Detalhes bibliográficos
| Ano de defesa: |
2019 |
| Autor(a) principal: |
Guerra, Mônica Elisabeth Simons
 |
| Orientador(a): |
Novaes, Beatriz Cavalcanti de Albuquerque Caiuby |
| Banca de defesa: |
Não Informado pela instituição |
| Tipo de documento: |
Dissertação
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| Tipo de acesso: |
Acesso aberto |
| Idioma: |
por |
| Instituição de defesa: |
Pontifícia Universidade Católica de São Paulo
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| Programa de Pós-Graduação: |
Programa de Estudos Pós-Graduados em Fonoaudiologia
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| Departamento: |
Faculdade de Ciências Humanas e da Saúde
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| País: |
Brasil
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| Palavras-chave em Português: |
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| Palavras-chave em Inglês: |
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| Área do conhecimento CNPq: |
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| Link de acesso: |
https://tede2.pucsp.br/handle/handle/21994
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Resumo: |
Introduction: Clef lip and palate stands out in different health areas, mainly due to its aesthetic-functional interference and because of its high incidence. Phoniatric studies and cares for children with language disorders and is very much involved with these patients due to the great complexity and variability in the aspects of speech and language. There are several causes that can affect the abilities, such as: failure of the auditory perceptive function due to otitis and floating hearing loss; failures in speech production during phonological development, since the palate has not yet been repaired at this stage; behavioral flaws linked to the child's minor exposure to language due to: recurrent surgeries and hospitalizations, committed maternal relationship, facial aesthetic changes, social and economic issues. Objective: to relate the auditory perceptual function, discrimination, memory and phonological evaluation, with the audiological and otological characteristics in children with cleft palate in the context of the phoniatric evaluation.Method: 30 children: (13 (43%) of clef palate and 17 (57%) of cleft lip and palate were evaluated, from 6 to 9 years old, registered patients at a specialized center in the state of São Paulo. The following auditory perception abilities were tested: auditory discrimination, auditory memory and phonological evaluation, and related to audiological and otological characteristics, aiming at identifying triggering factors or language aggravation in the context of Phoniatric evaluation. Result: the studied population was homogeneous in relation to age, sex and socioeconomic level. 25 (83.3%) children underwent speech language pathology therapy. The group of clef lip and palate presented a higher percentage (94.1%). In relation to the auditory perceptual abilities result, it was altered in: 8 (26.7%) in the phonological awareness, 6 (20%) in the auditory memory and 4 (13.3%) in the auditory discrimination. The altered performance in phonological evaluation tests was associated with unsatisfactory school performance (53.7%), higher mean speech recognition threshold (SRT) at the time of collection (mean = 22.2dBNA, SD = 17.2), and at 3 years old (mean = 34.4dBNA, SD = 11.2, p = 0.046) and worse in the incisor cleft lip and palate group (mean = 29.4dBNA). The best result of phonological awareness was associated with older participants. The auditory memory was adequate in the group with satisfactory school performance (p = 0.024), it was inadequate when the mean age at the age of 3 years (mean = 31.3dBNA, DP11.4) and in the collection (mean = 20.4% SD = 16.6) were higher. The highest mean speech recognition threshold (SRT) at the time of collection had a higher association with cleft lip and palate (mean = 18.4dBNA, SD = 14.6) and poor school performance (mean = 21dBNA, SD = 16.3 ). Conclusion: The association of phonological awareness and auditory memory with the LRF at both moments found that prolonged hearing loss may lead to failure in auditory processing and phonological skills. Low performance in the tests of auditory discrimination, auditory memory and phonological awareness evaluation indicates that other factors in the patient's clinical history may influence the auditory perceptual functions, being a reflection of the complex processes that affects language construction. The phoniatric evaluation provided for the identification of aspects not directly related to the anatomic-functional condition, but which interfered in the language development of these children |
