A study of otorhinolaryngological manifestations in patients of chronic renal failure

Agarwal, Mudit

doi:10.1007/bf02994642

Cited by 7 publications

(10 citation statements)

References 6 publications

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“…In contrast, our study showed no relation between the levels of blood urea, creatinine, serum potassium, serum calcium, and serum sodium and hearing loss. This is in agreement with the results reported by Agarwal [ 8 ] and Reddy et al . [ 17 ]…”

Section: Discussionsupporting

confidence: 94%

“…In agreement with many studies [ 5 8 19 ], hearing loss among patients in this study was dominant in the higher frequencies.…”

Section: Discussionsupporting

confidence: 93%

“…Several variables may contribute to the etiopathogenetic mechanisms of hearing loss in CRF including factors related to the severity and duration of the disease, electrolyte disturbances, ototoxic drugs, age, comorbid conditions such as diabetes mellitus and hypertension, and hemodialysis [ 7 8 9 ]. Despite the abundance of early and recent studies on the role of hemodialysis in hearing loss, the results are still debated.…”

Section: Introductionmentioning

confidence: 99%

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Sensorineural hearing loss in patients with chronic renal failure on hemodialysis in Basrah, Iraq

et al. 2018

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Objectives:The objective of this study is to determine the effect of hemodialysis on the hearing threshold in patients with chronic renal failure (CRF).Materials and Methods:Fifty-nine patients with CRF on regular hemodialysis were followed up for 1 year with a pure-tone audiometric examination every 6 months.Results:The mean age of the patients was 41.8 ± 9.2 years (range: 17–50 years). At the beginning of the study, 39 patients (66.1%) had sensorineural hearing loss (SNHL). During the 12-month follow-up, 6 more patients developed SNHL giving a point prevalence rate of 76.3% at the end of the study. The hearing loss was more evident in the higher frequencies. Of the studied patients, 64.4% showed deterioration of the hearing threshold. The mean hearing threshold at the beginning of the study was 29.2 ± 21.1 dB versus 36.9 ± 17.3 dB at the end of the study (P < 0.001). No significant relation was found between age, sex, serum electrolytes, blood urea, and duration of CRF and hearing loss. Multivariate analysis showed that the duration of hemodialysis was the only significant independent predictor of SNHL.Conclusion:SNHL is common in patients with CRF on hemodialysis. It was mild to moderate in the majority of patients. Hearing impairment was most obvious at the high frequencies. Most of the patients showed further deterioration in the hearing threshold with the duration of dialysis.

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Section: Discussionsupporting

confidence: 94%

“…In agreement with many studies [ 5 8 19 ], hearing loss among patients in this study was dominant in the higher frequencies.…”

Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

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Sensorineural hearing loss in patients with chronic renal failure on hemodialysis in Basrah, Iraq

et al. 2018

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“…A direct correlation was seen between increasing hyponatremia and impaired hearing. 7 Thus our study is in consensus with studies by Johnson and Mathog, Kusakari, Kobayashi, Gatland, Tucker and Bazzi, Venturini et al [4][5][6]8…”

Section: Hearing Loss and Electrolyte Changessupporting

confidence: 87%

Correlation between serum electrolyte levels and brain stem evoked response audiometry in chronic renal failure: a pilot study

Munjal

Singh

Chopra

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

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Background: The effect of electrolyte imbalance on hearing thresholds and its objective manifestation, as delayed latencies or inter-peak intervals in evoked response audiometry is studied.Methods: The present prospective study was undertaken in a period of one and a half years, to analyze the audiological profile in patients of chronic renal failure and renal allograft recipients. 60 patients were randomly selected from the out- patient and indoor services of nephrology, urology and oto-rhino-laryngology, Dayanand Medical College and Hospital, Ludhiana. Brain stem evoked response audiometry was performed and the latencies were tabulated. Results: A significant delay in the absolute latency of wave V was noted in hyponatremic patients of CRF on comparison with patients of CRF having a normal serum Na+ levels. The I-V interpeak interval was also seen to be significantly delayed on comparison. A statistically significant delayed I-III inter-peak latency was also observed in hypernatremic patients in comparison to patients having a serum Na+ level in the normal range. No significance of serum creatinine levels and wave latencies was noted on comparison between the three categories of patients of CRF as categorized by their serum creatinine levels.Conclusions: There is a definite deterioration of the audiological function in patients of chronic kidney disease, and some reversal of these abnormalities following a successful renal transplantation; indirectly pointing towards uremic milieu being the culprit.

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“…Otorhinolaryngology, head and neck diseases may occur at every stages of kidney disease irrespective of the age of the patient; however, it has been found to be most prevalent in the 4 th decade of life. [ 20 ] This is the active adult age group with family and socioeconomic responsibilities, but most of them hardly pay attention to their personal health. Similar to previous study,[ 20 ] male gender predominates the female gender among these patients with chronic renal disease and otologic disorder.…”

Section: Discussionmentioning

confidence: 99%

Otorhinolaryngologic, head and neck presentations among patients with chronic renal disease in a developing country

Adegbiji

Olajide

Dada

et al. 2020

J Family Med Prim Care

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A study of otorhinolaryngological manifestations in patients of chronic renal failure

Cited by 7 publications

References 6 publications

Sensorineural hearing loss in patients with chronic renal failure on hemodialysis in Basrah, Iraq

Sensorineural hearing loss in patients with chronic renal failure on hemodialysis in Basrah, Iraq

Correlation between serum electrolyte levels and brain stem evoked response audiometry in chronic renal failure: a pilot study

Otorhinolaryngologic, head and neck presentations among patients with chronic renal disease in a developing country

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