Association between obstructive sleep apnea and sensorineural hearing loss: an audiometry-based comparative study

Objectives: Celiac disease is a common multisystemic autoimmune disorder. It is now increasingly recognized that it may present with extraintestinal manifestations which contribute to the difficulty in its diagnosis. The objective of this scholarly review was to examine the extraintestinal ENT manifestations of celiac disease and its pathophysiology and management, in order to highlight that some patients with celiac disease may present initially to the otolaryngologist. Improving awareness of celiac disease among otolaryngologists may aid in the correct diagnosis and correct management plan. Methods: A literature review was conducted using the PubMed database to identify original articles related to celiac disease and ENT manifestations between the years 2000 and 2020. The search was performed using the search string: (“coeliac disease” OR “celiac disease”) AND (“ENT manifestations” OR “hearing loss” OR “epistaxis” OR “nasal septal perforation” OR “obstructive sleep apnoea” OR “vertigo” OR “tonsillitis” OR “sinusitis”). Only articles written in English were reviewed. Results: A total of 17 papers met the inclusion criteria. Extraintestinal ENT manifestations of celiac disease include sensorineural hearing loss, obstructive sleep apnea, nasal septal perforation, epistaxis, and vertigo with nystagmus. Sensorineural hearing loss, obstructive sleep apnea, nasal septal perforation, vertigo, and nystagmus are thought to result from immunologically mediated mechanisms, with intestinal malabsorption resulting in epistaxis. Conclusions: Celiac disease can cause extraintestinal ENT manifestations and requires a high index of suspicion from the otolaryngologist to diagnose and suitably manage. A gluten-free diet may result in sufficient symptom resolution for most manifestations. Sensorineural hearing loss due to celiac disease appears to be progressive and permanent and may require frequent audiological monitoring.

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Idiopathic Sudden Sensorineural Hearing Loss in Patients with Obstructive Sleep Apnea

Nature and Science of Sleep ◽

10.2147/nss.s331880 ◽

2021 ◽

Vol Volume 13 ◽

pp. 1877-1885

Author(s):

Chin-Kuo Chen ◽

Shih Chieh Shen ◽

Li-Ang Lee ◽

Ming-Hui Sun ◽

Ning-Hung Chen ◽

...

Keyword(s):

Obstructive Sleep Apnea ◽

Hearing Loss ◽

Sleep Apnea ◽

Sensorineural Hearing Loss ◽

Sudden Sensorineural Hearing Loss ◽

Sensorineural Hearing ◽

Obstructive Sleep

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Association Between Obstructive Sleep Apnea and Sudden Sensorineural Hearing LossA Population-Based Case-Control Study

Archives of Otolaryngology - Head and Neck Surgery ◽

10.1001/archoto.2011.227 ◽

2012 ◽

Vol 138 (1) ◽

pp. 55 ◽

Cited By ~ 18

Author(s):

Jau-Jiuan Sheu

Keyword(s):

Obstructive Sleep Apnea ◽

Hearing Loss ◽

Sleep Apnea ◽

Sensorineural Hearing Loss ◽

Case Control Study ◽

Population Based ◽

Case Control ◽

Sudden Sensorineural Hearing Loss ◽

Obstructive Sleep ◽

Control Study

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Association of Obstructive Sleep Apnea With the Risk of Ménière’s Disease and Sudden Sensorineural Hearing Loss: A Study Using Data From the Korean National Health Insurance Service

Journal of Clinical Sleep Medicine ◽

10.5664/jcsm.7922 ◽

2019 ◽

Vol 15 (09) ◽

pp. 1293-1301 ◽

Cited By ~ 2

Author(s):

Jong-Yeup Kim ◽

Inseok Ko ◽

Bum-Joo Cho ◽

Dong-Kyu Kim

Keyword(s):

Obstructive Sleep Apnea ◽

Hearing Loss ◽

Health Insurance ◽

Sleep Apnea ◽

Sensorineural Hearing Loss ◽

National Health Insurance ◽

Sudden Sensorineural Hearing Loss ◽

Obstructive Sleep ◽

Korean National Health Insurance ◽

Using Data

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Geriatric Otolaryngology

10.2310/tywc.7010 ◽

2021 ◽

Author(s):

Christian Caceres ◽

Kourosh Parham

Keyword(s):

Obstructive Sleep Apnea ◽

Hearing Loss ◽

Sleep Apnea ◽

Head And Neck ◽

Malignant Neoplasms ◽

Geriatric Syndromes ◽

Healthcare Needs ◽

Age Related ◽

Obstructive Sleep ◽

Age Related Hearing Loss

With increasing life expectancy, the unique healthcare needs of the older patient are being better appreciated. To address these growing needs, which differ from those of the average adult patient, otolaryngologists must acquire new knowledge and competencies. This chapter provides a broad overview of geriatric otolaryngology and highlights subspecialty topics where otolaryngologists are called upon to administer care. These include age-related hearing loss, balance disorders, sinonasal disease, voice and swallowing disorders, obstructive sleep apnea and head and neck cancer. Geriatric concerns in each of these specific areas have to be addressed in the broader context of geriatric syndromes in coordination with geriatricians or other geriatric-trained providers to advance an integrated, team-based approach to maintaining or restoring the older patients’ well-being. This review contains 3 figures, 2 tables and 161 references Keywords: Cognitive decline, delirium, frailty, age-related hearing loss, presbystasis, presbylarynx, immunosenecense, presbynasalis, vasomotor rhinitis, chronic sinusitis, age-related oflactory decline, dysphagia, head and neck malignant neoplasms, obstructive sleep apnea, geriatric syndromes and perioperative optimization.

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