Clinical Asssessment of Sensorineural Hearing Loss among Diabetes Mellitus Patients

Main Article Content

Raveendra P Gadag
Puneeth S Nayak
Tejaswini J

Abstract

Background: Hearing impairment is known to hamper the quality of life among patients, especially among diabetics due to the association of neuropathy with diabetes. However, the prevalence and degree of the SNHL depends upon different factors, such as age, gender, disease duration of DM, family history and glycemic status of the patients. Therefore, this study aimed to assess the association of SNHL with DM duration and familial DM and gender preponderance among SNHL–DM patients.


Methods: Total 140 patients with DM were assessed for hearing impairment using Rinne, Weber and Absolute Bone Conduction Tests along with pure tone audiometry. Patients’ glycaemic status was determined by estimating fasting blood glucose (FBG) and post prandial blood glucose (PPBG) levels. Independent t-test, chi-square, ANOVA and Pearson’s correlation tests along with linear regression model were used to find association and correlation using R software.


Results: Out of 140 patients, 60 were suffering from SNHL and majority were suffering from bilateral minimal hearing loss. SNHL was significantly associated with family history, age, duration of DM, FBG and PPBG levels were(Pvalues:1.79E08, 4.41E-06 and 0.02), however, significant correlated with duration of DM, FBS and PPBG level (r value:0.14–0.41).Furthermore, significant SNHL at 500 and 8000Hz was observed in the present study (Pvalue:0.002).


Conclusion: A conclusive proof was drawn that family history of DM serve as a valuable variable in assessing the SNHL among DM patients.

Article Details

How to Cite
1.
Gadag RP, Nayak PS, J T. Clinical Asssessment of Sensorineural Hearing Loss among Diabetes Mellitus Patients. BJOHNS [Internet]. 2020Aug.31 [cited 2024Nov.21];28(2):112-9. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/297
Section
Main article
Author Biographies

Raveendra P Gadag, Department of Otorhinolaryngology & Head and Neck surgery, Karnataka Institute of Medical Science, Hubli Karnataka India. Email id: entgadag@rediffmail.com Tel: +91-9448118494.

Professor & HOD

Puneeth S Nayak, Department of Othorthinolaryngology & Head and Neck surgery, Jawaharlal Nehru Medical College, Belgavi, Karnataka, India Email id: drpuneethnayak26@gmail.com Tel: +91-8884572545.

Assistant Professor

Tejaswini J, Department of Othorthinolaryngology & Head and Neck surgery, Jawaharlal Nehru Medical College, Belgavi, Karnataka, India Email id: tejurohu@gmail.com Tel: +91-7760801536.

Post Graduate student

References

International Diabetes Federation. IDF Diabetic Atlas 8th Edition. [Homepage on the internet], [cited 2019 Jul 25]. Available from: https://www.idf.org/e-library/epidemiology-research/diabetes-atlas/134-idf-diabetes-atlas-8th-edition.html.

Sugimoto S, Teranishi M, Fukunaga Y, Yoshida T, Sugiura S, Uchida Y, et al. Contributing factors to hearing of diabetic patients in an in-hospital education program. Acta Otolaryngol. 2013;133:1165-1172.

Oh IH, Lee JH, Park DC, Kim M, Chung JH, Kim SH, et al. Hearing loss as a function of aging and diabetes mellitus: a cross sectional study. PLoSOne. 2014;9:e116161.

Nelson EG, Hinojosa R. Presbycusis: a human temporal bone study of individuals with flat audiometric patterns of hearing loss using a new method to quantify stria vascularis volume. Laryngoscope. 2003; 113:1672-1686.

Ren H, Wang Z, Mao Z, Zhang P, Wang C, Liu A, et al. Hearing Loss in Type 2 Diabetes in Association with Diabetic Neuropathy. Arch Med Sci. 2017;48:631-637.

Weng SF, Chen YS, Hsu CJ, Tseng FY. Clinical features of sudden sensorineural hearing loss in diabetic patients. Laryngoscope. 2005; 115:1676-1680.

Horikawa C, Kodama S, Tanaka S, Fujihara K, Hirasawa R, Yachi Y, et al. Diabetes and risk of hearing impairment in adults: a meta-analysis. J Clin Endocrinol Metab. 2013;98:51-58.

Frisina ST, Mapes F, Kim S, Frisina DR, Frisina RD. Characterization of hearing loss in aged type II diabetics. Hear Res. 2006;211:103-113.

Fukushima H, Cureoglu S, Schachern PA, Paparella MM, Harada T, Oktay MF. Effects of type 2 diabetes mellitus on cochlear structure in humans. Arch Otolaryngol Head Neck Surg. 2006;132:934-938.

Xipeng L, Ruiyu L, Meng L, Yanzhuo Z, Kaosan G, Liping W. Effects of diabetes on hearing and cochlear structures. J Otolaryngol. 2013;8:82-87.

Dadhich S, Jha SG, Sinha V, Samanth TU. A prospective, observational study of incidence of sensory neural hearing loss in diabetes mellitus patients. Indian J Otolaryngol. 2018;24:80-82.

Srinivas CV, Shyamala V, Kumar BS. Clinical study to evaluate the association between sensorineural hearing loss and diabetes mellitus in poorly controlled patients whose HbA1c> 8. Indian J Otolaryngol Head Neck Surg. 2016;68:191-195.

Hwang JH, Wu CC, Hsu CJ, Liu TC, Yang WS. Association of central obesity with the severity and audiometric configurations of age‐related hearing impairment. Obesity. 2009;17:1796-17801.

Parmar SM, Khare P, Chaudhary M. Evaluation of effects of diabetes mellitus type 2 and hyperlipidemia on hearing. Indian J Otolaryngol. 2017;23:155-155.

Moteki H, Azaiez H, Booth KT, Hattori M, Sato A, Sato Y, et al. Hearing loss caused by a P2RX2 mutation identified in a MELAS family with a coexisting mitochondrial 3243AG mutation. Ann Otol Rhinol Laryngol. 2015;124(1_suppl):177S-1783S.

Bhavitha R, Simha V. Clinical Evaluation of Sensoneural Hearing Loss in Pateints with Diabetes Mellitus. Scholars Journal of Applied Medical Sciences. 2018;6: 2950-2954

Shargorodsky J, Curhan SG, Eavey R, Curhan GC. A prospective study of cardiovascular risk factors and incident hearing loss in men. Laryngoscope. 2010;120:1887-1891.

Hinchcliffe R. Recommended procedure for Rinne and Weber tuning fork tests. British Journal of Audiology. 1988; 22:153-156.

Bhat KV,Naseeruddin K. Combined tuning fork tests in hearing loss: explorative clinical study of the patterns. J Otolaryngol. 2004;33:227-234.

Wahid N, Attia, M. Weber Test. In StatPearls[Internet]. StatPearls Publishing,[cited 2019 Jul 25].Available from:https://www.ncbi.nlm.nih.gov/books/NBK526135/,

National Health and Examination survey. [Internet]. Audiometry procedures manual, 2003. [Cited 2019 Jul 25].Availablefrom:https://www.cdc.gov/nchs/data/nhanes/nhanes_03_04/AU.pdf.

American Speech-Language-Hearing Association. Guidelines for manual pure-tone threshold audiometry [Guidelines]. [Homepage on the internet]. [cited 2019 Jul 25]. Available from fromhttps://www.asha.org/policy/gl2005-00014.htm.

Clark JG. Uses and abuses of hearing loss classification. Asha 1981;23:493-500.

Rajamani S, Senniappan S, Radhakrishnan S. Prevalence and factors influencing sensorineural hearing loss among type II diabetes mellitus patients. International Journal of Advances in Medicine. 2018;5:732-737.

Harkare VV, Deosthale NV, Khadakkar SP, Dhoke PR, Dhote KS, Gupta A. SNHL in Diabetics: A Prospective Study. People’s Journal of Scientific Research. 2014;7:38-42.

Axelsson A, Sigroth K, Vertes D. Hearing in diabetics. Acta Otolaryngol Suppl. 1978; 356:1-23.

Bhaskar KN, Chalihadan S, Vaswani R, Abdul Rehaman CP. Clinical and audiometric assessment of hearing loss in diabetes mellitus. International Journal of Scientific Study. 2014;2:1-4.

Bainbridge KE, Hoffman HJ, Cowie CC. Diabetes and hearing impairment in the United States: audiometric evidence from the National Health and Nutrition Examination Survey, 1999 to 2004. Ann Intern Med. 2008;149:1-10.

Cullen JR, Cinnamond M. Hearing loss in diabetics. J Laryngol Otol. 1993;107:179-182.

Pemmaiah KD, Srinivas DR. Hearing loss in diabetes mellitus. International Journal of Collaborative Research on Internal Medicine. 2011;3:725-73