2010
DOI: 10.1007/s00381-010-1300-1
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Carboplatin and ototoxicity: hearing loss rates among survivors of childhood medulloblastoma

Abstract: The encouraging overall survival and low hearing loss rates in this medulloblastoma patient cohort suggest that protocols containing carboplatin may offer a viable alternative to standard cisplatin protocols and warrant further investigation.

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Cited by 37 publications
(29 citation statements)
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“…However, statistical analyses did not identify a statistically significant correlation between cumulative platinum dosage and hearing impairment, in contrast to other studies (6)(7)(8)10,(21)(22)(23).…”
Section: Discussioncontrasting
confidence: 98%
“…However, statistical analyses did not identify a statistically significant correlation between cumulative platinum dosage and hearing impairment, in contrast to other studies (6)(7)(8)10,(21)(22)(23).…”
Section: Discussioncontrasting
confidence: 98%
“…While neurotoxicity and nephrotoxicity can be mitigated by appropriate clinical regimens, ototoxicity seems inevitable and permanent. Ototoxic effects occur in 26–68% of patients treated with cisplatin (Musial-Bright et al, 2011). An increased risk of permanent hearing loss is reported for younger children, larger doses, pre-existing hearing loss and renal disease (Rybak et al, 2007b).…”
Section: Hearing Loss Due To Ototoxicity Is the Results Of Apoptosismentioning
confidence: 99%
“…Effects on the stria vascularis may contribute to the overall pattern of early cisplatin damage but such effects are initially also reversible. On the other hand, cisplatin induces long term, irreversible changes in the cochlear morphology resulting in an irreversible bilateral, sensorineural high frequency loss (Musial-Bright et al, 2011). These cochleotoxic effects of cisplatin have been well described (Estrem et al, 1981; Laurell et al, 1989) and result from a predominant destruction of the outer hair cells of the organ of Corti starting from the basal turn of the cochlea (Alam et al, 2000).…”
Section: Hearing Loss Due To Ototoxicity Is the Results Of Apoptosismentioning
confidence: 99%
“…One of the major side effects, however, is irreversible high frequency hearing loss. The overall reported incidence of cisplatin-induced hearing loss is between 28–68% [2] and the variability is due to different risk factors including method of administration (i.e. intravenous), age of the patient, and presence of concurrent treatment with radiotherapy or additional chemotherapeutic agents [1].…”
Section: Introductionmentioning
confidence: 99%