ENT Service, Red Cross Hospital of Paraná, Curitiba, PR, Brazil.
Braz J Otorhinolaryngol. 2012 Jun;78(3):105-15. doi: 10.1590/S1808-86942012000300018.
Diabetes mellitus (DM) is a chronic degenerative disease that impairs normal insulin production and use. DM chronic auditory complications may include spiral ganglion atrophy, degeneration of the vestibulocochlear nerve myelin sheath, reduction of the number of spiral lamina nerve fibers, and thickening of the capillary walls of the stria vascularis and small arteries.
This paper aims to verify the hearing thresholds of individuals with type 1 DM.
Sixty patients were enrolled in this trial and divided into case and control groups featuring diabetic and non-diabetic subjects respectively. All individuals were interviewed and underwent physical examination, ENT examination, and audiometric tests.
Statistically significant difference was observed in hearing thresholds of case group subjects at 250, 500, 10,000, 11,200, 12,500, 14,000 and 16,000 Hz for both ears and ear average. Case group subjects had higher likelihood of having hypacusis at any frequency regardless of ear than controls.
Statistically significant differences were seen in the audiological findings of case group subjects when compared to controls. Thorough audiological examination including high frequency audiometry is required for subjects with diabetes mellitus type 1.
本研究旨在检测 1 型糖尿病患者的听力阈值。
本试验共纳入 60 例患者,分为病例组和对照组,两组患者分别为糖尿病患者和非糖尿病患者。所有患者均接受访谈和体格检查、耳鼻喉检查和听力测试。
病例组双侧 250、500、1000、1120、1250、1400、1600Hz 及双耳平均听阈的听力阈值差异均有统计学意义。与对照组相比,病例组各频率的听力下降发生率更高。
与对照组相比,病例组的听力学检查结果存在显著差异。对于 1 型糖尿病患者,需要进行全面的听力检查,包括高频听力测试。