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Consejos para prevenir la pérdida de audición

1. Otitis veraniega

Las infecciones tras los baños en verano se suelen achacar a la suciedad del agua. Según ha afirmado Harguindey, aunque tiene que ver, es primordial el estado de la piel del oído. Aunque se puede mojar, si se tienen problemas de piel, seguramente se puedan desarrollar infecciones.

2. Higiene
Si tenemos tapones de cera, es preferible que se acuda al centro de salud para eliminarlos. Si se tiene tendencia a tener tapones, es recomendable acudir a quitarlos cada dos o tres meses, aunque  puede bastar una vez al año. Harguindey ha descartado que se usen bastoncillos de algodón, puesto que se puede llegar a perforar el tímpano.

3. Cribado auditivo neonatal
En España es obligatoria la práctica de un cribado neonatal auditivo que consiste en unas pruebas de audición relativamente básicas, conocidas como Potenciales Evocados Auditivos de Tronco Cerebral (PEATC), practicadas en el momento del nacimiento. Permiten conocer el funcionamiento de este sistema sensorial en los neonatos.

4. Prevención durante el crecimiento
Si los resultados del cribado auditivo no son los normales, el niño va a necesitar controles posteriores periódicos, lo que no implica necesariamente que acabe siendo hipoacúsico. En estos casos, los padres deben hacer un seguimiento controlado del sistema auditivo de su hijo acudiendo al especialista para comprobar si con la maduración resuelve o no el problema de que se trate.

5. Audición en la infancia. Estimulación y buena audición por ambos oídos
A cualquier edad, pero sobre todo en los niños, es importante respetar la buena audición por ambos oídos. De no hacerse, mediante un audífono adaptado correctamente, por ejemplo, son mayores las posibilidades de que el niño con problemas cada vez entienda peor y agote la vía neural. En los casos de una hipoacusia bilateral (perdida por los dos oídos) es igualmente importante mantener la estimulación, por el deterioro progresivo de la comprensión verbal que se puede producir.

6. Otitis externas
Según ha afirmado Harguindey, normalmente basta el tratamiento con gotas, aunque se dan ocasiones en que es necesario tratar con antibióticos e incluso corticoides.

7. Auriculares
Actualmente se da un uso abusivo de auriculares a niveles desorbitados, lo que es altamente perjudicial. Siempre que se escuchen a un volumen controlado, no superior a los 80-90 decibelios, y con un límite temporal diario, que se puede establecer en un máximo de tres horas. Para los padres preocupados por este problema, apunta Harguindey, hay un truco casero. Si el sonido se oye mínimamente desde el exterior, el ruido es excesivamente alto. Hay una relación clarísima entre la cada vez mayor precocidad de las hipoacusias, o pérdidas auditivas, y el uso abusivo de cascos.

8. Revisiones periódicas
Hay dos motivos esenciales por los que perdemos audición. Uno es la edad, y a partir de los 45 años es recomendable revisarse los oídos, sobre todo cuando hay una herencia familiar de hipoacusia.

9. Frecuencia de la exposición elevada al ruido
Aunque un único ruido, como un disparo o un petardo puede producir un trauma acústico en el oído interno que hasta puede ocasionar pérdidas, una exposición prolongada al ruido deteriora el oído. Harguindey ha señalado que es importante controlar estas exposiciones, aunque en profesiones como músico de orquesta o DJ el deterioro está prácticamente asegurado.

10. Corrección auditiva. Los audífonos
Los audífonos se han convertido en herramientas de comunicación no solo para las personas mayores, sino para cualquier persona. El doctor Harguindey ha indicado que existe un falso mito de que si no se usa el audífono se recupera audición. Además de ser falso, ha dicho, es “fundamental dar una solución auditiva a todas las personas con problemas (…) las prótesis auditivas cubren la mayoría de las pérdidas auditivas.

Elaborado por el otólogo y director del Instituto ORL Antoli-Candela, Coordinador de Servicios de ORL en HM Hospitales, el doctor Alejandro Harguindey

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