Audiology and language findings in twins with gastroesophageal reflux/Achados audiologicos e linguagem em gemeas regurgitadoras

• Published in: Revista CEFAC 2009-07, p.529
• Main Authors: de Andrade, Diogo Henrique Lira, Pedruzzi, Cristiane Monteiro, Soares, Ilka do Amaral, de Azevedo, Marisa Frasson, Camboim, Elizangela Dias
• Format: Article
• Language: Spanish
• ISSN: 1516-1846

Background: audiological findings and language in regurgitating twin. Procedures: the study consists of the report concerning the Audiology findings and the speech development in regurgitating twin sisters. The following steps were accomplished for this study: gathering data in medical registers, patient medical reports and gathering family history. In the data medical registers, beyond the Audiology speech findings, we also found a boarding type of used therapeutic approach and the daily objective planning that guided the sessions. Results: children showed absence of otoacoustic emissions caused by transient stimulation, distortion product, and evoked hearing potential of the brain stem by air and by bone conduction with bilaterally electrophysiological threshold in 30 and 35dBNA, and a light degree hearing loss was suggested in the findings. In this follow-up, they had episodes of secretary otitis media, confirmed by the otolaryngology evaluation and tympanometric curves as for type B and C. Children initiated the speech therapy with ten-months age. Thirty-two therapeutical sessions were accomplished for subject A.B., 28 for subject A.E., in a period of eleven months, in which the children demonstrated improvements as for the language phase of the speech development, however they were not compatible with the age observed in studied literature. Conclusion: the two children with gastroesophageal reflux showed conductive loss, floating hearing in the first two years of life and delay in speech development. Although their productions show delay, it was possible to observe significant improvement of the children in relation to the therapeutical speech process. KEYWORDS: Hearing Loss; Gastroesophageal Reflux; Language Tema: achados audiologicos e linguagem em gemeas regurgitadoras. Procedimentos: o estudo consiste no relato dos achados audiologicos e do desenvolvimento da linguagem de duas criancas, irmas gemeas regurgitadoras. Para isso, foram realizadas as seguintes etapas: coleta dos dados nos prontuarios, relatorios das pacientes e coleta de informacoes com os familiares. Nos prontuarios, alem dos achados audiologicos e de linguagem, foi relatado tambem o tipo de abordagem terapeutica utilizada e os objetivos dos planejamentos diarios que nortearam as sessoes. Resultados: as criancas apresentaram ausencia das emissoes otoacusticas evocadas por estimulo transiente e produto de distorcao, e potencial evocado auditivo de tronco encefalico via aerea e via osse