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https://revistacefac.org.br/article/doi/10.1590/1982-0216/202426514723
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Correlation between auditory thresholds and the response amplitude of otoacoustic emissions in post-COVID-19 adults

Correlação entre os limiares auditivos e a amplitude de resposta das emissões otoacústicas em adultos pós-COVID-19

Camila Poffo; Georgea Espindola Ribeiro; Daniela Polo Camargo da Silva

http://dx.doi.org/10.1590/1982-0216/202426514723 Revista CEFAC, vol.26, n5, e14723, 2024
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Abstract

Purpose: to verify the auditory acuity and correlate auditory thresholds of pure tone audiometry (PTA) with transient-evoked otoacoustic emissions (TEOAE) and distortion-product otoacoustic emissions (DPOAE) in post-COVID-19 adults.

Methods: an analytical cross-sectional study, conducted between October 2021 and October 2022, with 63 post-COVID-19 adults (age range 20-53 years old). The following were performed: PTA, TEOAE, and DPOAE. The results were presented descriptively, and Spearman’s correlation test was used.

Results: no hearing loss was identified. Most frequency bands were present in both emissions tests. There was a negative and significant correlation between the PTA and TEOAE thresholds in the frequency bands of 500-1500 Hz and 1500-2500 Hz on the left and between the PTA and DPOAE thresholds in the frequency bands of 1000, 2000, and 4000 Hz on the right and 1000, 2000, 3000, 4000, 6000, and 8000 Hz on the left.

Conclusion: post-COVID-19 adults presented auditory thresholds within normal limits, with a response to TEOAE and DPOAE. There was a negative correlation between TEOAE and DPOAE and the PTA air threshold, indicating that higher PTA thresholds are associated with lower emission response amplitude.

Keywords

Coronavirus Infections; Hearing; Hearing Loss; Adult

Resumo

Objetivo: verificar a acuidade auditiva e correlacionar os limiares auditivos da Audiometria Tonal Liminar (ATL) com as Emissões Otoacústicas Evocadas Transientes (EOET) e por Produto de Distorção (EOEPD) em adultos pós-COVID-19.

Métodos: estudo transversal, analítico, realizado entre outubro de 2021 e outubro de 2022, com 63 adultos pós-COVID-19 (com faixa etária entre 20-53 anos). Foram realizados: ATL, EOET e EOEPD. Os resultados foram apresentados descritivamente, e utilizou-se o teste de correlação de Spearman.

Resultados: não foi identificada perda auditiva. A maioria das bandas de frequências estavam presentes em ambos os exames de emissões. Houve correlação negativa e significante entre os limiares da ATL e EOET nas bandas de frequências de 500-1.500 Hz e 1.500-2.500 Hz à esquerda e entre os limiares da ATL e EOEPD nas bandas de frequências de 1.000, 2.000 e 4.000 Hz à direita, e de 1.000, 2.000, 3.000, 4.000, 6.000 e 8.000 Hz à esquerda.

Conclusão: indivíduos adultos pós-COVID-19 apresentaram limiares dentro dos padrões de normalidade, com resposta presente para EOET e EOEPD. Houve correlação negativa entre as EOET e EOEPD e o limiar de via aérea da ATL, indicando que maiores limiares de ATL estão associados a menores amplitudes de resposta das emissões.

Palavras-chave

Infecções por Coronavírus; Audição; Perda Auditiva; Adulto

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Submetido em:
15/01/2024

Aceito em:
22/04/2024

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