[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-216928-en":3,"doc-seo-216928-105":30,"detail-sidebar-cat-0-en-105":97},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":20,"is_downloadable":20,"audit_status":20,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":14,"update_tm":28,"read_time":29},216928,1099523885336,"Taylor Morgan","https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c",7,"Healthcare","Cochlear implant and large vestibular aqueduct syndrome in children - hearing skills evaluation","Children with enlarged vestibular aqueduct syndrome can develop severe progressive sensorineural hearing loss early, which may initially affect language development and school participation. Residual hearing can still support rehabilitation with hearing aids, but deterioration may threaten speech perception and vocalization over time. A retrospective review of medical charts evaluated hearing skills of three children with enlarged vestibular aqueduct syndrome referred for cochlear implantation, reporting speech recognition results in an open field and concluding that many patients can benefit from implant surgery to support social integration.","Cochlear implant and large vestibular aqueduct syndrome in children  \nTrissiaMaria Farah Vassoler1, Gilbertoda FontouraReyBergonse2, Silvio Meira Junior3, Maria CecíliaBevilacqua4, Orozimbo Alves Costa Filho5  \nKeywords: vestibular aqueduct, cochlear implant, hearing loss.  \nSummary  \nchildren with lVaS can develop a severe sensorineural hearing loss early in childhood, but they can be rehabilitated with hearing aids to continue their regular studies and to have a normal life. the problem is that they can deteriorate their hearing capacity, and at this point a cochlear implant can be used to preserve their hearing skills and vocalization. Aim: to evaluate the hearing skills of 3 children with lVaS  \nreferred to cochlear implants. Material: retrospective study based on medical charts’ review. Results: Speech recognition in open field: patient 1, 80%; patient 2, 87.5%; patient 3, 4 % . Conclusion: children with lVaS are considered good candidates for cochlear implant surgery by the most important centers ofthe world because most of them can develop good speech recognition, providing them a good social life.  \n1 MD. 3rd year ent resident physician.  \n2 MD. 2nd year ent resident physician.  \n3 M.D. full member of the Brazilian college of radiologists; radiologist -imagem Diagnósticos Médicos, hospital Beneficência portuguesa de Bauru and centro de pesquisas audiológicas do hospital de reabilitação de anomalias craniofaciais/uSp-campus Bauru.  \n4 uSp full professor-campus Bauru, coordinator-interdisciplinary team for the cochlear implant program-hospital de reabilitação de anomalias craniofaciais da uSp-Bauru.  \n5 uSp full professor-campus Bauru, coordinator-audiologic research center-cpa-hospital de reabilitação de anomalias craniofaciais da uSp-Bauru. hospital de reabilitação de anomalias craniofaciais (hrac) -centro de pesquisas audiológicas (cpa) -universidade de São paulo (uSp) -Bauru/Sp. Send correspondence to: trissia Maria farah Vassoler-avenida iguaçú 811 apto. 403B rebouç[as curitiba pr 80230-020. tel](as curitiba pr 80230-020. tel). (0xx14) 8125-0250-E-mail: trissiavasso  \n[ler@hotmail.com](ler@hotmail.com)  \npaper submitted to the aBorl-ccf Sgp (Management publications System) on January 29th, 2007 and accepted for publication on September 29th, 2007. cod. 3632.  \nBrazilian Journal of otorhinolaryngology 74 (2) March/april 2008  \n[http://www.rborl.org.br / e-mail:](http://www.rborl.org.br / e-mail:) [revista@aborlccf.org.br](revista@aborlccf.org.br)  \n260  \nINTRODUCTION  \nthe vestibular aqueduct is a bony canal within the temporal bone, which goes from the medial wall of the inner ear vestibule all the way to the posterior surface of the petrous bone pyramid. the endolymphatic duct crosses the vestibular aqueduct and ends in the endolymphatic sac. During embryogenesis, the vestibular aqueduct starts as along and narrow vestibular diverticulum. a development defect before the diverticulum starts to narrow, on the fifth week of gestation, results in an enlarged vestibular aqueduct.1  \nin 1978, Valvassori and clemis identified 50 cases of enlarged vestibular aqueduct in a retrospective study of 3,700 patients who were submitted to temporal bone ct scan in order to study inner ear structures. a vestibular aqueduct is considered enlarged when its antero-posterior diameter is equal to 1.5mm. these authors were the first to use the definition of Enlarged Vestibular aqueduct Syndrome (EVaS) . Since this time, many studies were carried out in order to better characterize the syndrome and found that 59% to 94% of the cases were bilateral; 60% to 66% of the patients are female, and sensorineural hearing loss is progressive in 46% to 65% of the patients.1-6,13,15  \nthe enlarged vestibular aqueduct may happen asan isolated anomaly or in association with other inner ear malformations. the most common is the enlargement of the horizontal semi-circular canal, 60% to 66%, and cochlear hypoplasia, 28%7.  \nthe pathophysiology of this sens","cbCaiq6ELfFuRxMO","https://ap.wps.com/l/cbCaiq6ELfFuRxMO","pdf",378847,1,5,"English","en",105,"# Introduction\n## Materials and Methods\n## Results\n## Conclusion","[{\"question\":\"What hearing problem do children with large vestibular aqueduct syndrome develop?\",\"answer\":\"They can develop severe sensorineural hearing loss early in childhood, and it may progress over time.\"},{\"question\":\"Why are cochlear implants considered for these children?\",\"answer\":\"Because hearing capacity can deteriorate, cochlear implants can help preserve hearing skills and support oral communication.\"},{\"question\":\"How was the study evaluating hearing skills conducted?\",\"answer\":\"It used a retrospective study based on review of medical charts for three children with the syndrome referred for cochlear implants.\"}]","Cochlear implant and large vestibular aqueduct syndrome in children - 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