Akademik Veri Yönetim Sistemi
III. otology-audiology congress , İstanbul, Türkiye, 4 - 05 Haziran 2022, ss.33-34
Introduction: Cleft lip and palate (CLP) are the most common congenital anomalies in the head/neck region, which are multifactorial and influenced by genetic and environmental factors. Middle ear infections causing mild to moderate conductive hearing loss are among the common complications in children with this anomaly. In addition to CLP, these children with hearing loss spend more effort to distinguish and understand speech sounds in noisy environments compared to individuals with normal hearing. In this study, it was aimed to measure the listening efforts of children with DDY and conductive hearing loss. Materials-Methods: The study was carried out in Istanbul Medipol University South Campus Audiology Laboratory between December 2021 and May 2022. Twelve patients with CLP and hearing loss between the ages of 4-14 who were treated at the university's MEDKOM (Medipol Language, Speech and Swallowing Therapy and Innovative Technologies Research and Application Center) unit were included in the study. After the hearing tests and tympanometry tests of the patients, the speech discrimination test in noise (SDTIN) and the speech discrimination in noise in the presence of saccade (SDTIN-Saccade on) were also performed and listening efforts were measured. Chi-Square Test and Mann Whitney-U statistical analyzes were performed using the SPSS program, and it was investigated whether there was a significant difference between the listening effort of patients with CLP and normal children. Results: The study group included five female and seven male with CLP, aged 4-14 years (mean: 8.5 ±3.2). 75% of these patients have cleft palate, 8.33% have cleft lip, and 16.66% have both lip and palate. There was no significant difference between the control group and the experimental group in terms of demographic information (p>0.05). No statistically significant difference was found between the control and experimental groups in terms of SSO (p>0.05). A significant difference was found between the listening efforts of children with hearing loss with CLP and those with normal hearing, when the scores obtained from the SDTIN in the presence of saccade were compared (p<0.05). Conclusion: Children with hearing loss put more effort into understanding spoken words than those with normal hearing. As a result, it will be inevitable for these children, who develop fatigue after the act of listening, to decrease their performance in other activities that require cognitive energy. Evaluating the listening effort while planning rehabilitation and education programs of people with hearing loss will contribute to the creation of a more specific program and to make great gains in the daily life of the individual