Audiology - Communication Research
https://www.audiolcommres.org.br/article/doi/10.1590/2317-6431-2024-2967en
Audiology - Communication Research
Revisão de Literatura

Proposed protocol for the assessment of patients with single-sided deafness

Proposta de protocolo para a avaliação de pacientes com surdez unilateral

Thales Rafael Correia de Melo Lima; Brenda Carla Lima Araújo; Fabíola Andrea Andrade dos Santos; Carlos Kazuo Taguchi; Ronaldo Carvalho Santos Junior; Silvia de Magalhães Simões

http://dx.doi.org/10.1590/2317-6431-2024-2967en Audiol. Commun. Res., vol.31, e2967, 2026
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Abstract

Purpose: To synthesize the scientific publications on single-sided deafness with a view for developing an assessment protocol and indications for hearing solutions for patients with single-sided deafness.

Research Strategy: A search was performed in the following databases: PubMed, Virtual Health Library (VHL), Embase, Scopus, Cochrane, Science Direct, Scientific Electronic Library Online, Google Scholar and Open Theses & Dissertations, without time and language filters, between December 2020 and October 2023.

Selection criteria: Studies with content referring to the assessment, treatment and/or follow-up of patients with SSD who are candidates for Cochlear Implant (CI), Bone Anchored System (BAS) and/or contralateral routing of signals (CROS), regardless of age and/or gender and methodological design. Data analysis: Data were extracted from the articles and stored in an analysis matrix, which contained information regarding title, authors, year of publication, location, study type, sample size, objectives, hearing impairment, tests and questionnaires used in the evaluations, outcome data and tested device.

Results: A total of 552 studies were identified in the initial search; 12 of which were selected for qualitative analysis. The cochlear implant was the most commonly used hearing solution in the studies. The protocol suggests testing bone-anchored hearing aids and contralateral routing signal hearing aids for three consecutive months and the application of tests and questionnaires to assess speech understanding in noise, sound localization, quality of life, tinnitus and the benefits of devices.

Conclusion: This protocol can assist professionals and patients in choosing the best treatment option for single-sided deafness.

Keywords

Unilateral hearing loss, Protocol, Cochlear implant, Bone-anchored prosthesis, Hearing aid

Resumo

Objetivo: Sintetizar as publicações científicas sobre surdez unilateral com vistas ao desenvolvimento de um protocolo de avaliação e indicações para soluções auditivas para pacientes com surdez unilateral.

Estratégia de pesquisa: Foi realizada uma busca nas seguintes bases de dados: PubMed, Biblioteca Virtual em Saúde (BVS), Embase, Scopus, Cochrane, Science Direct, Scientific Electronic Library Online, Google Scholar e Open Theses & Dissertations, sem filtros de data e idioma, entre dezembro de 2020 e outubro de 2023.

Critérios de seleção: Estudos com conteúdo referente à avaliação, tratamento e/ou acompanhamento de pacientes com surdez unilateral candidatos ao Implante Coclear (IC), Prótese Auditiva Ancorada no Osso (PAAO) e/ou contralateral routing of signals (CROS), independentemente da idade e/ou sexo e do desenho metodológico. Análise de dados: Os dados foram extraídos dos artigos e armazenados em uma matriz de análise, contendo informações sobre título, autores, ano de publicação, local, tipo de estudo, tamanho da amostra, objetivos, deficiência auditiva, testes e questionários utilizados nas avaliações, dados de desfecho e dispositivo testado.

Resultados: Um total de 552 estudos foram identificados na busca inicial; Doze dos quais foram selecionados para análise qualitativa. O implante coclear foi a solução auditiva mais utilizada nos estudos. O protocolo sugere testar aparelhos auditivos ancorados no osso e o CROS por três meses consecutivos, além da aplicação de testes e questionários para avaliar a compreensão da fala no ruído, a localização sonora, a qualidade de vida, o zumbido e os benefícios dos dispositivos.

Conclusão: Este protocolo pode auxiliar profissionais e pacientes na escolha da melhor opção de tratamento para surdez unilateral.

Palavras-chave

Perda auditiva unilateral; Protocolo; Implante coclear; Prótese ancorada no osso; Aparelho auditivo

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