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Published on: June 11, 2012
ABR disturbances in children with insulin dependent diabetes mellitus
1Department of Paediatric Otolaryngology, Phoniatry and Audiology, Medical Academy, Lublin, Poland.
Insights
Diabetes mellitus can cause auditory pathway damage in children, even without detectable hearing loss. Auditory Brainstem Response (ABR) revealed stem conduction issues in young patients with diabetes.
Area of Science:
- Otorhinolaryngology
- Pediatrics
- Endocrinology
Background:
- Diabetes mellitus is associated with hearing disturbances.
- Previous research is conflicting regarding the location of auditory pathway damage in diabetes.
- The retrocochlear pathway and inner ear cells are implicated.
Purpose of the Study:
- To determine the location of auditory pathway disturbances in children with diabetes mellitus.
- To investigate auditory pathway function in insulin-treated diabetic children.
Main Methods:
- Analysis of 37 insulin-treated children aged 6-18 years.
- Application of pure-tone audiometry.
- Utilized impedance audiometry and auditory brainstem response (ABR).
Main Results:
- Conduction disturbances were observed within the auditory brainstem response (ABR) pathway.
- These ABR abnormalities were present in children who had normal pure-tone audiometry results.
- Suggests subclinical auditory pathway dysfunction.
Conclusions:
- Diabetes mellitus can lead to retrocochlear auditory pathway disturbances in children.
- Auditory Brainstem Response (ABR) is a sensitive tool for detecting early auditory pathway changes in diabetic children.
- Early detection of auditory pathway dysfunction is crucial for diabetic pediatric patients.
Abstract:
A number of papers present the research on hearing disturbances in the course of diabetes mellitus. Some authors report the damage of inner ear cells, whereas others maintain that it is located in the retrocochlear part of the hearing pathway. The objective of the paper was to find the location of the auditory pathway disturbances in children suffering from diabetes mellitus. The analysis concerns 37 insulin treated children aged 6-18 years. The following audiometric methods were applied: pure-tone audiometry, impedance audiometry as well as auditory brainstem response (ABR). We observed conduction disturbances within the stem in ABR, in the children without hearing loss in pure-tone audiometry.
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