Characteristics and progression of hearing loss in children with turner's syndrome

Autor: Alexandra O. Hamberis, Charmee H. Mehta, James R. Dornhoffer, Ted A. Meyer
Rok vydání: 2019
Předmět:
Zdroj: The Laryngoscope. 130:1540-1546
ISSN: 1531-4995
0023-852X
DOI: 10.1002/lary.28264
Popis: OBJECTIVES/HYPOTHESIS Evaluate patterns of hearing impairment in children with Turner's syndrome (TS) and determine factors influencing severity and progression. STUDY DESIGN Retrospective database review. METHODS Demographic, audiological, and medical data for children with TS were extracted from the Audiological and Genetic Database to analyze patterns of hearing loss with comorbidities, demographics, and interventions. RESULTS Two hundred seventy-two children with TS were identified; 213 had audiological data. Of these children, 72.3% (N = 154) had hearing loss in which 84.4% (N = 130) was bilateral. In individual ears, conductive hearing loss was most common (28.7%, n = 73), followed by mixed (22.0%, n = 93) and sensorineural (7.9%, n = 20). Otitis media (odds ratio [OR] = 2.7, 95% confidence interval [CI]: 1.2-6.5), eustachian tube dysfunction (OR = 9.5, 95% CI: 3.2-35.2), and aortic valve anomalies were also associated with higher rates of hearing loss (OR = 3.6, 95% CI: 1.3-11.5). Of ears with quantifiable severity, 16.3% (n = 40) had moderate or worse hearing loss. Aortic coarctation (36.3 vs. 21.3 dB, P
Databáze: OpenAIRE