The Importance of Extended High Frequencies in Hearing Evaluation of Pediatric Patients with Type 1 Diabetes

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dc.contributor.authorGueven, Selis Guelseven
dc.contributor.authorBinay, Cigdem
dc.date.accessioned2024-06-12T11:16:49Z
dc.date.available2024-06-12T11:16:49Z
dc.date.issued2023
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective: Type 1 diabetes (T1D), one of the most common childhood diseases worldwide, can cause hearing loss through systemic effects. Diabetes-induced hearing loss is considered a progressive sensorineural hearing loss with a gradual onset, typically occurring at high frequencies (HFs). Extended HF (EHF) hearing sensitivity in children with T1D who did not complain of hearing loss was investigated as an early marker for hearing loss at the standard/conventional frequency range of hearing.Methods: Forty-two children (21 with T1D and 21 healthy controls) were evaluated in a case-control design. Conventional and EHF (14,000, 16,000, and 18,000 Hz) audiometry were performed. The diabetes group underwent routine blood biochemistry and glycated hemoglobin A1c measurements. The data were analyzed by the Student's t-test, Mann-Whitney U test, chi-square test, and logistic regression analysis.Results: The mean hearing thresholds were significantly higher (p<0.05) in the diabetes group than in controls at 500, 2,000, 4,000, and 8,000 Hz [all <15 decibel hearing level (dB HL)]. The number of ears with thresholds >15 dB HL at 14,000-18,000 Hz but <= 15 dB HL at 500-4,000 Hz was significantly higher in the diabetes group than in the control group (p=0.049).Conclusion: Children with diabetes showed normal hearing thresholds within the conventional audiometric frequency range but they had higher hearing thresholds during EHF audiometry when compared with controls. Audiometry in these children should be performed using frequencies above 8,000 Hz combined with the conventional frequency range. EHF audiometry may be an effective method for identifying subclinical hearing loss in children with diabetes. Thus, diabetic children with an EHF mean hearing threshold above 15 dB HL should be monitored more closely in terms of blood glucose regulation to prevent diabetes-related hearing loss at the conventional frequency rangeen_US
dc.identifier.doi10.4274/jcrpe.galenos.2022.2022-7-3
dc.identifier.endpage137en_US
dc.identifier.issn1308-5727
dc.identifier.issn1308-5735
dc.identifier.issue2en_US
dc.identifier.pmid36416457en_US
dc.identifier.scopus2-s2.0-85160869589en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage127en_US
dc.identifier.trdizinid1177644en_US
dc.identifier.urihttps://doi.org/10.4274/jcrpe.galenos.2022.2022-7-3
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1177644
dc.identifier.urihttps://hdl.handle.net/20.500.14551/24472
dc.identifier.volume15en_US
dc.identifier.wosWOS:001001916000003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherGalenos Publ Houseen_US
dc.relation.ispartofJournal Of Clinical Research In Pediatric Endocrinologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectType 1 Diabetesen_US
dc.subjectChildrenen_US
dc.subjectHearingen_US
dc.subjectExtended High-Frequency Audiometryen_US
dc.subjectHearing Impairmenten_US
dc.subjectMellitusen_US
dc.subjectChildrenen_US
dc.subjectAudiometryen_US
dc.subjectAdolescentsen_US
dc.subjectImpairmenten_US
dc.subjectPrevalenceen_US
dc.subjectRisken_US
dc.titleThe Importance of Extended High Frequencies in Hearing Evaluation of Pediatric Patients with Type 1 Diabetesen_US
dc.typeArticleen_US

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