{"title":"Classification of central facial paralysis: an agreement analysis.","authors":"Nathallie Angel Conceição da Silva Andrade, Raquel Karoline Gonçalves Amaral, Laélia Cristina Caseiro Vicente, Aline Mansueto Mourão","doi":"10.1590/2317-1782/e20240158pt","DOIUrl":"https://doi.org/10.1590/2317-1782/e20240158pt","url":null,"abstract":"<p><strong>Purpose: </strong>To identify whether there is interrater and intrarater agreement in the classification of the degree of central facial paralysis using two scales and verify which one is more appropriate to classify the severity of facial expressions according to experts' opinion.</p><p><strong>Method: </strong>Observational, prospective, cross-sectional study of agreement analysis of the House & Brackmann (HB) scale and the Sunnybrook Facial Grading System (SFGS). Five speech-language-hearing pathologists with clinical experience analyzed post-stroke facial expression of 30 adults for interrater agreement. They were evaluated in two stages, with a 10-day interval; the second stage involved 20% of the initial sample for intrarater agreement. The study used weighted kappa coefficient for the HB scale and the intraclass correlation coefficient for the SFGS classification.</p><p><strong>Results: </strong>The HB scale indicated considerable interrater and excellent intrarater agreements. The SFGS had good interrater and intrarater agreements. All speech-language-hearing pathologists considered the SFGS the most appropriate scale for classifying central facial paralysis.</p><p><strong>Conclusion: </strong>The SFGS performed better in interrater agreement analysis. The HB scale had considerable merits in the intrarater assessment. Both scales are adaptable and useful to assess and classify central facial paralysis. However, the speech-language-hearing pathologists indicated the SFGS as the most appropriate.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 3","pages":"e20240158"},"PeriodicalIF":0.9,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12061339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2025-04-28eCollection Date: 2025-01-01DOI: 10.1590/2317-1782/e20240033pt
Gabriele Ramos de Luccas, Raphaela Godoi Abu Halawa, Carlos Henrique Ferreira Martins, Giédre Berretin-Felix
{"title":"Orofacial myofunctional signs and symptoms in adults with sleep breathing disorder: is there a correlation?","authors":"Gabriele Ramos de Luccas, Raphaela Godoi Abu Halawa, Carlos Henrique Ferreira Martins, Giédre Berretin-Felix","doi":"10.1590/2317-1782/e20240033pt","DOIUrl":"https://doi.org/10.1590/2317-1782/e20240033pt","url":null,"abstract":"<p><strong>Purpose: </strong>to verify whether orofacial myofunctional symptoms are related to findings from orofacial myofunctional clinical assessment in adults sleeping breathing disorders (SBD).</p><p><strong>Methods: </strong>observational study; 15 adults, with a mean age of 43 years and diagnosed with primary snoring or OSA by polysomnography; evaluated using the Orofacial Myofunctional Assessment Protocol MBGR, including the Clinical History Protocol to assess symptoms, and the Clinical Examination Protocol to identify signs, considering tests of mobility of lips, tongue, soft palate and jaw; tone of lips, tongue, cheeks and chin; respiratory mode; chewing; and swallowing solids and liquids. For the correlation between signs and symptoms, Spearman's Correlation Coefficient, considering p<0.05 statistically significant, was used.</p><p><strong>Results: </strong>The main orofacial myofunctional complaints were related to chewing (use of only one side during chewing and the need to drink liquids during meals), and swallowing (choking and residue after swallowing). In the orofacial myofunctional assessment, there was a greater frequency of alterations in tongue tone; lip mobility; unilateral chewing pattern with increased speed and chewing inefficiency; swallowing with excessive contraction of the perioral muscles, associated head movement and presence of residue in the oral cavity. The correlation between the scores of orofacial myofunctional signs and symptoms showed significance only between the aspects related to the chewing function (p=0.034), being moderate and inversely proportional (r=-0.548).</p><p><strong>Conclusion: </strong>a moderate negative correlation was found between masticatory signs and symptoms in adults with SBD, and no correlation was observed for breathing and swallowing functions.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 3","pages":"e20240033"},"PeriodicalIF":0.9,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12061340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2025-04-14eCollection Date: 2025-01-01DOI: 10.1590/2317-1782/e20240124pt
Ívina Thaiana de Almeida Menezes, Igor de Matos Pinheiro, Júlia Canto E Souza, Débora Matias Dos Santos, Jaiele Freitas do Nascimento, Manuela Oliveira de Cerqueira Magalhães, Ana Caline Nóbrega
{"title":"Tongue pressure in sarcopenic and dynapenic elderly.","authors":"Ívina Thaiana de Almeida Menezes, Igor de Matos Pinheiro, Júlia Canto E Souza, Débora Matias Dos Santos, Jaiele Freitas do Nascimento, Manuela Oliveira de Cerqueira Magalhães, Ana Caline Nóbrega","doi":"10.1590/2317-1782/e20240124pt","DOIUrl":"https://doi.org/10.1590/2317-1782/e20240124pt","url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to describe tongue pressure in sarcopenic and dynapenic older adults.</p><p><strong>Methods: </strong>An exploratory observational cross-sectional study was performed. Data were gathered from 29 institutionalized older adults (over 60 years old) and several methods were used in order to assess sarcopenia - handgrip strength (dynamometer), muscle mass (bioelectrical impedance analysis and calf circumference); physical performance (Short Physical Performance Balance); and tongue pressure (PLL Pró-Fono). For descriptive analysis, means and medians were described for quantitative variables and absolute and relative frequencies were described for qualitative variables. In the inferential analysis, Pearson's and Spearman's coefficients were used for correlation measurements and Chi-square and Fisher's were used for association, 5% significance level.</p><p><strong>Results: </strong>Most patients were female (79.31%), with a median age of 81 years (IQR 12). Regarding diagnosis, 79.31% were sarcopenic, 17.24% were dynapenic and 3.45% did not present sarcopenia. Fifty-eight point six percent of patients presented low tongue pressure, being 88.2% aged 70-79 years old. Among sarcopenic older adults, 65.2% showed a decline in tongue pressure, while 40% showed similar results in the dynapenic group. There was a statistically significant positive correlation between handgrip and tongue pressure in the 70-79 years age group (p=0.03). With regards to women, there was an association between tongue pressure and sarcopenia (p=0.039) and a positive correlation between tongue pressure and handgrip (p=0.003).</p><p><strong>Conclusion: </strong>A decline in tongue strength was observed in the two studied groups, with worse outcomes in sarcopenic older adults.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 3","pages":"e20240124"},"PeriodicalIF":0.9,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11999703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2025-04-07eCollection Date: 2025-01-01DOI: 10.1590/2317-1782/e20240222en
Viviane Souza Bicalho Bacelete, Elisa Meiti Ribeiro Lin Plec, Flávio Barbosa Nunes, Andréa Rodrigues Motta, Ana Cristina Côrtes Gama
{"title":"Immediate effects of photobiomodulation with low-level laser in women with no laryngeal or voice changes: preliminary results.","authors":"Viviane Souza Bicalho Bacelete, Elisa Meiti Ribeiro Lin Plec, Flávio Barbosa Nunes, Andréa Rodrigues Motta, Ana Cristina Côrtes Gama","doi":"10.1590/2317-1782/e20240222en","DOIUrl":"10.1590/2317-1782/e20240222en","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the safety and immediate effect of photobiomodulation of low-level laser in vocally healthy women.</p><p><strong>Methods: </strong>Experimental research in 36 vocally healthy women aged 18 to 45 years, with skin phototype I to III and body mass index below 25. Participants were randomized to form four groups: Group 1: placebo laser photobiomodulation followed by voiced tongue trill technique (VTTT); Group 2: 3 J infrared laser per point (total 21 J) followed by VTTT; Group: 3: 6 J infrared laser per point (total 42 J) followed by VTTT; and Group 4: 9 J infrared laser per point (total 63 J) followed by VTTT. The following outcomes were assessed: auditory-perceptual evaluation, acoustic analysis (jitter, shimmer, amplitude perturbation quotient [APQ], noise-to-harmonic ratio, period perturbation quotient, cepstral peak prominence, and cepstral peak prominence smoothed), and self-perceived phonatory effort. All participants' records were taken before and immediately after the experiments.</p><p><strong>Results: </strong>There was no significant difference in voice quality, acoustic parameters, or self-perceived phonatory discomfort between intervention moments in the placebo, VTTT + 3 J, and VTTT + 6 J groups in the intragroup comparison. G4 (VTTT + 9 J) decreased shimmer and APQ aperiodicity measures (respective p-values: 0.033; 0.044).</p><p><strong>Conclusion: </strong>Results indicate aperiodicity measures improved with VTTT preceded by 9 J low-level laser application per point, commending this irradiation dosimetry as a possible energy for voice therapy in light-skinned and normal-BMI women. There was no evidence of worsened measures or in-creased discomfort with this resource, indicating it is safe for clinical practice.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 3","pages":"e20240222"},"PeriodicalIF":0.9,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2025-04-07eCollection Date: 2025-01-01DOI: 10.1590/2317-1782/e20240206pt
Ana Cristina Côrtes Gama, Roberto da Costa Quinino, Adriane Mesquita Medeiros, Patrícia Cotta Mancini, Aline Mansueto Mourão, Lara Gama Santos, Thais Helena Machado, Nayara Ribeiro Gomes
{"title":"FonoTCS: validation of a tool for assessing clinical reasoning in Speech-Language pathology.","authors":"Ana Cristina Côrtes Gama, Roberto da Costa Quinino, Adriane Mesquita Medeiros, Patrícia Cotta Mancini, Aline Mansueto Mourão, Lara Gama Santos, Thais Helena Machado, Nayara Ribeiro Gomes","doi":"10.1590/2317-1782/e20240206pt","DOIUrl":"10.1590/2317-1782/e20240206pt","url":null,"abstract":"<p><strong>Purpose: </strong>To validate the internal structure of the Speech-Language Pathology Script Concordance Test (FonoTCS), which will be developed in a virtual, open-access format, to be used in the assessment of clinical reasoning among young professionals and students of speech-language pathology with a generalist background, speakers of Brazilian Portuguese.</p><p><strong>Methods: </strong>This is a study to validate the internal structure of the instrument. Twenty-five specialist speech-language pathologists, with more than 10 years of generalist clinical experience, and 35 students summoned for Enade participated. Both groups evaluated the 30 clinical cases with 120 items from FonoTCS. For the final selection of specialists who made up the sample, judges whose evaluations showed Z2 results >2 and Z<-2 distant from the modal response were removed. For the selection of items present in the final format of the test, those that remained had a Pearson correlation between the transformed scores of students for a given item and the sum of the transformed scores for all items, with a value greater than 0.05. The Cronbach's Alpha test was applied to measure the internal consistency of FonoTCS, and the score of each item was defined based on the aggregated score method.</p><p><strong>Results: </strong>The responses of 13 specialists were considered for the definition of the final test score. The final instrument had 88 items distributed across 28 clinical cases. The internal consistency was 0.903 with a 95% confidence interval expressed by 0.86|---|0.95. These values indicate a high internal consistency among the items of FonoTCS.</p><p><strong>Conclusion: </strong>FonoTCS is valid and reliable for use in evaluating the clinical reasoning of young professionals and speech-language pathology students with generalist training, who are Brazilian Portuguese speakers.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 3","pages":"e20240206"},"PeriodicalIF":0.9,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2025-04-07eCollection Date: 2025-01-01DOI: 10.1590/2317-1782/e20240148pt
Fernanda Cristina de Oliveira Luna Barbosa, Ana Cristina de Albuquerque Montenegro, Bianca Arruda Manchester de Queiroga
{"title":"The effects of the DHACA method on expressive communication in children with autism spectrum disorder.","authors":"Fernanda Cristina de Oliveira Luna Barbosa, Ana Cristina de Albuquerque Montenegro, Bianca Arruda Manchester de Queiroga","doi":"10.1590/2317-1782/e20240148pt","DOIUrl":"10.1590/2317-1782/e20240148pt","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to assess the contributions of the DHACA method to expressive communication development in children with autism spectrum disorder (ASD).</p><p><strong>Methods: </strong>This longitudinal case series study had a sample of 12 children with ASD, nonverbal or minimally verbal communication, and support level one or two. Data were collected by applying the ACOTEA-R Protocol by analyzing videos recorded during intervention sessions before and after using the DHACA. Participants underwent 20 individual speech-language-hearing sessions with the DHACA.</p><p><strong>Results: </strong>After the intervention with the ACOTEA-R, 10 of the 12 children improved their overall expressive communication skills. Concerning the communicative profile, initially, 10 children were nonverbal and 2 were minimally verbal. After the intervention, 7 evolved to a verbal pattern, whereas 5 remained nonverbal. The progress of the following communication skills stands out: use of sentences with four or more words, naming objects, social expressions, greeting people, and making comments. Moreover, 8 of the 12 participants advanced to the third skill in the DHACA, characterized by request with lexical and morphosyntactic expansion.</p><p><strong>Conclusion: </strong>The children's speech and use of the communication book indicated progress in their expressive communication development after intervention with the DHACA.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 3","pages":"e20240148"},"PeriodicalIF":0.9,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2025-04-07eCollection Date: 2025-01-01DOI: 10.1590/2317-1782/e20230358pt
Bruna de Sousa Santos, Juliana Onofre de Lira, Laura Davison Mangilli
{"title":"Characterization of swallowing in older adults with dementia.","authors":"Bruna de Sousa Santos, Juliana Onofre de Lira, Laura Davison Mangilli","doi":"10.1590/2317-1782/e20230358pt","DOIUrl":"10.1590/2317-1782/e20230358pt","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze swallowing in older adults with dementia through clinical evaluation at a referral center for elderly healthcare.</p><p><strong>Methods: </strong>Retrospective, cross-sectional, observational study with older people, stratified by the Clinical Dementia Rating (CDR). Characterization was based on data extracted from medical records, including functional, cognitive, and mood assessments. The clinical evaluation of swallowing consisted of food offered in three consistencies, analyzing 13 items and functional classification.</p><p><strong>Results: </strong>The sample included 149 older adults - 47 neurotypical (CDR 0), 37 with mild dementia (CDR 1), 40 with moderate dementia (CDR 2), and 25 with severe dementia (CDR 3). The groups differed significantly, indicating greater changes in swallowing according to the severity of dementia. For instance, CDR 3 had greater changes in oral spillage of liquids than CDR 0 (p=0.012*). Cough with solids and drop in oxygen saturation with liquids were greater in CDR 3 than in CDR 1 (p=0.039* and p=0.047*, respectively). CDR 3 also had a higher frequency of reduced laryngeal excursion with nectar than CDR 2 (p=0.044*). Only positive cervical auscultation with nectar showed greater change in CDR 2 than in CDR 1 (p=0.019*). Oral residue of solids had a greater change in CDR 1 than in CDR 0 (p=0.030*).</p><p><strong>Conclusion: </strong>The severity of dementia was associated with swallowing impairments, highlighting the need for specific interventions in this population.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 3","pages":"e20230358"},"PeriodicalIF":0.9,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2025-03-31eCollection Date: 2025-01-01DOI: 10.1590/2317-1782/e20240095pt
Gabriella Marra Guimarães Rezende, Ana Elisa Ribeiro Fernandes, Anna Vitória Mendes Viana Silva, Larissa Melgaço Campos, Yasmim Carvalho Telson, Andréa Rodrigues Motta, Henrique Pretti, Renata Maria Moreira Moraes Furlan
{"title":"Association between the habitual lip and tongue posture, clinical characteristics, and sleep-related problems in infants with Trisomy 21.","authors":"Gabriella Marra Guimarães Rezende, Ana Elisa Ribeiro Fernandes, Anna Vitória Mendes Viana Silva, Larissa Melgaço Campos, Yasmim Carvalho Telson, Andréa Rodrigues Motta, Henrique Pretti, Renata Maria Moreira Moraes Furlan","doi":"10.1590/2317-1782/e20240095pt","DOIUrl":"10.1590/2317-1782/e20240095pt","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the association of habitual lip and tongue posture and clinical characteristics with sleep-related problems in infants with Trisomy 21 (T21).</p><p><strong>Methods: </strong>This cross-sectional observational study with a non-probabilistic sample included 87 infants with T21 with a mean age of 8.8 months. The infants' parents answered the Brief Infant Sleep Questionnaire (BISQ) and questions about signs and symptoms related to obstructive sleep apnea. The habitual lip and tongue posture was obtained by analyzing videos of the infants' faces. Information on personal data and health history was extracted from medical records, and information about feeding and oral habits was obtained by interviewing the parents. Descriptive analysis approached the infants' sleep data and the association between sleep quality, snoring, witnessed respiratory pauses, unusual sleeping positions, restless sleep, and the other variables, using Pearson's chi-square test with a 5% significance level.</p><p><strong>Results: </strong>Most infants (82.7%) had good sleep quality. Prematurity was associated with witnessed respiratory pauses; unusual sleeping positions were associated with being a female and with the tongue habitually contained in the oral cavity; and restless sleep was associated with choking.</p><p><strong>Conclusion: </strong>Prematurity, sex, habitual tongue posture, and choking were associated with the aspects of sleep investigated in infants with T21.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 3","pages":"e20240095"},"PeriodicalIF":0.9,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2025-03-31eCollection Date: 2025-01-01DOI: 10.1590/2317-1782/e20240065pt
Ana Flávia de Oliveira Nalom Baruchi, Eliane Schochat
{"title":"Hearing abilities stimulation program for schools.","authors":"Ana Flávia de Oliveira Nalom Baruchi, Eliane Schochat","doi":"10.1590/2317-1782/e20240065pt","DOIUrl":"10.1590/2317-1782/e20240065pt","url":null,"abstract":"<p><strong>Purpose: </strong>To develop and verify the effectiveness of a hearing abilities (HA) stimulation program included in the regular school curriculum and applied by teachers in the classroom.</p><p><strong>Methods: </strong>An HA stimulation program was developed and applied to preschoolers during the school year; 34 children underwent auditory stimulation (ASG) and were compared to a placebo group (PG; n = 31). The students were assessed regarding their HA and pre-reading and decoding skills before and after the intervention. They were reassessed twice after applying the program to monitor the students' performance amid the COVID-19 pandemic.</p><p><strong>Results: </strong>The program includes activities applied at school by teachers for 25 weeks, lasting 10-15 minutes/day, stimulating the following HA: detection, discrimination, temporal processing, figure-ground, closure, memory, and attention. The ASG and PG performances differed significantly after the program.</p><p><strong>Conclusion: </strong>The program was incorporated into the curriculum, helping to develop the skills recommended by the Ministry of Education. After auditory stimulation, ASG performed better in auditory figure-ground, temporal resolution, rhyme identification and production, and word production from the phoneme given.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 3","pages":"e20240065"},"PeriodicalIF":0.9,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2025-03-31eCollection Date: 2025-01-01DOI: 10.1590/2317-1782/e20240032pt
Eliane Aparecida Techi Catisquini, Mylena Malavazi Teixeira, Cláudia Daniele Pelanda Zampronio, Jerusa Roberta Massola Oliveira, Maria Fernanda Capoani Garcia Mondelli, Luiz Fernando Manzoni Lourençone, Rubens Vuono de Brito Neto
{"title":"Effect of active middle ear implant on auditory speech perception in individuals with ear malformation.","authors":"Eliane Aparecida Techi Catisquini, Mylena Malavazi Teixeira, Cláudia Daniele Pelanda Zampronio, Jerusa Roberta Massola Oliveira, Maria Fernanda Capoani Garcia Mondelli, Luiz Fernando Manzoni Lourençone, Rubens Vuono de Brito Neto","doi":"10.1590/2317-1782/e20240032pt","DOIUrl":"10.1590/2317-1782/e20240032pt","url":null,"abstract":"<p><strong>Purpose: </strong>To verify the results of active middle ear implant on audibility and auditory speech perception in individuals with external and/or middle ear malformations.</p><p><strong>Methods: </strong>Primary, observational, retrospective study, through analysis of medical records of individuals with bilateral external and/or middle ear malformations, unilateral users of active middle ear implant. The data collected refer to auditory thresholds obtained through free-field audiometry and assessment of auditory speech perception - sentence recognition in silence and noise, in the following situations: without the implant, at the time of activation, in the first and in the third month of use.</p><p><strong>Results: </strong>Nine individuals were included in the study. The average age at the time of activation was 24.6 years (minimum 12 and maximum 40 years). Statistically significant improvement in auditory thresholds (p<0.05) and in the sentence recognition test in silence and noise (p<0.05) was observed at the time of activation. There was no significant difference between the evaluation situations after activation, indicating acclimatization by the user.</p><p><strong>Conclusion: </strong>The results of the active middle ear implant VSB (MED-EL) users on the audibility and auditory speech perception, in individual with external and/or middle ear malformation were better in the activation condition compared to the pre-surgical condition, maintaining stable over time; which reinforces its indication for this population.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 3","pages":"e20240032"},"PeriodicalIF":0.9,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}