Online ISSN: 2515-8260

Keywords : Hearing loss


DETECTION OF EARLY ONSET OF SUBCLINICAL HEARING LOSS IN TYPE 1 DM CHILDREN

Dr Taranjot Kaur, Dr. Dinesh Sharma, Dr.Vishav Yadav, Dr.Sachiv Garg

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 3316-3323

Background: Diabetes is fast gaining the status of a potential epidemic in India with more than 62 million diabetic individuals currently diagnosed with the disease. Conventional audiometric tests are not sensitive to detect the initial phase of sensory loss. A comparative study of Hearing evaluation of paediatric patients with IDDM between 6-17 yr and age and sex matched controls was done for evaluating the correlation between presence of type1 DM and auditory dysfunction, glycemic control and effect of duration of disease on hearing loss in IDDM conducted in Department of ENT in Rajindra hospital, Patiala.
Materials & methods: The present cross sectional observational study included 50 patients between age group of 6-17 years with confirmed diagnosis of Type 1 DM and an average disease duration of more than 1 year and 50 age and sex matched healthy controls. The patients were diagnosed as diabetic as per diagnostic criteria of The American Diabetes Association. The onset of diabetes was noted on the day of commencement of insulin therapy. A Performa was made where data recorded will include age, sex, duration of diabetes, insulin dose, BMI, frequency of acute complications like diabetic ketoacidosis (DKA), and severe hypoglycemia. This was followed by audiological testing, which will include pure tone audiometry (PTA) and Otoacoustic emission (OAE). Audiological assessment was done in a sound proof room in out - patient clinic of ENT Department, Rajindra hospital, Patiala. Hearing thresholds were tested using a commercially available AL Advanced digital audiometer AD21OOPS with headphones for speech frequencies and higher frequencies audiometry. The limitof normality was defined as a maximum intensity of 25 decibels for all frequencies.classic symptoms of hyperglycemia or hyperglycemic crisis.
Results: High frequency hearing loss was found to be present in 8 percent of the patients (4 patients) of the study group while it was absent in control group. While correlating the occurrence of high frequency SNHL with age-wise and gender-wise distribution of patients in the study group, non-significant results were obtained.While correlating the occurrence of high frequency SNHL with duration of diabetes in the study group, non-significant results were obtained. Significant results were obtained while comparing the mean RBS levels and HbA1c levels among the patients with and without high frequency SNHL.
Conclusion: Early detection is important in affected children and a range of intervention options (such as remotemicrophone listening systems) are available, and have proven beneficial in ameliorating the real-world listening effects of auditory neuropathy.

Assessment of cases of hearing loss in children

Dr. ShivendraPandey,Dr. PuneetMaheshwari, Sonali Mahera, Salwa Salam

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 236-239

Background:Hearing loss in children may be inherited, caused by maternal rubella or
complications at birth, certain infectious diseases such as meningitis, measles, chronic ear
infections. The present study was conducted to assess the cases of hearing loss in children.
Materials & Methods: 296 children with hearing loss of both genders were selected.
Histories of risk factors, causes, and type of hearing loss were recorded.
Results: Out of 296, males were 176 and females were 120. Common risk factors were
middle ear infection in 72, febrile illness and treatment in 144, sickle cell diseases in 56
and family history in 24 cases. The difference was significant (P< 0.05).
Conclusion: Common causes of hearing loss in children were middle ear infection, febrile
illness and treatment, sickle cell diseases and family history.

CORRELATION OF TYMPANIC MEMBRANE PERFORATIONS WITH HEARING LOSS

Ritesh Nandwani, Ravi Bhatia

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 11036-11040

Background: Tympanic membrane perforations are common cause of hearing loss. This
study was designed to analyze the relation between tympanic membrane perforation
and hearing loss.
Methods: In this prospective study, patients with dry tympanic membrane perforations
of safe type were included. The patients were divided into groups in according to size,
site and duration of perforation
Results: 49 patients with 70 dry tympanic membrane perforations were studied. Data
was analyzed statistically using paired t-test. Hearing loss increased as the size of
perforation increased. Posterior quadrant perforations were associated with more
hearing loss as compared to anterior quadrant perforations. Also duration of disease
was in linear relation with mean hearing loss.
Conclusions: The degree of conductive hearing loss as a result of tympanic membrane
perforation would be expected with the size, site and duration of perforation.

Gender wise association between diabetes mellitus and hearing loss in western Rajasthan population

Rukmini Sharma, Dr. Raghuveer Choudhary, Dr. Rajendra K Teharia

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 766-771

Background: Diabetes mellitus is a non-communicable chronic metabolic disorder. The
association between sensorineural hearing loss and diabetes has become an important subject
of research. Correlation of hearing loss with genders is not still clear so we have aimed our
study to explore the same.
Objective: To examine the gender-specific association between diabetes and hearing loss.
Methods: This study was conducted on a total number of 150 (78 male & 72 female) selected
diabetic patients from November 2018 to December 2020. The correlation of hearing loss
between male and female diabetic patients was compared by getting a pure tone audiogram.
Results: Out of a total of 150 patients, only 42 patients (28%) were suffered from hearing
loss. Sensorineural hearing loss was present 25.6% in males and 30.5% in females which was
not significantly different (p >0.05).
Conclusion: We concluded that hearing loss has no significant association with genders in
diabetic patients, but early diagnosis and screening of diabetic paints for hearing loss help in a
better quality of life.

ASSESSMENT OF THE AUDIOVESTIBULAR SYMPTOMS IN THE SUBJECTS WITH COVID-19: A CLINICAL STUDY

Dr Rajveer Basu, Dr Preeti Lahari, Kiran Lahari, Dr Jugvendra Lahari

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 1948-1954

Background: Hearing difficulties in COVID may range from mild to severe and vary based on COVID-19 severity. They range from the self-manageable at home to the ones needing hospitalization. They include dizziness, vertigo, tinnitus, and/or hearing loss.
Aims: To assess the long-term impact of COVID-19 on the existence of audiovestibular disorders in subjects hospitalized previously for COVID-19.
Materials and Methods: 30 test and 30 control subjects hospitalized in the institution after COVID-19 were assessed for audiovestibular screening Tonal Audiometry was then done to measure bone and air conduction thresholds. Gain threshold was assessed for vestibular loss set at a value less than 0, 6 at 60ms, and vHIT was performed.  The collected data were subjected to statistical evaluation and the results were formulated.
Results:Dizziness was seen in 10% (n=3) subjects, tinnitus in 3.33% (n=1) subject, spinning vertigo in 3.33% (n=1) subject, Dynamic disequilibrium/ imbalance in 3.33% (n=1) subject, static disequilibrium/ imbalance in 6.66% (n=2) subjects, and hearing loss in 10% (n=3) subjects. PTA values were statistically non-significant at all frequencies except at 0.25, 0.5, 2, and 4 kHz with respective p-values of 0.003, 0.083, 0.04, and 0.03. In gain values only vHIT significant gain was seen in right anterior canal with values of 0.798±0.257 in cases and 0.949±0.121 in controls and the p-value of 0.004
Conclusion:Within its limitations, the present study concludes that audiovestibular symptoms and components are involved in subjects with COVID-19. No definitive conclusion can be drawn on auditory involvement in subjects with a history of COVID-19 with the previous hospitalization.

Assessing the quality of life in children and adolescents after cochlear implants compared to controls with normal hearing pattern

Dr. Kundirthi Chaitanya Babjee,Dr. Thalva Charitha,Dr. Vinod Kumar,Dr. Akhil Sareen .

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 1799-1804

Background: Emotional and social challenges are higher in children with hearing loss
especially during their transition from childhood to adolescence phase. Before the cochlear
implant placement became a routine and widely accepted management modality for
treating hearing loss in children, the children felt more psychosocial issues.
Aims: The present trial was conducted to assess if children with cochlear implants
secondary to hearing loss have similar psychosocial challenges as their peers having
normal hearing patterns by assessing the responses given by children or their parents
concerning the child's health-related quality of life.
Materials and Methods: 62 subjects were divided into two categories of 8-11 years old and
12-16 years (n=31). Independent assessment of children and their parents was done. The
comparison was done of children's responses with their parent's responses, and with
responses of the control children with the normal hearing pattern. The quality of life was
evaluated using the KINDLR survey designed especially for children.The collected data
were subjected to statistical evaluation and the results were formulated.
Results:In 8-11 years old compared to their peers with the normal hearing pattern,
cochlear implants had a less positive quality of life concerning their family and physical
well-being with p< 0.0001. In 12-16 years when compared to their peers with the normal
hearing pattern, cochlear implants had a less positive quality of life concerning their
friends, school, and self-esteem with respective p-values of 0.01, 0.04, and 0.07.
Conclusion:Children with cochlear implants report their quality of life as similar to the
subjects with the normal hearing pattern. In comparison, responses by parents were
reliable and comparable to the children. The quality of life was better in young children
compared to the older children group.

Effect of chronic disease diabetes and hypertensive on prevalence of sensorineural hearing loss

Jainam Shah, Aguilera-Alvarez Victor H, Rita Grande, OladipoOdeyinka,Muhammad Subhan, Anusha Manoj Kallamvalappil, Isaac Bahai Arthur, MD

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 1556-1559

Background:Hearing is an essential part of how we communicate with others and become
aware of sounds that happen in our immediate environment. The present study was
conducted to assess sensorineural hearing loss in diabetes and hypertensive patients.
Materials & Methods: 120 subjects of both genders were divided into 3 groups. Group I
had diabetics, group II had hypertensive and group II had control subjects. General ear
examination was done using otoscopy. Hearing function, degree, form, and configuration
of any hearing loss, were determined through a general ear examination and Pure Tone
Audiometry.
Results: Group I had 22 males and 18 females, group II had 16 males and 24 females and
group III had 15 males and 25 females. Normal hearing loss was observed in 25% in group
I, 26% in group II and 85% in group III, mild hearing loss was observed in 75% in group
I, 50% in group II and 15% in group III and moderate hearing loss was observed in 24%
in group II. The difference was significant (P< 0.05).
Conclusion: There was more hearing loss in diabetics and hypertensive subjects as
compared to healthy individuals.

Assessment of the size and site of tympanic membrane perforation and hearing loss

Dr.Anushri Bajaj, Dr.Shahnaz Sheikh, Dr. Vikrant Vaze, Dr. BalchandraPaikay

European Journal of Molecular & Clinical Medicine, 2018, Volume 5, Issue 1, Pages 221-225

Size and site of tympanic membrane perforation is proportionate to
degree of hearing loss, larger the perforation, greater the hearing loss. The present
study was conducted to assess the size and site of tympanic membrane perforation and
hearing loss.
Materials & Methods: 75 patients with tympanic membrane perforation of both
genders were divided into 3 groups based on size of perforation such as group I with 0-
9mm2, group II with 10-30mm2 and group III with >30mm2 perforation. Site was
anterior, posterior and multiple. Hearing loss was calculated.
Results: Group I patients had 28.4 dB, group II had 382 dB and group III had 47.5 dB
hearing loss. In group I, anterior site was seen in 16, posterior in 5 and multiple in 4
cases, in group II, anterior in 8, posterior in 7 and multiple in 10 cases and in group III,
anterior in 8, posterior in 5 and multiple in 12 cases. The difference was significant (P<
0.05).
Conclusion: As the size of the perforation increased, hearing loss also increased