Value of Otoacoustic Emission in Monitoring Hearing Acuity in Chronic Renal Failure Patients

To evaluate hearing acuity in chronic renal failure (CRF), we studied 48 patients of age less than 40 year as well as 15 years age and sex matched healthy subjects as controls by using the conventional pure-tone audiometry and evoked otoacoustic emission (TEOAE). Twenty-two of the study patients wer...

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Main Authors: Sobh Mohammad, El Koussi Mohsen, Bakr Muhammad
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 1999-01-01
Series:Saudi Journal of Kidney Diseases and Transplantation
Subjects:
Online Access:http://www.sjkdt.org/article.asp?issn=1319-2442;year=1999;volume=10;issue=2;spage=144;epage=147;aulast=Sobh
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author Sobh Mohammad
El Koussi Mohsen
Bakr Muhammad
author_facet Sobh Mohammad
El Koussi Mohsen
Bakr Muhammad
author_sort Sobh Mohammad
collection DOAJ
description To evaluate hearing acuity in chronic renal failure (CRF), we studied 48 patients of age less than 40 year as well as 15 years age and sex matched healthy subjects as controls by using the conventional pure-tone audiometry and evoked otoacoustic emission (TEOAE). Twenty-two of the study patients were treated conservatively and 26 patients by regular hemodialysis (HD). The dialyzed patients were further classified according to the duration of HD into 14 patients dialyzed for < 1 year and 12 patients dialyzed for> 1-year. TEOAE was applied only for patients proved to have normal pure tone thresholds. Sensorineural hearing loss was more in CRF patients treated conservatively than in those treated by dialysis (22.7%) and 15.3%, respectively), but the difference was not statistically significant. TEOAE was more sensitive than pure-tone audiometry in detecting sensorineural hearing loss in these patients (27.2% Vs 19.2%, respectively) and in the whole reproducibility of the test. However there were no significant statistical differences in the CRF subgroups and the controls. Furthermore, there was no correlation between TEOAE parameters and serum urea and creatinine. In conclusion, hearing acuity was found to be impaired in chronic renal failure patients whether treated conservatively or hemodialyzed. The transient evoked otoacoustic emission is more sensitive than the conventional pure-tone audiometry for evaluation of hearing acuity in this setting. Although the parameters of TEOAE seem to be better in hemodialyzed than in conservatively treated patients, but it did not reach statistical significance.
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spelling doaj.art-33a7787bdc504e2dba61d7fd9fd129972022-12-21T19:11:16ZengWolters Kluwer Medknow PublicationsSaudi Journal of Kidney Diseases and Transplantation1319-24421999-01-01102144147Value of Otoacoustic Emission in Monitoring Hearing Acuity in Chronic Renal Failure PatientsSobh MohammadEl Koussi MohsenBakr MuhammadTo evaluate hearing acuity in chronic renal failure (CRF), we studied 48 patients of age less than 40 year as well as 15 years age and sex matched healthy subjects as controls by using the conventional pure-tone audiometry and evoked otoacoustic emission (TEOAE). Twenty-two of the study patients were treated conservatively and 26 patients by regular hemodialysis (HD). The dialyzed patients were further classified according to the duration of HD into 14 patients dialyzed for < 1 year and 12 patients dialyzed for> 1-year. TEOAE was applied only for patients proved to have normal pure tone thresholds. Sensorineural hearing loss was more in CRF patients treated conservatively than in those treated by dialysis (22.7%) and 15.3%, respectively), but the difference was not statistically significant. TEOAE was more sensitive than pure-tone audiometry in detecting sensorineural hearing loss in these patients (27.2% Vs 19.2%, respectively) and in the whole reproducibility of the test. However there were no significant statistical differences in the CRF subgroups and the controls. Furthermore, there was no correlation between TEOAE parameters and serum urea and creatinine. In conclusion, hearing acuity was found to be impaired in chronic renal failure patients whether treated conservatively or hemodialyzed. The transient evoked otoacoustic emission is more sensitive than the conventional pure-tone audiometry for evaluation of hearing acuity in this setting. Although the parameters of TEOAE seem to be better in hemodialyzed than in conservatively treated patients, but it did not reach statistical significance.http://www.sjkdt.org/article.asp?issn=1319-2442;year=1999;volume=10;issue=2;spage=144;epage=147;aulast=SobhHearing lossOtoacoustic emissionRenal Failure.
spellingShingle Sobh Mohammad
El Koussi Mohsen
Bakr Muhammad
Value of Otoacoustic Emission in Monitoring Hearing Acuity in Chronic Renal Failure Patients
Saudi Journal of Kidney Diseases and Transplantation
Hearing loss
Otoacoustic emission
Renal Failure.
title Value of Otoacoustic Emission in Monitoring Hearing Acuity in Chronic Renal Failure Patients
title_full Value of Otoacoustic Emission in Monitoring Hearing Acuity in Chronic Renal Failure Patients
title_fullStr Value of Otoacoustic Emission in Monitoring Hearing Acuity in Chronic Renal Failure Patients
title_full_unstemmed Value of Otoacoustic Emission in Monitoring Hearing Acuity in Chronic Renal Failure Patients
title_short Value of Otoacoustic Emission in Monitoring Hearing Acuity in Chronic Renal Failure Patients
title_sort value of otoacoustic emission in monitoring hearing acuity in chronic renal failure patients
topic Hearing loss
Otoacoustic emission
Renal Failure.
url http://www.sjkdt.org/article.asp?issn=1319-2442;year=1999;volume=10;issue=2;spage=144;epage=147;aulast=Sobh
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