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[PMID]: 28849705 [Au] Autor: Appachi S; Specht JL; Raol N; Lieu JEC; Cohen MS; Dedhia K; Anne S [Ad] Endereço: 1 Cleveland Clinic, Cleveland, Ohio, USA. [Ti] Título: Auditory Outcomes with Hearing Rehabilitation in Children with Unilateral Hearing Loss: A Systematic Review. [So] Source: Otolaryngol Head Neck Surg;157(4):565-571, 2017 Oct. [Is] ISSN: 1097-6817 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: Objective Options for management of unilateral hearing loss (UHL) in children include conventional hearing aids, bone-conduction hearing devices, contralateral routing of signal (CROS) aids, and frequency-modulating (FM) systems. The objective of this study was to systematically review the current literature to characterize auditory outcomes of hearing rehabilitation options in UHL. Data Sources PubMed, EMBASE, Medline, CINAHL, and Cochrane Library were searched from inception to January 2016. Manual searches of bibliographies were also performed. Review Methods Studies analyzing auditory outcomes of hearing amplification in children with UHL were included. Outcome measures included functional and objective auditory results. Two independent reviewers evaluated each abstract and article. Results Of the 249 articles identified, 12 met inclusion criteria. Seven articles solely focused on outcomes with bone-conduction hearing devices. Outcomes favored improved pure-tone averages, speech recognition thresholds, and sound localization in implanted patients. Five studies focused on FM systems, conventional hearing aids, or CROS hearing aids. Limited data are available but suggest a trend toward improvement in speech perception with hearing aids. FM systems were shown to have the most benefit for speech recognition in noise. Studies evaluating CROS hearing aids demonstrated variable outcomes. Conclusions Data evaluating functional and objective auditory measures following hearing amplification in children with UHL are limited. Most studies do suggest improvement in speech perception, speech recognition in noise, and sound localization with a hearing rehabilitation device. [Mh] Termos MeSH primário: Auxiliares de Audição Perda Auditiva Unilateral/reabilitação Audição Percepção da Fala/fisiologia [Mh] Termos MeSH secundário: Criança Perda Auditiva Unilateral/fisiopatologia Testes Auditivos/métodos Seres Humanos [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171012 [Lr] Data última revisão: 171012 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170830 [St] Status: MEDLINE [do] DOI: 10.1177/0194599817726757

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[PMID]: 28828919 [Au] Autor: Anne S; Lieu JEC; Cohen MS [Ad] Endereço: 1 Department of Otolaryngology-Head and Neck Surgery, Cleveland Clinic, Cleveland, Ohio, USA. [Ti] Título: Speech and Language Consequences of Unilateral Hearing Loss: A Systematic Review. [So] Source: Otolaryngol Head Neck Surg;157(4):572-579, 2017 Oct. [Is] ISSN: 1097-6817 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: Objective Unilateral hearing loss has been shown to have negative consequences for speech and language development in children. The objective of this study was to systematically review the current literature to quantify the impact of unilateral hearing loss on children, with the use of objective measures of speech and language. Data Sources PubMed, EMBASE, Medline, CINAHL, and Cochrane Library were searched from inception to March 2015. Manual searches of references were also completed. Review Methods All studies that described speech and language outcomes for children with unilateral hearing loss were included. Outcome measures included results from any test of speech and language that evaluated or had age-standardized norms. Due to heterogeneity of the data, quantitative analysis could not be completed. Qualitative analysis was performed on the included studies. Two independent evaluators reviewed each abstract and article. Results A total of 429 studies were identified; 13 met inclusion criteria and were reviewed. Overall, 7 studies showed poorer scores on various speech and language tests, with effects more pronounced for children with severe to profound hearing loss. Four studies did not demonstrate any difference in testing results between patients with unilateral hearing loss and those with normal hearing. Two studies that evaluated effects on speech and language longitudinally showed initial speech problems, with improvement in scores over time. Conclusions There are inconsistent data regarding effects of unilateral hearing loss on speech and language outcomes for children. The majority of recent studies suggest poorer speech and language testing results, especially for patients with severe to profound unilateral hearing loss. [Mh] Termos MeSH primário: Perda Auditiva Unilateral/fisiopatologia Linguagem Percepção da Fala/fisiologia Fala/fisiologia [Mh] Termos MeSH secundário: Seres Humanos [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171012 [Lr] Data última revisão: 171012 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170823 [St] Status: MEDLINE [do] DOI: 10.1177/0194599817726326

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[PMID]: 28687817 [Au] Autor: Lin PH; Hsu CJ; Lin YH; Lin YH; Lee HY; Wu CC; Liu TC [Ad] Endereço: Department of Otolaryngology, National Taiwan University Hospital Yunlin Branch, Yunlin, Taiwan. [Ti] Título: Etiologic and Audiologic Characteristics of Patients With Pediatric-Onset Unilateral and Asymmetric Sensorineural Hearing Loss. [So] Source: JAMA Otolaryngol Head Neck Surg;143(9):912-919, 2017 Sep 01. [Is] ISSN: 2168-619X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Importance: Pediatric-onset unilateral and asymmetric sensorineural hearing loss (SNHL) is a common condition, but in most patients, the cause remains unclear; thus, determination of the hearing outlook is difficult. Objective: To analyze the etiologic and audiologic characteristics of pediatric-onset unilateral and asymmetric SNHL. Design, Setting, and Participants: In this retrospective cohort study performed from January 1, 2008, through December 31, 2016, patients at a tertiary referral center who were diagnosed with pediatric-onset unilateral or asymmetric SNHL were divided into 3 groups according to their hearing levels: unilateral hearing loss with scaled-out levels (UHL-SO), unilateral hearing loss with residual hearing (UHL-RH), and asymmetric hearing loss (AHL). Main Outcomes and Measures: Basic demographic data, family and medical histories, audiologic results, imaging findings, and genetic results were ascertained and compared among patients of the 3 groups. Results: A total of 133 patients (mean [SD] age, 9.1 [10.9] years; 63 [47.4%] male and 70 [52.6%] female), including 50 with UHL-SO, 42 with UHL-RH, and 41 with AHL, were enrolled for analyses. Of 50 patients with UHL-SO, 49 (98.0%) had stable hearing levels with time, whereas 10 of 42 patients with UHL-RH (23.8%) and 18 of 41 patients with AHL (43.9%) revealed progressive or fluctuating hearing loss. Inner ear malformations detected with temporal bone high-resolution computed tomography, particularly cochlear aperture stenosis, were detected at higher rates in patients with UHL-SO (9 of 31 [29.0%]) and UHL-RH (6 of 24 [25.0%]) than in those with AHL (1 of 30 [3.3%]). In contrast, screening for mutations in 3 common deafness genes-GJB2, SLC26A4, and MTRNR1-achieved definite diagnosis in a higher percentage of patients with AHL (10 of 37 [27.0%]) than patients with UHL-SO (0 of 33) and UHL-RH (1 of 25 [4.0%]). Conclusions and Relevance: The UHL-SO and UHL-RH conditions share a common or similar etiopathogenesis different from that of AHL. Imaging studies and genetic testing might be prioritized during the respective general etiologic workups for patients with UHL and AHL. Regular hearing checkups are warranted for patients with UHL and AHL because a certain proportion of patients might sustain progression in SNHL. [Mh] Termos MeSH primário: Perda Auditiva Neurossensorial/etiologia Perda Auditiva Unilateral/etiologia [Mh] Termos MeSH secundário: Criança Doenças Cocleares/diagnóstico por imagem Estudos de Coortes Conexinas/genética Constrição Patológica/diagnóstico por imagem Orelha Interna/anormalidades Orelha Interna/diagnóstico por imagem Feminino Testes Genéticos Seres Humanos Masculino Proteínas de Membrana Transportadoras/genética Mutação Estudos Retrospectivos Osso Temporal/diagnóstico por imagem Doenças do Nervo Vestibulococlear/diagnóstico por imagem [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Connexins); 0 (DFNA3 protein, human); 0 (Membrane Transport Proteins); 0 (SLC26A4 protein, human) [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171002 [Lr] Data última revisão: 171002 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170709 [St] Status: MEDLINE [do] DOI: 10.1001/jamaoto.2017.0945

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[PMID]: 28651654 [Au] Autor: Gruber M; Brown C; Mahadevan M; Neeff M [Ad] Endereço: Paediatric Otolaryngology Unit,Starship Children's Hospital,Auckland,New Zealand. [Ti] Título: Concomitant imaging and genetic findings in children with unilateral sensorineural hearing loss. [So] Source: J Laryngol Otol;131(8):688-695, 2017 Aug. [Is] ISSN: 1748-5460 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: OBJECTIVE: To describe the concomitant imaging and genetic findings in children diagnosed with non-syndromic unilateral sensorineural hearing loss. METHODS: A retrospective cohort study was conducted of 60 children diagnosed between January 2005 and December 2015 in a tertiary-level paediatric institution. RESULTS: Average age at diagnosis was 4.3 years. All children were considered non-syndromic. Hearing loss was categorised as mild (17 children), moderate (17 children), severe (7 children) or profound (19 children). Imaging was performed in 43 children (71.66 per cent). Nineteen patients (44.2 per cent) had positive computed tomography or magnetic resonance imaging findings. Genetic testing was performed in 51 children (85 per cent). Sixteen children (31 per cent) tested positive to connexin 26 (GJB2); 1 patient (2 per cent) had a homozygous mutation of GJB2 and 15 were heterozygous carriers. Amongst children who tested positive as heterozygous carriers of a GJB2 mutation, there was a high rate of positive imaging findings (47 per cent compared to 37.2 per cent in the total cohort). A genetic abnormality was confirmed in 50 per cent of children with positive imaging findings who underwent genetic testing. CONCLUSION: Rates of concomitant imaging and genetic findings suggest that both investigations are of value in the study of these patients. [Mh] Termos MeSH primário: Conexinas/sangue Perda Auditiva Unilateral/diagnóstico por imagem Perda Auditiva Unilateral/genética Imagem por Ressonância Magnética/métodos Tomografia Computadorizada por Raios X/métodos [Mh] Termos MeSH secundário: Criança Pré-Escolar Feminino Perda Auditiva Unilateral/sangue Seres Humanos Masculino Mutação Estudos Retrospectivos [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Connexins); 0 (DFNA3 protein, human) [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170831 [Lr] Data última revisão: 170831 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170628 [St] Status: MEDLINE [do] DOI: 10.1017/S0022215117001219

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[PMID]: 28425563 [Au] Autor: Jung ME; Colletta M; Coalson R; Schlaggar BL; Lieu JEC [Ad] Endereço: Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri, U.S.A. [Ti] Título: Differences in interregional brain connectivity in children with unilateral hearing loss. [So] Source: Laryngoscope;127(11):2636-2645, 2017 Nov. [Is] ISSN: 1531-4995 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVES: To identify functional network architecture differences in the brains of children with unilateral hearing loss (UHL) using resting-state functional-connectivity magnetic resonance imaging (rs-fcMRI). STUDY DESIGN: Prospective observational study. METHODS: Children (7 to 17 years of age) with severe to profound hearing loss in one ear, along with their normal hearing (NH) siblings, were recruited and imaged using rs-fcMRI. Eleven children had right UHL; nine had left UHL; and 13 had normal hearing. Forty-one brain regions of interest culled from established brain networks such as the default mode (DMN); cingulo-opercular (CON); and frontoparietal networks (FPN); as well as regions for language, phonological, and visual processing, were analyzed using regionwise correlations and conjunction analysis to determine differences in functional connectivity between the UHL and normal hearing children. RESULTS: When compared to the NH group, children with UHL showed increased connectivity patterns between multiple networks, such as between the CON and visual processing centers. However, there were decreased, as well as aberrant connectivity patterns with the coactivation of the DMN and FPN, a relationship that usually is negatively correlated. CONCLUSION: Children with UHL demonstrate multiple functional connectivity differences between brain networks involved with executive function, cognition, and language comprehension that may represent adaptive as well as maladaptive changes. These findings suggest that possible interventions or habilitation, beyond amplification, might be able to affect some children's requirement for additional help at school. LEVEL OF EVIDENCE: 3b. Laryngoscope, 127:2636-2645, 2017. [Mh] Termos MeSH primário: Mapeamento Encefálico/métodos Encéfalo/fisiopatologia Perda Auditiva Unilateral/fisiopatologia Imagem por Ressonância Magnética [Mh] Termos MeSH secundário: Adolescente Percepção Auditiva/fisiologia Criança Feminino Seres Humanos Masculino Estudos Prospectivos [Pt] Tipo de publicação: JOURNAL ARTICLE; OBSERVATIONAL STUDY [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171030 [Lr] Data última revisão: 171030 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170421 [St] Status: MEDLINE [do] DOI: 10.1002/lary.26587

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[PMID]: 28304096 [Au] Autor: O'Connell BP; Hunter JB; Haynes DS; Holder JT; Dedmon MM; Noble JH; Dawant BM; Wanna GB [Ad] Endereço: Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University, Nashville, Tennessee, U.S.A. [Ti] Título: Insertion depth impacts speech perception and hearing preservation for lateral wall electrodes. [So] Source: Laryngoscope;127(10):2352-2357, 2017 Oct. [Is] ISSN: 1531-4995 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVES: 1) Examine angular insertion depths (AID) and scalar location of Med-El (GmbH Innsbruck, Austria) electrodes; and 2) determine the relationship between AID and audiologic outcomes controlling for scalar position. STUDY DESIGN: Retrospective review. METHODS: Postlingually deafened adults undergoing cochlear implantation with Flex 24, Flex 28, and Standard electrode arrays (Med-El) were identified. Patients with preoperative and postoperative computed tomography scans were included so that electrode location and AID could be determined. Outcome measures were 1) speech perception in the cochlear implant (CI)-only condition, and 2) short-term hearing preservation. RESULTS: Forty-eight implants were included; all electrodes (48 of 48) were positioned entirely within the scala tympani. The median AID was 408° (interquartile [IQ] range 373°-449°) for Flex 24, 575° (IQ range 465°-584°) for Flex 28, and 584° (IQ range 368°-643°) for Standard electrodes (Med-El). The mean postoperative CNC score was 43.7% ± 21.9. A positive correlation was observed between greater AID and better CNC performance (r = 0.48, P < 0.001). Excluding patients with postoperative residual hearing, a strong correlation between AID and CNC persisted (r = 0.57, P < 0.001). In patients with preoperative residual hearing, mean low-frequency pure-tone average (PTA) shift was 27 dB ± 14. A correlation between AID and low-frequency PTA shift at activation was noted (r = 0.41, P = 0.04). CONCLUSION: Favorable rates of scala tympani insertion (100%) were observed. In the CI-only condition, a direct correlation between greater AID and CNC score was noted regardless of postoperative hearing status. Deeper insertions were, however, associated with worse short-term hearing preservation. When patients without postoperative residual hearing were analyzed independently, the relationship between greater insertion depth and better performance was strengthened. LEVEL OF EVIDENCE: 4. Laryngoscope, 127:2352-2357, 2017. [Mh] Termos MeSH primário: Implante Coclear/métodos Implantes Cocleares Perda Auditiva Unilateral/reabilitação Audição/fisiologia Rampa do Tímpano/cirurgia Percepção da Fala/fisiologia [Mh] Termos MeSH secundário: Adulto Idoso Idoso de 80 Anos ou mais Feminino Perda Auditiva Unilateral/fisiopatologia Testes Auditivos Seres Humanos Masculino Meia-Idade Estudos Retrospectivos Rampa do Tímpano/diagnóstico por imagem Tomografia Computadorizada por Raios X Resultado do Tratamento [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170929 [Lr] Data última revisão: 170929 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170318 [St] Status: MEDLINE [do] DOI: 10.1002/lary.26467

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[PMID]: 28288475 [Au] Autor: Thomas JP; Neumann K; Dazert S; Voelter C [Ad] Endereço: *Department of Otolaryngology, Head and Neck Surgery†Department of Otolaryngology, Head and Neck Surgery, Division of Phoniatrics and Pediatric Audiology, Ruhr University Bochum, St. Elisabeth-Hospital, Bochum, Germany. [Ti] Título: Cochlear Implantation in Children With Congenital Single-Sided Deafness. [So] Source: Otol Neurotol;38(4):496-503, 2017 Apr. [Is] ISSN: 1537-4505 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVE: To determine audiological and clinical results of cochlear implantation in children with congenital single sided deafness (SSD), with an emphasis on children implanted before and after 6 years of age. STUDY DESIGN: Retrospective study. SETTING: Tertiary referral center. SUBJECTS: Twenty one children with congenital SSD who were implanted aged 10 months to 11;3 years. INTERVENTION: Unilateral cochlear implantation. MAIN OUTCOME MEASURES: Speech recognition in noise via the German Oldenburg Sentence Test for Children (OlKiSa), lateralization ability, and subjective evaluation of hearing results using self- and third-party assessment questionnaires. RESULTS: Significant improvements of all three aspects of true binaural hearing were found. The most striking improvement was the combined head shadow effect by 2.11 dB (squelch effect: 0.95 dB, summation effect 0.98 dB). An improvement of lateralization ability was also demonstrated. Parents had a high overall level of satisfaction with their children's cochlear implantation. Subjective benefit was verified in all three subscales of the Speech, Spatial, and Qualities of Hearing Questionnaire. No significant difference was found between subjects implanted before the age of 6 with those implanted later. Three of the five subjects with a follow-up of greater than 3 years were limited users or nonusers. CONCLUSIONS: Cochlear implant (CI) provision provides children with congenital SSD with significant audiological and subjective benefits which can be seen even in children implanted after the age of 3;6. The problem of limited use and nonuser, however, should not be ignored and has to be considered for further studies. [Mh] Termos MeSH primário: Implante Coclear/métodos Implantes Cocleares Perda Auditiva Neurossensorial/cirurgia Perda Auditiva Unilateral/cirurgia [Mh] Termos MeSH secundário: Criança Pré-Escolar Feminino Perda Auditiva Neurossensorial/congênito Perda Auditiva Unilateral/congênito Testes Auditivos Seres Humanos Lactente Masculino Estudos Retrospectivos Percepção da Fala/fisiologia Inquéritos e Questionários Resultado do Tratamento [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170908 [Lr] Data última revisão: 170908 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170314 [St] Status: MEDLINE [do] DOI: 10.1097/MAO.0000000000001343

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[PMID]: 28219180 [Au] Autor: Liu JF; Dai JS; Wang NY [Ad] Endereço: Department of Otorhinolaryngology Head and Neck Surgery, Beijing Chaoyang Hospital, Capital Medical University; College of Otolaryngology, Capital Medical University; Key Laboratory of Otolaryngology Head and Neck Surgery (Capital Medical University), Ministry of Education, Beijing 100020, China. [Ti] Título: [Advances in effect of unilateral auditory deprivation on sound localization]. [So] Source: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi;52(2):136-142, 2017 Feb 07. [Is] ISSN: 1673-0860 [Cp] País de publicação: China [La] Idioma: chi [Ab] Resumo: In patients with single-sided deafness (SSD), the interaural time difference and the interaural level difference signals are insufficient or missing, which result in the lack of sound localization ability and the decrease of speech comprehension in the noise environments. SSD can also cause the morphological and functional changes of the central auditory system, resulting in auditory deprivation. In early stage of the development, the auditory center is more susceptible to ambient environment and auditory inputs. It is a critical period of auditory function and morphological refinement. It is also sensitive period of central adaptability after auditory deprivation. SSD in the sensitive period of development can cause significant laterality activities of bilateral sound localization pathway. Unilateral auditory deprivation can distort tonotopic maps, disrupt the binaural integration, reorganize the neural network and change the synaptic transmission in the primary auditory cortex or sub cortex. In order to compensate for the deficiency of the interaural time difference and interaural level difference cues, the auditory pathway is used to improve the ability of sound source localization by using the spectral-shape cues remaining unchanged. In order to improve the effectiveness of the functional areas of the cortex, auditory center is also reorganized by cross-modal. However, central compensation after SSD is a double-edged sword. If SSD onset in the sensitive period, the laterality of auditory pathway will be continued and difficult to reverse by even long term bilateral hearing in the post-sensitive period. Therefore, in order to improve the understanding of the characteristics of unilateral auditory deprivation, this paper reviewed the evidence for adaptive changes in spatial hearing following a developmental hearing loss in one ear. [Mh] Termos MeSH primário: Córtex Auditivo/fisiopatologia Perda Auditiva Unilateral/fisiopatologia Localização de Som/fisiologia [Mh] Termos MeSH secundário: Estimulação Acústica Meio Ambiente Audição/fisiologia Perda Auditiva Unilateral/etiologia Testes Auditivos Seres Humanos Ruído Percepção da Fala Fatores de Tempo [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170802 [Lr] Data última revisão: 170802 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170222 [St] Status: MEDLINE [do] DOI: 10.3760/cma.j.issn.1673-0860.2017.02.018

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[PMID]: 28196001 [Au] Autor: Kim G; Ju HM; Lee SH; Kim HS; Kwon JA; Seo YJ [Ad] Endereço: *Department of Nursing, Keimyung University College, Daegu †Department of Otorhinolaryngology, Yonsei University Wonju College of Medicine, Wonju ‡Department of Nursing, Yonsei University, Seoul §Department of Nursing, National Cancer Control Institute, National Cancer Center, Goyang, South Korea. [Ti] Título: Efficacy of Bone-Anchored Hearing Aids in Single-Sided Deafness: A Systematic Review. [So] Source: Otol Neurotol;38(4):473-483, 2017 Apr. [Is] ISSN: 1537-4505 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVES: Bone-anchored hearing aids (BAHAs) have been known to partially restore some of the functions lost in subjects with single-sided deafness (SSD). Our aims in this systemic review were to analyze the present capabilities of BAHAs in the context of SSD, and to evaluate the efficacy of BAHAs in improving speech recognition in noisy conditions, sound localization, and subjective outcomes. DESIGN: A systematic search was undertaken until August 2015 by two independent reviewers, with disagreements resolved by consensus. Among 286 references, we analyzed 14 studies that used both subjective and objective indicators to assess the capabilities of a total of 296 patients in the unaided and aided situations. RESULTS: Although there was "no benefit" of BAHA implantation for sound localization, BAHAs certainly improved subjects' speech discrimination in noisy circumstances. In the six studies that dealt with sound localization, no significant difference was found after the implantation. Twelve studies showed the benefits of BAHAs for speech discrimination in noise. Regarding subjective outcomes of using the prosthesis in patients with SSD (abbreviated profile of hearing aid benefit [APHAB] and the Glasgow hearing aid benefit profile [GHABP], etc.), we noticed an improvement in the quality of life. CONCLUSIONS: This systematic review has indicated that BAHAs may successfully rehabilitate patients with SSD by alleviating the hearing handicap to a certain degree, which could improve patients' quality of life. This report has presented additional evidence of effective auditory rehabilitation for SSD and will be helpful to clinicians counseling patients regarding treatment options for SSD. [Mh] Termos MeSH primário: Auxiliares de Audição Perda Auditiva Unilateral/reabilitação Qualidade de Vida [Mh] Termos MeSH secundário: Perda Auditiva Unilateral/fisiopatologia Seres Humanos Localização de Som/fisiologia Percepção da Fala/fisiologia Resultado do Tratamento [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170908 [Lr] Data última revisão: 170908 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170215 [St] Status: MEDLINE [do] DOI: 10.1097/MAO.0000000000001359

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[PMID]: 28167013 [Au] Autor: Dimitriadis PA; Carrick S; Ray J [Ad] Endereço: Department of Otolaryngology, Sheffield Children's Hospital, Sheffield, UK. Electronic address: panagiotis.dimitriadis@sth.nhs.uk. [Ti] Título: Intermediate outcomes of a transcutaneous bone conduction hearing device in a paediatric population. [So] Source: Int J Pediatr Otorhinolaryngol;94:59-63, 2017 Mar. [Is] ISSN: 1872-8464 [Cp] País de publicação: Ireland [La] Idioma: eng [Ab] Resumo: OBJECTIVE: The aim of this study was to review the outcomes of Bone Anchored Hearing Aid (BAHA ) Attract implantation in a cohort of paediatric patients. METHODS: Prospective data collection and case review were undertaken in a paediatric tertiary referral centre. We have included patients under the age of 16 years with unilateral or bilateral hearing loss that met the criteria for BAHA Attract implantation. The main outcome measures were surgical complications and Patient Reported Outcomes including the 'Speech, Spatial and Qualities of Hearing scale' (SSQ-12) and 'Qualitative Feedback for BAHA 5 Hearing Aids'. RESULTS: Twenty-five paediatric patients were implanted with the BAHA Attract between June 2014 and July 2016. Nine of them had a conversion from a percutaneous Bone Conduction Hearing Device (BCHD). Four children had minor skin problems that settled with conservative measures. Two children with a previous percutaneous BCHD developed skin dehiscence over the magnet after conversion to the transcutaneous version. The SSQ-12 was completed by 6 children and an improvement of 22% was noted between the unaided and aided condition. The patients and their parents were generally satisfied with the BAHA Attract. CONCLUSIONS: The BAHA Attract offers a good solution for hearing rehabilitation in appropriately selected and counseled patients. The complication rate was low for primary surgery but higher in cases of conversion from a percutaneous device. Large, prospective data is needed to evaluate the relative risks and benefits of this BCHD. [Mh] Termos MeSH primário: Auxiliares de Audição Perda Auditiva Bilateral/reabilitação Perda Auditiva Condutiva/reabilitação Perda Auditiva Unilateral/reabilitação Localização de Som Percepção da Fala [Mh] Termos MeSH secundário: Adolescente Condução Óssea Criança Pré-Escolar Feminino Seres Humanos Masculino Medidas de Resultados Relatados pelo Paciente Estudos Prospectivos Inquéritos e Questionários Centros de Atenção Terciária Resultado do Tratamento [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1703 [Cu] Atualização por classe: 170817 [Lr] Data última revisão: 170817 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170208 [St] Status: MEDLINE

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2	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
3	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2

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