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Eighth nerve evaluation in leprosy.

S B Mann, B Kumar, R Yande

    Indian Journal of Leprosy
    |January 1, 1987
    PubMed
    Summary
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    Leprosy patients often experience hearing loss. This study found that 44% of leprosy patients had cochlear-type hearing impairment, while their vestibular functions remained unaffected.

    Area of Science:

    • Otolaryngology
    • Infectious Diseases
    • Neurology

    Background:

    • Leprosy, a chronic infectious disease, can affect various organs.
    • Cochlear and vestibular functions are crucial for hearing and balance.
    • Previous research on leprosy's impact on hearing is limited.

    Purpose of the Study:

    • To assess the cochlear and vestibular status in patients with bacillary positive leprosy.
    • To determine the prevalence and type of hearing impairment in leprosy patients.
    • To investigate potential selective involvement of the cochlea in leprosy.

    Main Methods:

    • A case-control study involving 25 leprosy patients and 25 matched controls.
    • Assessment of subjective complaints including hearing impairment, tinnitus, dizziness, and vertigo.

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  • Specialized audiological tests to evaluate hearing and vestibular functions.
  • Main Results:

    • 44% of leprosy patients exhibited unilateral or bilateral perceptive deafness.
    • Hearing impairment was predominantly of the cochlear type.
    • No significant impact on vestibular functions was observed in leprosy patients.
    • Subjective complaints of hearing impairment were reported by 4 patients.

    Conclusions:

    • Leprosy appears to selectively affect the cochlea, leading to sensorineural hearing loss.
    • Vestibular functions are generally preserved in leprosy patients.
    • Early audiological assessment is recommended for leprosy patients to detect cochlear damage.