<b>Effect of renal transplantation on uremic deafness: A Long-Term study</b>

Mitschke, H; Schmidt, Paul; Zazgórnik, J; Kopsa, H; Pils, P

doi:10.3109/00206097709080024

Cited by 30 publications

(10 citation statements)

References 5 publications

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“…loop diuretics and aminoglycosides) used in the treatment of renal disease are known for their otoxicity. 14 Finally, haemodialysis and renal transplants may induce electrolytic disturbances, and osmotic and immunological alterations at the inner-ear level, resulting in tinnitus, vertigo and hearing loss. Prolonged haemodialysis also may result in the accumulation of amyloid materials in many tissues, including the inner ear.…”

Section: Discussionmentioning

confidence: 99%

Audiovestibular functions in chronic kidney disease in relation to haemodialysis

2019

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BackgroundSeveral studies have reported that the audiovestibular system is affected in patients with chronic kidney disease.ObjectiveThis study aimed to investigate how the audiovestibular system is affected in patients with various stages of chronic kidney disease.MethodsSixty participants were divided into three groups: group 1 – controls; group 2 – chronic kidney disease patients receiving conservative treatment; and group 3 – chronic kidney disease patients undergoing regular haemodialysis. Assessments included: standard and high-frequency audiometry and otoacoustic emissions testing, oculomotor tests, and combined vestibular-evoked myogenic potentials testing.ResultsFifty per cent of group 2 and 60 per cent of group 3 had bilateral sensorineural hearing loss. High-frequency pure tone audiometry showed reduced detectability and higher thresholds at 12 kHz and 16 kHz in patients than in controls. Otoacoustic emissions, tracking, optokinetic and combined vestibular-evoked myogenic potential tests showed abnormal results in chronic kidney disease cases.ConclusionBoth the auditory and vestibular pathways are affected in different stages of chronic kidney disease. High-frequency pure tone audiometry, otoacoustic emissions and combined vestibular-evoked myogenic potentials could be performed routinely in patients with chronic kidney disease, regardless of the disease stage.

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Section: Discussionmentioning

confidence: 99%

Audiovestibular functions in chronic kidney disease in relation to haemodialysis

2019

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“…Sensorineural hearing loss is frequently reported in patients with chronic renal failure. 1 The role of haemodialysis in the pathogenesis of this hearing loss has been the subject of serious debate 2–5 . Furthermore, existing studies on children are rare and controversial, 6–12 while nearly all of them have employed conventional pure‐tone audiometry (PTA).…”

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confidence: 99%

Hearing evaluation with distortion-product otoacoustic emissions in young patients undergoing haemodialysis

et al. 2001

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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 1000-12 000Hz (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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“…III. Hearing loss following renal transplantation (McDonald et al, 1978;Mitschke et al, 1975Mitschke et al, , 1977Quick, 1976). IV.…”

Section: Introductionmentioning

confidence: 99%

Hearing loss in a uraemic patient: indications of involvement of the VIIIth nerve

Lucien

Mooy

1987

J. Laryngol. Otol.

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A case of acute renal failure associated with severe uraemic hearing loss is presented. Audiometric site-of-lesion testing revealed cochlear as well as neural involvement.After therapy hearing recovered up to an almost normal level, with normal auditory nerve conduction velocities.This case report supports the suggestion that the improvement of hearing after renal transplantation or dialysis might be correlated with the influences of these forms of therapy upon the peripheral neuropathy.

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Effect of renal transplantation on uremic deafness: A Long-Term study

Cited by 30 publications

References 5 publications

Audiovestibular functions in chronic kidney disease in relation to haemodialysis

Audiovestibular functions in chronic kidney disease in relation to haemodialysis

Hearing evaluation with distortion-product otoacoustic emissions in young patients undergoing haemodialysis

Hearing loss in a uraemic patient: indications of involvement of the VIIIth nerve

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