Potencial Evocado Auditivo de Tronco Encefálico com estímulos CE-Chirp® Level Specific e Narrow Band CE-Chirp® Level Specific em lactentes ouvintes

Detalhes bibliográficos
Ano de defesa: 2020
Autor(a) principal: Ormundo, Diego da Silva
Orientador(a): Lewis, Doris Ruthy
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Pontifícia Universidade Católica de São Paulo
Programa de Pós-Graduação: Programa de Estudos Pós-Graduados em Fonoaudiologia
Departamento: Faculdade de Ciências Humanas e da Saúde
País: Brasil
Palavras-chave em Português:
Palavras-chave em Inglês:
Área do conhecimento CNPq:
Link de acesso: https://tede2.pucsp.br/handle/handle/23703
Resumo: Introduction: ABR is considered the gold standard test in the audiological evaluation of infants up to sixth month of life. Currently, new stimuli are being developed to optimize the triggering and acquisition of neural responses, both in the evaluation of retrocochlear function and in the estimation of auditory sensitivity. Objective: To investigate the clinical results of ABR with the CE-Chirp® LS and NB CE-Chirp® LS stimuli in hearing infants. Method: A group of 18 hearing infants participated in this study, with an average age of 54.6 days on the date of examination. For ABR record, two channel Eclipse EP25 ABR System equipment and a pair of ER-3A insert phones were used. The examination was carried out in a quiet room, with the infants sleeping in natural sleep. The absolute latency and amplitude of waves I, III and V, interpeak intervals I-III, III-V and I-V and interaural difference of wave V and interpeak interval I V were compared between the stimuli Click and CE-Chirp® LS, to 70 dB nHL. With the NB CE-Chirp® LS stimulus, ABR threshold for 500, 1000, 2000 and 4000 Hz frequency were investigated. Results: There was a statistically significant difference between the Click and CE-Chirp® LS stimuli for the variables: absolute latency of wave I, interpeak intervals I-III, III-V and I-V, and amplitude of wave V. The ABR threshold evoked with NB CE-Chirp® LS stimulus was lower than ABR threshold Toneburst obtained in other studies and are lower for frequencies of 2000 and 4000 Hz. As well, they presented similar absolute latencies, independently of the frequency evaluated. Conclusion: The CE-Chirp® LS stimulus proved to be effective in evoking neural responses in hearing infants, and the NB CE-Chirp® LS stimulus evoked ABR threshold with precision and reliability for the frequencies of 500, 1000, 2000 and 4000 Hz