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Related Experiment Videos

Auditory function in young patients with chronic renal failure

T P Nikolopoulos1, D C Kandiloros, J V Segas

  • 1ENT Department, Athens University School of Medicine, Greece.

Clinical Otolaryngology and Allied Sciences
|June 1, 1997
PubMed
Summary

Renal insufficiency in children may cause sensorineural hearing loss, particularly high-frequency loss. Management method, not clinical factors, appears to influence hearing acuity in pediatric patients with kidney disease.

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Area of Science:

  • Nephrology
  • Audiology
  • Pediatrics

Background:

  • The link between renal insufficiency and hearing loss is debated, often confounded by age-related hearing decline (presbycusis).
  • Previous studies have not definitively established a causal relationship in pediatric populations.

Purpose of the Study:

  • To investigate the prevalence and characteristics of hearing loss in children and adolescents with renal insufficiency.
  • To explore potential influencing factors, including disease parameters and management strategies.

Main Methods:

  • Audiometric evaluation of hearing acuity in 46 children and adolescents with renal insufficiency.
  • Analysis of audiological data in relation to hematological, biochemical, clinical parameters, and management methods (hemodialysis vs. peritoneal dialysis).

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Main Results:

  • Sensorineural hearing loss, primarily high-frequency, was identified in 30.4% of the pediatric patients.
  • Hearing loss was not significantly correlated with renal disease type, blood pressure, or history of ototoxic drug exposure.
  • A higher incidence of hearing loss was observed in the hemodialysis group compared to the peritoneal dialysis group.
  • No significant audiometric changes were noted before and after hemodialysis sessions.

Conclusions:

  • Renal insufficiency in children and adolescents is associated with a notable prevalence of sensorineural hearing loss.
  • The management strategy for renal insufficiency, specifically hemodialysis, may play a role in the development or progression of hearing loss.
  • Further research is warranted to elucidate the mechanisms and confirm the impact of dialysis modality on hearing outcomes in pediatric kidney disease.