatic otoscopy in primary care using the results of tympanometry as a reference standard. Br J Gen Pract 1993; 43 (366): 22-4
  • 19 Harris PK, Hutchinson KM, Moravec J. The use of tympanometry and pneumatic otoscopy for predicting middle ear disease. Am J Audiol 2005; 14 (1) 3-13