Indian Journal of Health and Wellbeing

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Hearing Loss in Chronic Renal Failure Patients:An Empirical Analysis


Affiliations
1 Department of Audiology and Speech, Language Pathology, SGT University, Gurugram, Haryana, India
     

   Subscribe/Renew Journal


The purpose of our study was to determine the incidence of hearing loss and to describe the hearing impairment and the possible contributing factors, responsible for sensori neural hearing loss in chronic renal failure (CRF) patients. This was a prospective study carried out on 30 cases of CRF attending otorhinolaryngological and dialysis services for hearing disturbance and on 30 healthy volunteers for control study, having the same inclusion criteria except (does not suffering with CRF) having normal renal function tests. These volunteers attended the ENT OPD, for oto-rhino-laryngological services but not for hearing problems. The results of the statistical analysis are as follows, Severity of hearing loss in different frequencies was not the same.60% of the chronic renal failure patients is having sensorineural hearing loss. 6.6% is found to have conductive hearing loss, 3.4 % is found to have mixed hearing loss, 8 % is found to have noise induced hearing loss and 22% is found to have normal hearing. Hearing loss is a common finding in patients with chronic renal failure, and deafness may occur during the course of haemodialysis. The present study also indicate that the hearing loss is progressive in nature. Urea, ototoxins, axonal uremic neuropathy, anemia, and toxic degradation products from cellulose acetate dialyzer membranes are all possible aetiologic factors for hearing loss in CRF patients. We hope that a prospective study on this subject may clarify the relationship between hearing loss and chronic renal failure and its treatment.

Keywords

Chronic Renal Failure (CRF), Sensori Neural Hearing Loss (SNHL), Pure Tone Audiometry (PTA).
Subscription Login to verify subscription
User
Notifications
Font Size


  • Albertazzi, A., Cappelli, P., Di Marco, T, Maccarone, M., & Di Paolo, B. (1988). The Natural History of Uremic Neuropathy. Contributions to Nephrology, 65, 130-137.

  • Anteunis, L.J.,&Moo,y J.M. (1987). Hearing loss in a uraemic patient: Indications of involvement of the VHIth nerve. Journal of Laryngology and Otology, 101, 492-496.

  • Antonelli, A., Bonfioli, R, & Garrubbaa, V. (1991). Audiological findings in elderly patients with chronic renal failure. Acta Otolaryngologica, 476, 54-68.

  • Bergstrom, L., Jenkin, P., Sando, I., & English, G. (1963). Hearing loss in renal disease: Clinical and pathological studies. Annals of Otology, Rhinology, and Laryngology, 82, 555-574.

  • Bazzi, C, Venturini, C, Pagani, C, Arrigo, G.D., & Amico, G. (1995). Hearing loss in short and long term haemodialyzed patients. Nephrology Dialysis Transplantation, 10, 1865-1868.

  • Charachon, R., Moreno-Ribes, V., & Cordonnier, D. (1978). Deafness due to renal failure. Annals Otolaryngology Chir Cervicofac, 95,179-203.

  • Di Paolo, B., Di Marco, T., Cappelli, P., Spisni, C, DelRosso, G., Palmieri, PR, Evangelista, M., & Albertazzi, A. (1988). Electrophysiological aspects of nervous conduction in uremia. Clinical Nephrology, 29, 253-260.

  • Henrich, W., Thompson, P., Bergstrom, L., & Lum, G.M. (1977). Effect of dialysis on hearing acuity. Nephron, 18, 348-351.

  • Jorgenson, M.G. (1963). Changes in aging in the inner ear and the inner ear in diabetes mellitus.Histologic studies. Acta Oto-Laryngologica, 188(1), 125-128.

  • Kusakari, J., Kobayashi, T., & Rokugo, M. (1981). The inner ear dysfunction in hemodialy sis patients. Tohoku Journal of Experimental Medicine, 135, 359-369.

  • Kligerman, A.B., Solangi, K.B., Ventry, I.M., Goodman, A.I., & Weseley, S.A. (1981). Hearing impairment associated with chronic renal failure. Laryngoscope, 91, 583-592.

  • Kusakari, J., Hara, A., Takeyama, M., Suzuki, S., & Igari, T. (1992). The hearing of patients treated with hemodialysis: A long-term follow-up study. Auris Nasus Larynx, 19, 105-113.

  • Mitschke, H., Schmidt, P., Zazgorlik, J., Kopsa, H., & Pils, P. (1977). Effect of renal transplantation on uraemic deafnessa long-term study. Audiology, 16, 530-534.

  • Meena, R.S., & Singh, B.K. (2012). Hearing loss in patients of chronic renal failure: A study of 100 cases. Indian Journal of Otolaryngology and Head and Neck Surgery, 64(4), 356-359.

  • Oda, M., Preciado, M.G., & Quick, C.A. (1974). Labyrinthine pathology of chronic renal failure patients treated with hemodialysis and kidney transplantation. Laryngoscope, 84,1489-1506.

  • Oda, M., Preciado, M.C., Quick, C.A., & Paparella, M.M. (1976). Labyrinthine pathology of chronic renal failure patients treated with haemodialysis and kidney transplantation. Laryngoscope, 84, 14-89.

  • Ozturan, O., & Lam, S. (1998). The effect of haemodialysis on hearing using pure tone audiometry and distortion product otoacoustic emission. Journal of Otorhinolaryngology, 60, 306-313.

  • Yassin, A., Safwat, R, & Fart-Hi, A. (1966). Ear, nose and throat manifestations in cases of renal failure treated by dialysis. Annals of Otology, Rhinology, and Laryngology, 75(1), 192-201.


Abstract Views: 244

PDF Views: 2




  • Hearing Loss in Chronic Renal Failure Patients:An Empirical Analysis

Abstract Views: 244  |  PDF Views: 2

Authors

Vivek K. Jha
Department of Audiology and Speech, Language Pathology, SGT University, Gurugram, Haryana, India

Abstract


The purpose of our study was to determine the incidence of hearing loss and to describe the hearing impairment and the possible contributing factors, responsible for sensori neural hearing loss in chronic renal failure (CRF) patients. This was a prospective study carried out on 30 cases of CRF attending otorhinolaryngological and dialysis services for hearing disturbance and on 30 healthy volunteers for control study, having the same inclusion criteria except (does not suffering with CRF) having normal renal function tests. These volunteers attended the ENT OPD, for oto-rhino-laryngological services but not for hearing problems. The results of the statistical analysis are as follows, Severity of hearing loss in different frequencies was not the same.60% of the chronic renal failure patients is having sensorineural hearing loss. 6.6% is found to have conductive hearing loss, 3.4 % is found to have mixed hearing loss, 8 % is found to have noise induced hearing loss and 22% is found to have normal hearing. Hearing loss is a common finding in patients with chronic renal failure, and deafness may occur during the course of haemodialysis. The present study also indicate that the hearing loss is progressive in nature. Urea, ototoxins, axonal uremic neuropathy, anemia, and toxic degradation products from cellulose acetate dialyzer membranes are all possible aetiologic factors for hearing loss in CRF patients. We hope that a prospective study on this subject may clarify the relationship between hearing loss and chronic renal failure and its treatment.

Keywords


Chronic Renal Failure (CRF), Sensori Neural Hearing Loss (SNHL), Pure Tone Audiometry (PTA).

References