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ORIGINAL ARTICLE
Year : 2020  |  Volume : 26  |  Issue : 1  |  Page : 43-46

Characteristics of hearing loss in patients with chronic kidney disease undergoing hemodialysis


Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Dr. Soetomo General Hospital, Universitas Airlangga, Surabaya, Indonesia

Correspondence Address:
Dr. Nyilo Purnami
Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Dr. Soetomo General Hospital, Universitas Airlangga, Jalan Mayjen Prof. Dr. Moestopo 47, Surabaya 60286
Indonesia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/indianjotol.INDIANJOTOL_115_19

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Background: Hearing loss in chronic kidney disease (CKD) patients undergoing hemodialysis (HD) is sensorineural and bilateral and occurs at high or low frequencies. Hearing loss in HD is caused by osmotic disorders, changes in fluid and electrolytes in the cochlea's endolymph, and possible exposure to membrane dialyzer. Objective: The objective of this study is to explain the characteristics of hearing loss in patients with CKD undergoing HD. Methods: This was a descriptive research using the secondary data from 20 ears in 10 CKD patients undergoing HD at the Airlangga University Hospital in September–October 2018. Results: Sensorineural hearing loss in 13 of 20 ears (65%) and bilateral in 6 pairs of ears (85.7%). The highest degree of hearing loss was mild in 11 of 20 ears (55%). The average hearing threshold is 32.1 dB. The average hearing threshold for each frequency is dome shaped. The highest average hearing threshold at a frequency of 8000 Hz is 44 dB. The refer results of DPOAE in 17 of the 20 ears (85%) refer result in four patients without hearing loss. The most refer results of DPOAE are obtained at a frequency of 4000 Hz. Conclusion: The most characteristic hearing loss is sensorineural, bilateral, and mild hearing threshold. The average hearing threshold graph forms a dome-shaped image that illustrates the hearing loss that can occur at high and low frequencies.


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