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Related Concept Videos

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High-Frequency Hearing Loss and Decrease in High-Frequency Hearing Thresholds after Positive Airway Pressure

Hande Arslan1, Zeynep Özer2, Nevra Güllü Arslan3

  • 1Department of Otorhinolaryngology, Samsun City Hospital, Samsun, Turkey.

International Archives of Otorhinolaryngology
|May 4, 2026
PubMed
Summary

Positive Airway Pressure (PAP) therapy may improve high-frequency hearing loss in patients with obstructive sleep apnea (OSA). This treatment could also help predict cochlear damage, offering a new approach to managing hearing health in OSA patients.

Keywords:
audiometryhigh-frequency audiometryobstructive sleep apnea syndromepositive airway pressure

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Area of Science:

  • Otolaryngology
  • Sleep Medicine
  • Audiology

Background:

  • Obstructive sleep apnea (OSA) is a condition causing hypoxia, which can lead to cochlear dysfunction and hearing loss.
  • High-frequency hearing loss is a common complication of OSA, impacting auditory function.

Purpose of the Study:

  • To evaluate the effect of Positive Airway Pressure (PAP) treatment on hearing in patients with severe OSA.
  • To determine if PAP therapy can mitigate or reverse hearing damage associated with OSA.

Main Methods:

  • A study involving 59 patients with severe OSA and 31 controls, with audiologic tests conducted before and at 3 and 6 months during PAP treatment.
  • High-frequency pure-tone audiometry (HF-PTA) and 8 kHz hearing levels were assessed to measure hearing function.

Main Results:

  • Patients with severe OSA showed higher HF-PTA scores compared to controls, indicating significant high-frequency hearing loss.
  • PAP treatment led to a decrease in HF-PTA scores at 3 and 6 months, suggesting hearing improvement.
  • A correlation was observed between HF-PTA and sleep parameters like MOS, AD, and LOS, as well as 8 kHz hearing levels.

Conclusions:

  • PAP therapy may improve high-frequency hearing thresholds in individuals with OSA.
  • 8 kHz hearing levels can serve as a predictor for high-frequency hearing loss and early cochlear damage in OSA patients.