2017-12-28

Damak ± Dudak Yarıklı Bireylerde İşitme ve Dil Gelişiminin Değerlendirilmesi
Assessment of Hearing and Language Development in Individuals with Cleft Lip Palate

Güzide Atalık , Şadiye Bacık Tırank , Melis Keskin Yıldız , Gurbet Şahin Kamışlı , Hakan Tutar , Bülent Gündüz

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Amaç: Damak ± dudak yarıklı çocukların büyük kısmında yaşamlarının ilk yıllarında otitis mediaya bağlı iletim tip işitme kaybı görülür. Gerekli müdahalelerin yapılmayarak işitme kayıplı geçirilen sürenin uzaması ya da işitme kaybının kalıcı hale dönüşmesi dil gelişimini olumsuz yönde etkileyebilmektedir. Bu çalışmada amacımız ünitemize başvuran damak ± dudak yarıklı bireylerin işitmelerini değerlendirerek, kayıp varsa işitme kaybı tipini belirlemek ve işitme kaybı olmayan damak ± dudak yarıklı çocukların dil becerilerinin değerlendirmektir.

Gereç-Yöntem: Çalışma Nisan 2014 ile Haziran 2017 tarihleri arasında Gazi Üniversitesi KBB Anabilim Dalı Odyoloji, Konuşma, Ses ve Denge Merkezi’nde yürütülmüştür. Çalışmaya yaşları 2 ile 20 arasında değişen 30 damak ± dudak yarıklı olgu katılmıştır. Olguların tümü damak ± dudak açısından cerrahi operasyon geçirmişlerdir. Bireylere önce otolojik muayene ve odyolojik değerlendirme yapılarak işitme kaybı varsa tipi belirlenmiştir. İşitme kaybı olmayan 2-7 yaş arası olgulara dil değerlendirmesi yapılmıştır.

Bulgular: Çalışmaya katılan olguların %30’unda işitme kaybı belirlenmiştir. İşitme kaybı olan olguların

%88’inde iletim tipi işitme kaybı; %12’sinde sensörinöral tip işitme kaybı görülmüştür.  Dil değerlendirilmesi yapılan 11 olgudan 3’ünde (%27) alıcı dil becerilerinde gecikme olduğu, 7’sinde (%63) ifade edici dil becerilerinde gecikme  olduğu gözlenmiştir. Sözel dil performansına bakıldığında vakalardan 4’ünün (%36) dil becerilerinde gecikme olduğu görülmüştür.

Sonuç:  Damak ± dudak yarıklı olgularda düzenli otolojik ve odyolojik takibi büyük önem taşımaktadır. İşitme kaybı olmayan damak ± dudak yarıklı çocuklarda yüksek oranda görülen dil gecikmesi/bozukluğu bu vakalardaki dil gelişimi değerlendirilmesi gereksinimini vurgulamaktadır. Çalışma bu bireylerin multidisipliner bir ekip tarafından takip edilmesi ihtiyacını ortaya çıkarmaktadır. 

Objectives: Most children with cleft palate±lip  have conductive-type hearing loss due to otitis media in the  early years of life. Due to not presenting required interventions can affect language development negatively. In this study, we aimed to evaluate the hearing thresholds and determine the type of hearing loss and to evaluate the linguistic skills of children with cleft palate and lips without hearing loss.

Materıals and Methods: The study was conducted in ENT, Audiology and Speech Disorders Department at Gazi University  between April 2014 and June 2017. 30 patients who were between 2 to 20 years old,  with cleft lip±palate were included in the study. First, hearing assessments were performed;  if individuals had hearing loss, type of hearing loss were identified. Then, language assessments were made on 2-7 year old children who have no hearing loss.

Results: Among individuals who had hearing loss (%30), 88% of cases had conductive type and 12% of them had sensorineural hearing loss.

Receptive and expressive language assesment were conducted with 11 cases between the ages of 2 to 7. It was observed that 3 (%27) participants had receptive language delay and 7 (%63) had delays in expressive language skills.

Conclusion: Regular otological and audiologic follow-up is important for children with cleft lip±palate. The high rate of language impairment in children with cleft palate ± lip without hearing loss indicated that the language development of these children needs to be assessed. The study reveals that these children must be monitored by a multidisciplinary team.

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Subjects Health Care Sciences and Services
Published Date Cilt:4, Sayı:3
Authors

Author: Güzide Atalık
Institution: GAZİ ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, DİL VE KONUŞMA TERAPİSİ BÖLÜMÜ
Country: Turkey


Author: Şadiye Bacık Tırank (Primary Author)
Country: Turkey


Author: Melis Keskin Yıldız
Institution: HACETTEPE ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, ODYOLOJİ BÖLÜMÜ
Country: Turkey


Author: Gurbet Şahin Kamışlı
Institution: HACETTEPE ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, ODYOLOJİ BÖLÜMÜ
Country: Turkey


Author: Hakan Tutar

Author: Bülent Gündüz
Country: Turkey


Dates

Publication Date: December 28, 2017

Bibtex @research article { husbfd364486, journal = {Hacettepe University Faculty of Health Sciences Journal}, issn = {}, eissn = {2528-9918}, address = {Hacettepe University}, year = {2017}, pages = { - }, doi = {10.21020/husbfd.364486}, title = {Assessment of Hearing and Language Development in Individuals with Cleft Lip Palate}, key = {cite}, author = {Atalık, Güzide and Bacık Tırank, Şadiye and Keskin Yıldız, Melis and Şahin Kamışlı, Gurbet and Tutar, Hakan and Gündüz, Bülent} }
APA Atalık, G , Bacık Tırank, Ş , Keskin Yıldız, M , Şahin Kamışlı, G , Tutar, H , Gündüz, B . (2017). Assessment of Hearing and Language Development in Individuals with Cleft Lip Palate. Hacettepe University Faculty of Health Sciences Journal, , . DOI: 10.21020/husbfd.364486
MLA Atalık, G , Bacık Tırank, Ş , Keskin Yıldız, M , Şahin Kamışlı, G , Tutar, H , Gündüz, B . "Assessment of Hearing and Language Development in Individuals with Cleft Lip Palate". Hacettepe University Faculty of Health Sciences Journal (2017): <http://dergipark.org.tr/husbfd/article/364486>
Chicago Atalık, G , Bacık Tırank, Ş , Keskin Yıldız, M , Şahin Kamışlı, G , Tutar, H , Gündüz, B . "Assessment of Hearing and Language Development in Individuals with Cleft Lip Palate". Hacettepe University Faculty of Health Sciences Journal (2017):
RIS TY - JOUR T1 - Assessment of Hearing and Language Development in Individuals with Cleft Lip Palate AU - Güzide Atalık , Şadiye Bacık Tırank , Melis Keskin Yıldız , Gurbet Şahin Kamışlı , Hakan Tutar , Bülent Gündüz Y1 - 2017 PY - 2017 N1 - doi: 10.21020/husbfd.364486 DO - 10.21020/husbfd.364486 T2 - Hacettepe University Faculty of Health Sciences Journal JF - Journal JO - JOR SP - EP - SN - -2528-9918 M3 - doi: 10.21020/husbfd.364486 UR - https://doi.org/10.21020/husbfd.364486 Y2 - 2017 ER -
EndNote %0 Hacettepe University Faculty of Health Sciences Journal Assessment of Hearing and Language Development in Individuals with Cleft Lip Palate %A Güzide Atalık , Şadiye Bacık Tırank , Melis Keskin Yıldız , Gurbet Şahin Kamışlı , Hakan Tutar , Bülent Gündüz %T Assessment of Hearing and Language Development in Individuals with Cleft Lip Palate %D 2017 %J Hacettepe University Faculty of Health Sciences Journal %P -2528-9918 %R doi: 10.21020/husbfd.364486 %U 10.21020/husbfd.364486
ISNAD Atalık, Güzide , Bacık Tırank, Şadiye , Keskin Yıldız, Melis , Şahin Kamışlı, Gurbet , Tutar, Hakan , Gündüz, Bülent . "Assessment of Hearing and Language Development in Individuals with Cleft Lip Palate". Hacettepe University Faculty of Health Sciences Journal (December 2017): -. https://doi.org/10.21020/husbfd.364486
AMA Atalık G , Bacık Tırank Ş , Keskin Yıldız M , Şahin Kamışlı G , Tutar H , Gündüz B . Assessment of Hearing and Language Development in Individuals with Cleft Lip Palate. HUSBFD. 2017; -.
Vancouver Atalık G , Bacık Tırank Ş , Keskin Yıldız M , Şahin Kamışlı G , Tutar H , Gündüz B . Assessment of Hearing and Language Development in Individuals with Cleft Lip Palate. Hacettepe University Faculty of Health Sciences Journal. 2017; -.