Diagnosing cochlear "dead" regions and its importance in the auditory rehabilitation process

Revista Brasileira de Otorrinolaringologia

Costa, Maristela Julio¹  Padilha, Cristiane¹  Garcia, Michele Vargas¹ 

关键词: hearing;    audiologic diagnosis;    cochlear dead regions.;   

DOI  :  10.1590/S0034-72992007000400016

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

A good audiologic diagnosis is increasingly more important in the practice of audiology, in order to understand patientsÂ’ needs for selection and fitting of hearing aid devices.AIM: Show recent literature that mention the concept of cochlear dead regions, diagnostic strategies and its relevance in the process of selection and fitting of hearing aids.METHODS: to carry out a bibliographical survey on dead cochlear regions. Dead cochlear regions were described as regions where inner hair cells and/or adjacent neurons do not work. Therefore, in these regions, the information generated by basilar membrane vibration is not transmitted to the central nervous system. However, a tone at a frequency correspondent to that of dead regions, provided it being sufficiently intense, can be perceived in regions near this zone where inner hair cells and/or nervous fibers still work.CONCLUSION: The identification of dead regions in the cochlea is used to obtain better results in the process of selection and fitting of hearing aids because the pieces of information generated by inner hair cells to the auditory nerve are important to better identify sounds, mainly those related to speech.

【 授权许可】

Unknown