Verbal recognition of infants with cleft lip and palate with and without history of risk indicators for hearing loss.

UNLABELLED: The first two years of life are critical for the acquisition and development of hearing and speaking skills. AIM: This prospective study aims to verify the performance of infants with cleft lip and palate (CLP) with and without risk factors for hearing (RFH) in the verbal recognition test (VRT). MATERIAL AND METHOD: The parents of 100 infants (9 to 18 months of age) with CLP were interviewed to investigate the presence of RFH and to sort out the characteristics of the study groups. All infants underwent VRT. RESULTS: Otologic diseases, lack of breastfeeding, parental smoking, upper airway insufficiency, stay in an incubator, and family history of hearing impairment were the most frequent RFH. Eighty-five infants had RFH, among which 40% had altered VRT results; fifteen did not have any RFH and 73% performed as expected for their age range in the VRT. There was no significant difference (p=0.326) between groups. Fifty-four infants had history of otitis media (OM), among which 31% had altered VRT results; forty-six had no history of OM and performed as expected for their age range in the VRT; Statistically significant difference (p=0.000) was found. CONCLUSION: Other risk factors for hearing aside CLP were found. Infants with and without history of RFH performed similarly in the VRT. The presence of otologic diseases significantly interfered with the VRT.

Reconhecimento verbal de lactentes com fissura labiopalatina com e sem história de indicadores de risco para a audição / Verbal recognition of infants with cleft lip and palate with and without history of risk indicators for hearing loss

Os primeiros dois anos de vida são críticos para a aquisição e desenvolvimento de habilidades auditivas e linguagem. OBJETIVO: Verificar o desempenho de lactentes com fissura labiopalatina (FLP) com e sem indicadores de risco à audição (IRA) no teste de reconhecimento verbal (TRV). Estudo prospectivo. MATERIAL E MÉTODOS: Pais de 100 lactentes (9 a 18 meses) com FLP foram entrevistados para verificar a presença de IRA e à constituição dos grupos em estudo. Todos os lactentes foram submetidos ao TRV. Resultados: Doenças otológicas, não-amamentação natural, tabagismo dos pais, insuficiência das vias aéreas superiores, permanência na incubadora e antecedentes com surdez foram os IRA mais freqüentes. 85 lactentes apresentaram IRA e 40 por cento deles TRV alterado. 15 não apresentaram IRA e 73 por cento apresentaram desempenho no TRV esperado para a sua idade. Não foi encontrada significância (p=0,326) entre os grupos. 54 lactentes apresentaram história de otite média (OM) e 31 por cento deles tiveram alteração no TRV. 46 não apresentaram OM e apresentaram desempenho no TRV esperado para a sua idade. Encontrada diferença significativa (p=0,000). CONCLUSÃO: Identificou-se a presença de outros IRA além FLP. O desempenho dos lactentes com e sem histórico de IRA não diferiu no TRV. A presença de doenças otológicas interferiu significativamente no TRV.

The first two years of life are critical for the acquisition and development of hearing and speaking skills. AIM: This prospective study aims to verify the performance of infants with cleft lip and palate (CLP) with and without risk factors for hearing (RFH) in the verbal recognition test (VRT). MATERIAL AND METHOD: The parents of 100 infants (9 to 18 months of age) with CLP were interviewed to investigate the presence of RFH and to sort out the characteristics of the study groups. All infants underwent VRT. RESULTS: Otologic diseases, lack of breastfeeding, parental smoking, upper airway insufficiency, stay in an incubator, and family history of hearing impairment were the most frequent RFH. Eighty-five infants had RFH, among which 40 percent had altered VRT results; fifteen did not have any RFH and 73 percent performed as expected for their age range in the VRT. There was no significant difference (p=0.326) between groups. Fifty-four infants had history of otitis media (OM), among which 31 percent had altered VRT results; forty-six had no history of OM and performed as expected for their age range in the VRT; Statistically significant difference (p=0.000) was found. CONCLUSION: Other risk factors for hearing aside CLP were found. Infants with and without history of RFH performed similarly in the VRT. The presence of otologic diseases significantly interfered with the VRT.