Diagnosing cochlear "dead" regions and its importance in the auditory rehabilitation process.
A good audiologic diagnosis is increasingly more important in the practice of audiology, in order to understand patients needs for selection and fitting of hearing aid devices.


OBJECTIVE
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.


CONCLUSIONS
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.
Padilha
Cristiane
C
Universidade Federal de Santa Maria.
Garcia
Michele Vargas
MV
Costa
Maristela Julio
MJ
D001299:Audiometry; D001309:Auditory Threshold / Q000502:physiology; D003051:Cochlea / Q000503:physiopathology*; D003056:Cochlear Nerve / Q000503:physiopathology*; D006198:Hair Cells, Auditory / Q000473:pathology*; D006311:Hearing Disorders / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D009474:Neurons / Q000502:physiology; D010470:Perceptual Masking