Evaluación objetiva de la conducción del sonido por vía ósea con potenciales evocados auditivos

María del Carmen Hernández Cordero; María Cecilia Pérez Abalo

doi:10.51445/sja.auditio.vol3.2013.0043

Autores/as

María del Carmen Hernández Cordero Centro de Neurociencias de Cuba, Departamento de Fonoaudiología, La Habana. Cuba
María Cecilia Pérez Abalo Centro de Neurociencias de Cuba, Departamento de Fonoaudiología, La Habana. Cuba

DOI:

https://doi.org/10.51445/sja.auditio.vol3.2013.0043

Palabras clave:

conducción ósea, potenciales evocados auditivos

Resumen

La evaluación objetiva de la conducción del sonido por vía ósea en el niño ha sido un tema poco reportado en la literatura. La interpretación de su resultado determinando la diferencia con la vía aérea, hace posible obtener la brecha aéreo-ósea, variable importante para realizar el diagnóstico diferencial de las pérdidas auditivas. La caracterización de los umbrales óseos utilizando como método los Potenciales Evocados Auditivos de Tallo Cerebral, ya sea con el estímulo a click ó los tonos breves, ha sido un tópico con poca difusión en la audiología clínica, debido a que la respuesta que se obtiene presenta cambios en la morfología y es difícil de reconocer, requiriéndose gran experticidad para identifi carla en intensidades cercanas al umbral. Los Potenciales Evocados Auditivos de Estado Estable, constituyen una alternativa apropiada para la evaluación de la vía ósea, debido a utiliza como estímulo los tonos modulados; los cuales no se afectan al pasar por el transductor óseo y a que la respuesta se detecta en forma automática, lo que reduce el sesgo que introduce el evaluador al identificar visualmente el umbral electrofisiológico

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