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Hearing loss in diabetics

Published online by Cambridge University Press:  29 June 2007

J. R. Cullen*
Affiliation:
Belfast, N. Ireland
M. J. Cinnamond
Affiliation:
Belfast, N. Ireland
*
Mr J. R. Cullen, Department of Otorhinolaryngology, University Floor, Belfast City Hospital, Belfast, BT9 7AB.

Abstract

The relationship between diabetes and senbsorineural hearing loss has been disputed. This study compares 44 insulin-dependent diabetics with 38 age and sex matched controls. All had pure tone and speech audiometry performed, with any diabetics showing sensorineural deafness undergoing stapedial reflecx decat tests. In 14 diabetics stapedial reflex tests showed no tone decay in any patient, but seven showed evidence of recruitment. Analysis of vaiance showed the diabetics to be significantly deafer than the control population.The hearing loss affected high frequencies in both sexes, but also low frequencies in the male. Speech discrimination scores showed no differences. Further analysis by sex showed the males to account for most of the differences. Analysys of the audiograms showered mostly a high tone loss. Finally duration of disbetes, insulin dosage and family history of diabtes were not found to have a significant effect on threshold.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1993

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Footnotes

This work was carried out at Tyrone County Hospital, Omagh.

References

Axellson, A., Fargerberg, S. E. (1968) Auditory function in diabetics. Acta Otolaryngologica 66: 4964CrossRefGoogle Scholar
Axellson, A., Sigroth, K., Vertes, D. (1978) Hearing in diabetics. Acta Otolaryngologia Supplement: 356.Google Scholar
Benesi, O.Somer, J. (1929) In Handbuch der Nurologie des ohres. vol. 2, Springer-Verlag, Berlin.Google Scholar
Borsuk, J.Lisiecha, H., Majcherska, B.(1956) THe audiometric curve in diabetes melliitus. Polish Archives of Medicine Warsaw 26: 11561166Google Scholar
Bruhi, G. (1912) Die Beteligung des ohres, der Nase und des Hoses bei Staffwechsel Krankheiten. Deutsche Medizinische Wochenschrift (Stuttgart) 38: 701.CrossRefGoogle Scholar
Camisaca, L. (1950) L'esame dell'apparato cohleovestibulare neldiabete mellito. Giornale di Scintifico et Medica 5: 4549Google Scholar
Costa, O. A. (1967) Inner ear pathology in experimental diabetes. Laryngoscope 77: 6875CrossRefGoogle ScholarPubMed
Davis, A. C. (1983) Hearing disorders in the population: First phase findings of the MRC National study of Hearing. In Hearing Science and Disorders. (Lutman, M. E., Haggard, M. P., eds.), Academic Press, London, p 3560.CrossRefGoogle Scholar
Devald, J., Schiffener, G., Tolnay, S. (1966) Audiological examination of diabetic patients. Orvosi Hetilap 107: 24542456.Google Scholar
Dietzel, K. (1964) Diabetes und gehr. In Internazional Symposium ber Diabetes Fragen1–3 October 1962.Academie Verlag,Berlin.Google Scholar
Edgar, T. O. (1915) Klinische Beitrage zur Frage der akuten toxischen des Gehororganes bei Diabetes Mellitus mit besonderer Berucksichting der Erkrankungen des inneren Ohres. Monatschreibe Ohrenheilkund Laryngologie, Rhinologie 49: 225260.Google Scholar
Friedmann, S. A., Schulman, R. H.Weiss, S. (1975) Hearing and diabetic neuropathy. Archives of Internal Medicine 135: 573576CrossRefGoogle Scholar
Gibbon, K. P.Davis, C. G. (1981) A hearing survey in diabetes melitus Clinical Otolaryngology 6: 345350CrossRefGoogle Scholar
Jordao, A. M. D. (1857) Consideration sur un cas du diabete. Union Medicale du Paris 11: 446Google Scholar
Jorgensen, M. B.Buch, N. H. (1961) The inner ear in diabetes mellitus. Archives of Otolaryngology 74: 373381CrossRefGoogle ScholarPubMed
Jorgensen, M. B., Buch, N. H. (1961) Studies on inner ear functions and cranial nerves in diabetics. Acta Otolaryngologica 53: 350364CrossRefGoogle ScholarPubMed
Kindler, W. (1955) Schwewerhrigheit bei Diabetes Mellitus. Practica Otorhinolaryngology 17: 282288Google ScholarPubMed
Koslov, M. Y. K. (1975) Changes of the hearing level in patients with diabetes mellitus. Zhural Ushnykh Nosovykin i Gorolovykh Bolezni (Kiev) 1: 3236Google Scholar
Kovar, M. (1973) The inner ear in diabetes mellitus. Otorhinolarybgology 35, 4251.Google ScholarPubMed
Kurien, M., Thomas, K., Bhanu, T. S. (1989) Hearing theresholds in patients with diabetes mellitus. Journal of Laryngology and Otology 103: 164168CrossRefGoogle Scholar
Makashima, K., Tanaka, K. (1971) Pathological changes of the inner ear and central auditory pathways in diabetics. Annals of Otology, Rhinology and Laryngology 80: 218288.CrossRefGoogle Scholar
Marshak, G., Anderson, C. V. (1960) The inner ear in experimental mellitus. Journal of Auditory Research 8: 323330.Google Scholar
Naufal, P. M., Shuknecht, H. F. (1972) Vestibular, facial and oculomotor neuropathy in diabetes mellitus. Archives of Otolaryngology 96: 468.CrossRefGoogle ScholarPubMed
Owens, E. (1964) Tone decay in VIIIth nerve and cochlear lesions. Journal of Speech and Hearing 29: 1422.Google ScholarPubMed
Roach, R. E. (1973) Response of the diabetic to Bekesy audiometry. Archives of Otolaryngology 98: 349353CrossRefGoogle ScholarPubMed
Rosen, Z., Davis, E. (1971) Microangiopathy in diabetes with hearing disorder. Eye, Ear, Nose and Throat Monthly 50: 479482Google Scholar
Rozen, Z., Yanko, L., Cohen, A. M. (1972) Diabetic labyrinthopathy and retinopathy. Israeli Journal of Medical Science 8: 781782Google Scholar
Sieger, A., White, N. H., Skinner, M. W., Spector, G. J. (1983) Auditory function in children with diabetes mellitus. Annals of Otology, Rhinology and Laryngology 92: 237241CrossRefGoogle ScholarPubMed
Snashall, S. E. (1977) Békésy audiometry and tone and reflex decay tests in diabetes. Archives of Otolaryngology 103: 342343CrossRefGoogle Scholar
Strauss, P., Schneider, K., Terriulo, V., Sachasse, B. (1982) Der Em-Buss des Diabetes Mellitus auf das Hororgan. Laryngology, Rhinology and Otology 61: 331338.CrossRefGoogle Scholar
Taylor, I. G., Irwin, J. (1978) Some audiological aspects of diabete mellitus. Journal of Laryngology and Otology 92: 99113.CrossRefGoogle Scholar
Wackym, P. A., Linthicum, F. H. (1986) Diabetes mellitus and hearing loss: clinical and histopathological relationship. American Journal of Otolaryngology 7: 176182Google Scholar
Zelenka, J., Kozak, P. (1965) Disorder in the blood supply of the inner ear as an early symptom of diabetic angiopathy. Journal of Larybgology and Otology 79: 313319Google ScholarPubMed