Auditory evaluation in patients with type 1 diabetes


Autoria(s): Benito Pessin, Adriana Bueno; Garcia Martins, Regina Helena; Pimenta, Walkyiria de Paula; Simoes, Antonio Caetano Pereira; Marsiglia, Alessandra; Amaral, Amanda Vieira
Contribuinte(s)

Universidade Estadual Paulista (UNESP)

Data(s)

20/05/2014

20/05/2014

01/05/2008

Resumo

Objectives: We performed a prospective clinical study of the cochleovestibular symptoms and the risk cofactors and characteristics of hearing loss in patients with type 1 diabetes.Methods: Group I consisted of 40 patients with type I diabetes, and group 2 consisted of 20 control subjects without diabetes. All participants answered a questionnaire, and their medical records were reviewed. They also were submitted to otorhinolaryngological examinations and to auditory tests (pure tone audiometry and acoustic immitance and auditory brain stem response [ABR] tests).Results: Dyslipidemia, hypertension, retinopathy, and diabetic neuropathy were not frequent in the patients of group 1, but incipient nephropathy was present in 47.5% of them. The most frequent cochleovestibular symptoms were tinnitus and hearing loss. Sensorineural hearing loss was found in 4 patients of group I and was predominantly bilateral, symmetric, and affecting the high frequencies, coexisting with normal vocal discrimination. These patients had a longer time from diabetes diagnosis and had poor glycemia control. A delay of ABR interpeak latency I-III was observed in 11.25% of the group I ears. All patients of group 2 presented normal audiograms and ABR tests.Conclusions: In group 1, the most frequent cochleovestibular symptoms were tinnitus and hearing loss. The sensorineural hearing loss was mild, symmetric, and predominantly high-frequency. A delay of ABR interpeak latencies was detected in the patients of group I who had normal audiometric thresholds.

Formato

366-370

Identificador

http://search.ebscohost.com/login.aspx?direct=true&db=c8h&AN=2009934139&lang=pt-br&site=ehost-live

Annals of Otology Rhinology and Laryngology. St Louis: Annals Publ Co, v. 117, n. 5, p. 366-370, 2008.

0003-4894

http://hdl.handle.net/11449/12625

WOS:000255966300008

Idioma(s)

eng

Publicador

Annals Publ Co

Relação

Annals of Otology Rhinology and Laryngology

Direitos

closedAccess

Tipo

info:eu-repo/semantics/article