The effect of obstructive sleep apnea syndrome on the central auditory system

İriz, Ayşe; Düzlü, Mehmet; Köktürk, Oğuz; Kemaloğlu, Yusuf Kemal; Eravcı, Fakih Cihat; Küçükünal, Işik Sibel; Karamert, Recep

doi:10.3906/sag-1705-66

Cited by 18 publications

(10 citation statements)

References 18 publications

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“…Apart from higher pure-tone thresholds, severe SDB subjects were likely to experience ponto-mesencephalopathy [ 54 ], higher speech recognition thresholds, and lower speech discrimination ability [ 18 ]. In fact, hearing thresholds, speech recognition thresholds, and speech discrimination disability were all positively correlated with AHI [ 22 ] and desaturation index [ 55 ], and negatively correlated with minimum oxygen saturation [ 18 ]. Further clinical and basic science studies focusing on the mechanism are warranted.…”

Section: Discussionmentioning

confidence: 99%

CPAP Treatment Improves Pure Tone Audiometry Threshold in Sensorineural Hearing Loss Patients with Sleep-Disordered Breathing

Chi

Lee

Huang

et al. 2021

IJERPH

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This article investigates the effects of continuous positive airway pressure (CPAP) on hearing impairment in sensorineural hearing loss (SNHL) patients with sleep-disordered breathing (SDB). This retrospective and observational study took place from September 2016 to February 2021, accumulating 77 subjects with SNHL and SDB (60.7 ± 11.1 years). Of which, 28 received CPAP treatment (63.0 ± 8.5 years). In our methodology, hearing thresholds at low, medium, high, and average frequencies are assessed by pure-tone audiometry at baseline (BL), three (3 m), six (6 m), and 12 (12 m) months. Our results show that the BL of at least three frequencies in all subjects is positively associated with old age, males, smoking, alcohol, coronary artery disease, hypertension, and apnea-hypopnea index [AHI] (all p < 0.05). Moreover, low, medium, and average frequencies are negatively correlated at CPAP-6 m (−5.60 ± 2.33, −5.82 ± 2.56, and −5.10 ± 2.26 dB; all p < 0.05) and CPAP-12 m (−7.97 ± 2.74, −8.15 ± 2.35, and −6.67 ± 2.37 dB; all p < 0.01) against corresponding measures of CPAP-BL. High, medium, and average frequencies positively correlated with age (p < 0.001 for high and average frequencies and <0.01 for medium frequencies). We conclude that in SNHL patients with SDB, hearing thresholds at low and medium frequencies improves under CPAP use after six months, which persists at least to the end of one year.

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Section: Discussionmentioning

confidence: 99%

CPAP Treatment Improves Pure Tone Audiometry Threshold in Sensorineural Hearing Loss Patients with Sleep-Disordered Breathing

Chi

Lee

Huang

et al. 2021

IJERPH

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“…Neuronal damage caused by chronic hypoxia: Iriz et al ( 39 ) found that the negative impact of OSAHS on the central auditory pathway is the main mechanism of hearing impairment in OSAHS patients. We know that the nerve impulses generated by auditory neurons consume a lot of energy and require a considerable amount of oxygen, so these neurons are more vulnerable to hypoxemia.…”

Section: Discussionmentioning

confidence: 99%

Association of Obstructive Sleep Apnea-Hypopnea Syndrome with hearing loss: A systematic review and meta-analysis

Wang

Fang²,

Chen³

et al. 2022

Front. Neurol.

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ObjectiveThis study seeks to investigate the relationship between Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS) and hearing impairment by meta-analysis.MethodsCochrane Library, PubMed, Embase, Web of Science and other databases are searched from their establishment to July 1st, 2022. Literature on the relationship between OSAHS and hearing loss is collected, and two researchers independently perform screening, data extraction and quality evaluation on the included literature. Meta-analysis is performed using RevMan 5.4.1 software. According to the heterogeneity between studies, a random-effects model or fixed-effects model is used for meta-analysis.ResultsA total of 10 articles are included, with 7,867 subjects, 1,832 in the OSAHS group and 6,035 in the control group. The meta-analysis shows that the incidence of hearing impairment in the OSAHS group is higher than in the control group (OR = 1.38; 95% CI 1.18–1.62, Z = 4.09, P < 0.001), and the average hearing threshold of OSAHS patients is higher than that of the control group (MD = 5.89; 95% CI 1.87–9.91, Z = 2.87, P = 0.004). After stratifying the included studies according to hearing frequency, the meta-analysis shows that the OSAHS group has a higher threshold of 0.25, and the response amplitudes at frequencies 2, 4, 6, and 8 kHz are all higher than those of the control group.ConclusionCompared with the control group, the OSAHS group has a higher incidence of hearing loss, mainly high-frequency hearing loss. Thus, OSAHS is closely associated with and a risk factor for hearing loss.

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“…Além disso, a presença de transtornos no sono pode afetar o processamento da informação sonora. Segundo Iriz et al (17) , indivíduos com transtorno no sono, como a Síndrome da Apneia Obstrutiva do Sono, apresentam menor desempenho nos testes de discriminação de fala e no reconhecimento dos padrões de frequência e duração, em relação aos indivíduos que não têm apneia. Os pesquisadores supõem que os episódios de hipóxia, em decorrência da apneia, causam danos na via auditiva.…”

Section: Discussionunclassified

Validação da Escala de Autopercepção de Habilidades do Processamento Auditivo Central (EAPAC) para adultos

Abreu

Jesus

Alves

et al. 2022

Audiol., Commun. Res.

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RESUMO Objetivo validar um questionário autorreferido para avaliação do processamento auditivo central para adultos. Métodos o instrumento foi testado e validado com 123 estudantes universitários de 18 a 59 anos, sem alteração auditiva e sem histórico de tratamento para transtorno do processamento auditivo central. Os participantes realizaram os testes Gaps in Noise e Fala com Ruído. Por meio da análise estatística, foi definido o ponto de corte para alterações, a sensibilidade e a especificidade. Resultados o instrumento foi elaborado contendo 21 questões relacionadas ao histórico de saúde, aos hábitos de vida, às queixas auditivas e de aprendizagem. Após a análise fatorial, as questões relacionadas ao hábito de vida e condições de saúde foram retiradas por apresentarem carga fatorial baixa. Assim, a versão final da escala foi composta por 13 questões. Os constructos de primeira ordem e o indicador diagnóstico apresentaram níveis de confiabilidade exigidos. Foram definidos os pontos de corte 6 e 5 que indicassem alteração nos testes Gaps in Noise e Fala com Ruído branco, respectivamente. Conclusão a escala apresentou resultados válidos, confiáveis e consistentes e foi capaz de realizar inferências sobre o processamento auditivo.

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The effect of obstructive sleep apnea syndrome on the central auditory system

Cited by 18 publications

References 18 publications

CPAP Treatment Improves Pure Tone Audiometry Threshold in Sensorineural Hearing Loss Patients with Sleep-Disordered Breathing

CPAP Treatment Improves Pure Tone Audiometry Threshold in Sensorineural Hearing Loss Patients with Sleep-Disordered Breathing

Association of Obstructive Sleep Apnea-Hypopnea Syndrome with hearing loss: A systematic review and meta-analysis

Validação da Escala de Autopercepção de Habilidades do Processamento Auditivo Central (EAPAC) para adultos

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