Open Access
CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2020; 24(02): e198-e205
DOI: 10.1055/s-0039-1698775
Original Research
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

An Investigation of Hearing (250–20,000 Hz) in Children with Endocrine Diseases and Evaluation of Tinnitus and Vertigo Symptoms

1   Department of Otolaryngolgy, Istanbul Kanuni Sultan Suleyman Egitim ve Arastirma Hastanesi, Istanbul, Turkey
,
Selin Ustun Bezgin
1   Department of Otolaryngolgy, Istanbul Kanuni Sultan Suleyman Egitim ve Arastirma Hastanesi, Istanbul, Turkey
,
Taliye Cakabay
1   Department of Otolaryngolgy, Istanbul Kanuni Sultan Suleyman Egitim ve Arastirma Hastanesi, Istanbul, Turkey
,
Safiye Giran Ortekin
1   Department of Otolaryngolgy, Istanbul Kanuni Sultan Suleyman Egitim ve Arastirma Hastanesi, Istanbul, Turkey
,
Melek Yıldız
2   Department of Pediatric Endocrinology, Istanbul Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey
,
Guven Ozkaya
3   Department of Biostatistics, Uludag Universitesi Tip Fakultesi, Bursa, Turkey
,
Banu Aydın
2   Department of Pediatric Endocrinology, Istanbul Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey
› Author Affiliations
Further Information

Publication History

14 March 2019

18 August 2019

Publication Date:
28 January 2020 (online)

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Abstract

Introduction Despite much advancement in medicine, endocrine and metabolic diseases remain an important cause of morbidity and even mortality in children.

Objective The present study was planned to investigate the evaluation of hearing that also includes high frequencies, and the presence and degree of vertigo and tinnitus symptoms in pediatric patients diagnosed with endocrine diseases such as type 1 diabetes mellitus (DM), growth hormone deficiency (GHD), obesity, idiopathic short stature, and precocious puberty

Methods The present study included a patient group of 207 children patients diagnosed with endocrine disease (95 males, 112 females; mean age 9.71 years old [range 6–16 years old]) and a control group including 55 healthy children who do not have any kind of chronic disease (26 males, 29 females; mean age 9.33 years old [range 6–16 years old]). The subjects underwent a hearing test with frequencies between 250 and 20,000 Hz. The vestibular and tinnitus symptoms were evaluated with the Pediatric Vestibular Symptom Questionnaire.

Results Out of 207 patients in the patient group, 5 (2.4%) had hearing loss in pure tones, 10 (4.8%) had it in high frequencies, 40 (19.3%) had tinnitus symptoms, and 18 (8.7%) had vertigo symptoms. A total of 4 out of 207 patients in the study group (1.9%), 2 out of 59 with type 1 DM patients (3.4%), 1 out of 46 with GHD (2.2%), and 1 out of 43 obesity patients (2.3%) had hearing loss, vertigo, and tinnitus symptoms.

Conclusions Our results suggest that some childhood endocrine diseases can cause some changes in the inner ear, although the exact cause is unknown. Perhaps, a detailed hearing and balance examination should be a routine in a child diagnosed with an endocrine disease. We think it is necessary to work on more comprehensive patient groups and tests in the future.

Compliance with Ethical Standards


Ethics Committee Approval

The study was approved by the Institutional Review Board.


Informed Consent

Informed written consent was obtained from the parents of the children studied after explanation of the purpose of the research.


Research Involving Human Participants and/or Animals

All of the procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


Financial Disclosure

The authors declared that this study received no financial support.