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Titolo:
Hearing evaluation with distortion-product otoacoustic emissions in young patients undergoing haemodialysis
Autore:
Stavroulaki, P; Nikolopoulos, TP; Psarommatis, I; Apostolopoulos, N;
Indirizzi:
Childrens Hosp P&A Kyriakou, Dept Otorhinolaryngol Head & Neck Surg, Athens, Greece Childrens Hosp P&A Kyriakou Athens Greece d & Neck Surg, Athens, Greece Southmead Hosp, Univ Dept Otolaryngol Head & Neck Surg, Bristol, Avon, England Southmead Hosp Bristol Avon England & Neck Surg, Bristol, Avon, England
Titolo Testata:
CLINICAL OTOLARYNGOLOGY
fascicolo: 3, volume: 26, anno: 2001,
pagine: 235 - 242
SICI:
0307-7772(200106)26:3<235:HEWDOE>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHRONIC-RENAL-FAILURE; AMINOGLYCOSIDE-INDUCED OTOTOXICITY; EVOKED-POTENTIALS; UREMIC DEAFNESS; LONG-TERM; HEMODIALYSIS; DIALYSIS; CHILDREN;
Keywords:
hearing loss; chronic renal failure; haemodialysis; pure-tone audiometry; distortion-product otoacoustic emissions; children;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
43
Recensione:
Indirizzi per estratti:
Indirizzo: Stavroulaki, P 58 Ferndene, Bristol BS32 9DF, Avon, England 58 Ferndene Bristol Avon England BS32 9DF F, Avon, England
Citazione:
P. Stavroulaki et al., "Hearing evaluation with distortion-product otoacoustic emissions in young patients undergoing haemodialysis", CLIN OTOLAR, 26(3), 2001, pp. 235-242

Abstract

Sensorineural hearing loss is frequently reported in young patients with chronic renal failure having haemodialysis. The effect of a single session of haemodialysis on hearing acuity was assessed prospectively in nine children with end-stage renal disease using pure-tone audiometry (PTA) and distortion-product otoacoustic emissions (DPOAEs). Results were compared with those obtained from nine audiologically normal healthy children also tested with PTA and DPOAEs twice during a 4-h interval. Sensorineural hearing loss of unknown aetiology was found in 55.5% of renal patients, mainly in the higher frequencies. Patients on HD had mean PTA thresholds significantly poorer than those of the control group in the frequency range 1000-12000Hz (P < 0.05). Their mean DPOAE amplitudes were significantly lower in all frequencies > 1184 Hz (P < 0.05), Furthermore, patients' ears with normal PTA thresholds between 250 and 4000 Hz also had decreased DPOAE amplitudes. No significant changes in PTA thresholds or DPOAE amplitudes were encountered in renal patients before and after a HD session (P > 0.05). Changes in PTA thresholds or DPOAE amplitudes were not significantly different than those in the control group (P > 0.05). In conclusion, sensorineural hearing loss of unknown origin, especially in high frequencies, is frequent in young renal patients under HD and single HD sessions do not seem to alter the hearing acuity of these patients. DPOAEs seem to be more sensitive to incipient cochlear damage than behaviour thresholds in monitoring renal patients.

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Documento generato il 02/04/20 alle ore 02:50:13