Cherian Kripa Elizabeth, Kapoor Nitin, Mathews Suma Susan, Paul Thomas Vizhalil
Department of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore, Tamil Nadu, India.
Department of ENT, Christian Medical College, Vellore, Tamil Nadu, India.
Indian J Endocrinol Metab. 2017 May-Jun;21(3):464-469. doi: 10.4103/ijem.IJEM_10_17.
The aetiology of hearing loss in humans is multifactorial. Besides genetic, environmental and infectious causes, several endocrine and metabolic abnormalities are associated with varying degrees of hearing impairment. The pattern of hearing loss may be conductive, sensori-neural or mixed. The neurophysiology of hearing as well as the anatomical structure of the auditory system may be influenced by changes in the hormonal and metabolic milieu. Optimal management of these conditions requires the integrated efforts of the otolaryngologist and the endocrinologist. The presence of hearing loss especially in the young age group should prompt the clinician to explore the possibility of an associated endocrine or metabolic disorder for timely referral and early initiation of treatment.
人类听力损失的病因是多因素的。除了遗传、环境和感染性原因外，一些内分泌和代谢异常也与不同程度的听力损害有关。听力损失的类型可能是传导性、感音神经性或混合性的。听力的神经生理学以及听觉系统的解剖结构可能会受到激素和代谢环境变化的影响。对这些情况的最佳管理需要耳鼻喉科医生和内分泌科医生的共同努力。听力损失的存在，尤其是在年轻人群中，应促使临床医生探索是否存在相关的内分泌或代谢紊乱，以便及时转诊并尽早开始治疗。
