A Prospective Study on Hearing Loss in Hypothyroidism

Author(s):  
Arulanantham Zechariah Jebakumar

Thyroid hormone regulates the metabolism of all the cells of human body. The role of thyroid hormone is very essential in bodily growth and maturation of the nervous system. If thyroid gland decreases its secretion, it can affect any system of the body. The decreased from thyroid gland affects the auditory system. Thyroid hormone is very essential for not only the development but also functioning of cochlea. In addition to other systems, the auditory system is very sensitive to thyroid hormone. Hypothyroidism causes mild to severe degree of hearing loss leading to auditory dysfunction. The objectives of the study was to measure the prevalence of hearing impairment among hypothyroid patients and to assess the hearing loss via tests among these patients. Thyroid disorder constitutes a spectrum of disease that occurs due to increase or decrease in thyroid hormones. Among these, the two important categories are due to thyroid over activity which is called as hyperthyroidism and thyroid lower activity which is called as hypothyroidism. Impairment with mild degree and it affects cochlea. Strict maintenance of thyroid hormone levels within normal range would help in reducing the cochlear damage, as evident from present study that longer the duration of hypothyroidism more is the proportion of hearing impairment.

Author(s):  
Jubina Bency A. T. ◽  
Sarangi . ◽  
Sebastian Roy ◽  
Shalu Sara Mathew ◽  
Shamseena A. ◽  
...  

Background: Hearing loss is a cause of global concern. Percussionists are exposed to greater levels of continuous or intermittent noise than others. Little is known about the relationship between percussion activity and hearing impairment. The early detection of the same and subsequent management makes a significant reduction in the burden of health care services. The objective was to study the proportion of hearing impairment in percussionists in the district of Thrissur using an IOS based mobile application.Methods: A cross sectional study was done on percussionists from Thrissur district who has experience of more than five years and has no congenital or traumatic hearing loss. A predesigned semi structured questionnaire was given and hearing tests were done using a mobile application U hear in a sound proof setting to understand the current state of hearing ability amoung the percussionists.Results: A total of 39 subjects were involved in our study of which all were males. Mean age of our study population was 30.44+12.04. most of them were diagnosed with at least mild degree of hearing loss of one of the ear or both the ears. 15.4% of them had mild degree of hearing loss, 64.1% had moderate degree of hearing loss and 20.5% had severe hearing loss.Conclusions: The study shows percussionists are more exposed to sounds of various frequencies for longer duration, they are more prone to hearing loss. The study brought out that age is directly proportional to hearing loss, music induced hearing loss progress at a rate proportion to the work experience. 


2000 ◽  
Vol 83 (5) ◽  
pp. 3101-3112 ◽  
Author(s):  
Marlies Knipper ◽  
Christoph Zinn ◽  
Hannes Maier ◽  
Mark Praetorius ◽  
Karin Rohbock ◽  
...  

Both a genetic or acquired neonatal thyroid hormone (TH) deficiency may result in a profound mental disability that is often accompanied by deafness. The existence of various TH-sensitive periods during inner ear development and general success of delayed, corrective TH treatment was investigated by treating pregnant and lactating rats with the goitrogen methimazole (MMI). We observed that for the establishment of normal hearing ability, maternal TH, before fetal thyroid gland function on estrus days 17–18, is obviously not required. Within a crucial time between the onset of fetal thyroid gland function and the onset of hearing at postnatal day 12 ( P12), any postponement in the rise of TH-plasma levels, as can be brought about by treating lactating mothers with MMI, leads to permanent hearing defects of the adult offspring. The severity of hearing defects that were measured in 3- to 9-mo-old offspring could be increased with each additional day of TH deficiency during this critical period. Unexpectedly, the active cochlear process, assayed by distortion product otoacoustic emissions (DPOAE) measurements, and speed of auditory brain stem responses, which both until now were not thought to be controlled by TH, proved to be TH-dependent processes that were damaged by a delay of TH supply within this critical time. In contrast, no significant differences in the gross morphology and innervation of the organ of Corti or myelin gene expression in the auditory system, detected as myelin basic protein (MBP) and proteolipid protein (PLP) mRNA using Northern blot approach, were observed when TH supply was delayed for few days. These classical TH-dependent processes, however, were damaged when TH supply was delayed for several weeks. These surprising results may suggest the existence of different TH-dependent processes in the auditory system: those that respond to corrective TH supply (e.g., innervation and morphogenesis of the organ of Corti) and those that do not, but require T3 activity during a very tight time window (e.g., active cochlear process, central processes).


2018 ◽  
Vol 2018 ◽  
pp. 1-14
Author(s):  
Bradley McPherson

Hearing impairment is a leading cause of disability globally and is particularly prevalent in elderly populations. Hearing aids are commonly recommended to mitigate the adverse effects on communication associated with hearing loss. However, the acceptability of hearing aids to elderly individuals is low and the majority of potential users do not wear hearing aids. Most hearing aids are designed with a discreet form factor in mind, to minimize device visibility. Given the range of comorbidities associated with hearing loss in the elderly, this conventional form factor may not always be optimal. The present study examined the experiences of elderly individuals with a recently developed, unconventional, body-worn hearing instrument, the EasyHear™ Grand (Logital Co. Ltd., Hong Kong). The bilaterally fitted instrument incorporates large controls, a color display, beamforming sound processing, and Bluetooth capabilities. Forty-three elderly participants (mean age=71; range 46-88 years) were surveyed to gauge level of benefit and satisfaction with the device and opinions regarding the hearing aid. They were assessed using three standardized questionnaires (the International Outcome Inventory-Hearing Aids, the Profile of Hearing Aid Benefit, and the Client Oriented Scale of Improvement) and through open-ended, structured interviews. Participants rated their EasyHear device fitting highly for hours of use and improved quality of life and rated the device favorably for improved communication and benefit in background noise. A majority of users felt the device improved listening ability in their expressed area of greatest need, and also for their second highest prioritized area of greatest need. Less than 10% of users felt their listening was only occasionally or hardly ever improved when using the body-worn device. Benefit and satisfaction ratings with the EasyHear Grand were comparable to those in studies involving conventional form factor devices. Interviews highlighted areas where users felt the device could be improved—extra noise reduction, changes to device dimensions, receiver/eartip fit, and cableless technology were among the areas mentioned. Many participants valued smartphone linkage and Bluetooth capability. The EasyHear Grand, with its body-worn design and large, simple controls, was well accepted by the majority of participants. Hearing aids that break from conventional design formats may benefit many elderly individuals with hearing impairment and promote increased user acceptability.


2020 ◽  
Vol 20 (2) ◽  
pp. 139-145
Author(s):  
E Rumyantseva ◽  
N Abzalov ◽  
S Tsvetkov

Aim. The article aims to experimentally test the methodology for the development of the main physical qualities in hockey players with hearing impairment in their first and second year of training. Materials and methods. The study involved 38 young hockey players at  the stage of sports specialization with hearing loss of 55 dB, which corresponds to an average and high degree of hearing loss. The experiment took place on the premises of the sports school for children and youth of the Gornyak Sports Club (Uchaly, Bashkortostan Republic) and Sports School No 3 named after M.M. Azamatova (Ufa, Bashkortostan Republic). In the control groups, training was carried out in accordance with the traditional ice hockey program developed in compliance with the Federal Standard. Our methodology was included in the training program of hockey players of the experimental group. The main training load was chosen in accordance with the sports school program. Results. Features of the sports training of hockey players with hearing impairment were established, which served as the basis for the development of methods for increasing their physical fitness and the formation of adaptive-compensatory responses of the body in the first and second years of training. The latter are associated with their specific morphofunctional features resulted from damage to the auditory analyzer and secondary changes in the psychoemotional status and functional systems of the body manifested in impaired coordination abilities and a lag in the development of speed-strength and speed qualities. The main physical qualities and their most significant components for adolescent hockey players with hearing impairment in the first and second years of training were identified. Conclusion. Our methodo­logy for training hockey players with hearing impairment aimed at the development of the main physical qualities and their components contributed to improving the coordination abilities of young hockey players, as well as their ability to maintain a vertical posture, dynamic and static balance. Hockey players of the experimental group better acquired the correct rhythm pattern of motor actions, showed better results in tests for the differentiation of muscle effort, intermuscular coordination and the ability to arbitrarily control muscle tension and relaxation.


Author(s):  
Saurabh Saini ◽  
S. S. Bist ◽  
Lovneesh Kumar

<p class="abstract"><strong>Background:</strong> Childhood hearing impairment is a significant public health condition associated with long-term academic and communicative difficulties. Causes can be congenital or acquired. Nearly half of the known causes can be prevented by primary public health methods. Present study was conducted to determine the prevalence and etiological factor related to hearing impairment among school going children in rural area district Dehradun.</p><p class="abstract"><strong>Methods:</strong> 1003 children, aged 6 to 17 years, from the schools in the Doiwala block district Dehradun were randomly selected and examined. Clinical otologic assessment and Pure tone audiometry screening were conducted on all participants.  </p><p class="abstract"><strong>Results:</strong> The prevalence of hearing impairment was 19.6%. The hearing impairment in majority of cases was of a mild degree i.e., 26 to 40 dB (93.9%) of which majority of children (99.0%) had conductive loss. Wax was the commonest cause of hearing loss (79.2%). CSOM was found in 19.0% children.</p><p class="abstract"><strong>Conclusions:</strong> The prevalence of hearing impairment in school going children in rural area district Dehradun was high. Majority of the etiological factor of hearing impairment identified were preventable. Proper assessment and diagnosis of hearing loss in children at early age is important for better development and psychosocial development.</p>


Author(s):  
Blagica Arsovska ◽  
Jihe Zhu

<p class="abstract">The thyroid gland is a butterfly-shaped gland located in the neck secreting thyroid hormones. When hormones are not secreted properly, the two conditions may occur - hypothyroidism and hyperthyroidism. Acupuncture as a treatment for thyroid disorders is used very common and it can improve the symptoms significantly. The patients is a 42 year old woman, who first came to the clinic on 14.02.2013 with very low level of TSH=0,2. Since then she has made 29 treatments in a period of three years, until 12.01.2016. Acupuncture treatments were made in a clinic for Traditional Chinese Medicine and acupuncture in Skopje, Macedonia. During the treatment her hormone levels normalized, although she faced and unplanned pregnancy and went from hyperthyroidism to hypothyroidism. The last results are from the analysis made on 12.01.2016 - FT4=9, 7 TSH=2,9 TPO&lt;10 TG&lt;20. Acupuncture has a positive effect as a treatment for thyroid disorders, regulating the flow of the energy and restoring the balance of the internal state of the body. </p>


2010 ◽  
Vol 15 (1) ◽  
pp. 12-18 ◽  
Author(s):  
Thomas R. Zalewski

Baby boomers are rapidly approaching retirement and soon will be placing a greater burden on services required of older Americans as this segment of the United States population ages. Even though the baby boomers have been more active, age negatively impacts the body. As individuals age, the auditory system starts to deteriorate. Statistics indicate that 30% of individuals between the age of 65-74, and 47% of individuals over the age of 75 have hearing issues (National Institute on Deafness and Other Communication Disorders [NIDCD], 2008). As communication experts, speech-language pathologists must be able to recognize and differentiate between signs of hearing loss and signs of cognitive deficits. This article will review the function of the auditory system and types of hearing loss. It also will present hearing screening procedures that speech-language pathologists must understand and incorporate into regular practice.


Author(s):  
Charles Medo Vincent ◽  
Nsirimobu Ichendu Paul

Background: Use of antiretroviral drugs (ART) has changed the epidemiology of HIV disease, making it a chronic illness and with many people developing long term sequelae of the disease such as hearing loss. This study compared hearing disorders, its types and severity among children with and without HIV disease. Methods: This was a hospital based comparative cross-sectional study carried out among eligible patients who were HIV positive, aged 6 to 15 years recruited via systematic sampling method and matched by age and sex with HIV negative controls. An interviewer-administered questionnaire was used to extract the sociodemographic characteristics of the subjects, patients/caregivers awareness of hearing impairment and to document the otoscopic, Pure tone audiometry (PTA) and tympanometry findings performed on the patients. CD4 count was done for all the study participants while all HIV positive patients were graded for severity using WHO clinical Staging. Obtained data was analysed using the statistical package for social sciences (SPSS) version 22. A p-value of less than 0.05 was considered statistically significant. Results: A total of 400 children aged 6 years to 15 years were recruited for the study out of which 200 were HIV positive (cases), while 200 were HIV negative (controls). Otitis media with effusion, otitis media and perforated tympanic membrane were the predominant tympanometry and otoscopic findings.  Seventy-three (36.5%) of the HIV positive patients had hearing loss compared to 19(9.5%) of HIV negative patients and this was statistically significant (X2 = 41.1; p = 0.0001). Majority (95.9%) of persons with hearing loss had the conductive type and of mild degree 53 (72.6%). Only 3(4.1%) caregivers of the HIV positive children and 1 (5.6%) caregiver of the HIV negative children were aware of the hearing impairment in their children but none had complained to their primary health caregivers. Conclusion: This study has established a higher rate of hearing loss, of the conductive type and of mild degree among HIV positive patient. It is necessary to assess and monitor the hearing in HIV positive children by conducting interval PTA testing and Tympanometry to ensure timely intervention since parental awareness is poor.


2020 ◽  
Vol 23 (2) ◽  
pp. 115-121
Author(s):  
ABM Luthful Kabir ◽  
Shahira Sharwat Chowdhury ◽  
Zonaid Rahim ◽  
Md Zakaria Sarker ◽  
Manash Ranjan Chakraborty

Objectives: To determine the degree and pattern of hearing impairment among patients attending audiology department of a tertiary level hospital. Methods: This was a cross sectional observational study which was carried out in the department of audiology of National Institute of ENT(NIENT) during the period of March 2015 to June 2017. A total number of 8338 patients complaining hearing impairment were included in this study. The clinical diagnosis was established by history, detailed clinical examination including otoscopic examination and all findings were recorded. Hearing assessment was done by different hearing tests according to age and need of patient. Pure Tone Average (PTA) was done on averaging the hearing threshold at 0.5, 1 and 2 kHz. Results: In this study majority of patients (30.1%) were within 25-40 years of age and most of the patients (61.27%) were male. Mild degree of hearing loss was found to have higher prevalence (40.9%) compared to other degrees of hearing losses and more than half (52.5%) of our study population had conductive hearing loss. Conclusion: Mild degree of hearing impairment and conductive type of hearing impairment are more prevalent. Audiological evaluation especially in suspected hearing impaired patient should be a priority. Bangladesh J Otorhinolaryngol; October 2017; 23(2): 115-121


2020 ◽  
Vol 5 (1) ◽  
pp. 53-57
Author(s):  
Anton S. Machalov ◽  
Yakov M. Sapognikov ◽  
Mariya V. Kreisman ◽  
Anna V. Balakina ◽  
Vitaliy L. Karpov

Objectives - to analyze the results of the screening of hearing impairment (audiological screening) in schoolchildren of grades 1-11, and to identify the need to expand the stages of audiological screening. Material and methods. The study included 216 pupils from the 1st up to the 11th forms. During the study, in all the children, the following procedures were carried out: otoscopy, acoustic impedancemetry, registration of delayed evoked otoacoustic emission, assessment of speech intelligibility, questioning the parents about the presence and frequency of ENT diseases and signs of hearing loss. Results. The positive results in the registration of delayed evoked otoacoustic emission correlated with the number of episodes of ENT diseases. In most cases, when detecting instrumental deviations from the normal state of the auditory analyzer, the parents noted the child's difficulties in learning and communication, but did not seek medical help. Conclusion. The hearing impairment screening allows for the timely detection of the initial manifestations of hearing impairment of any etiology in children of different age groups. It is advisable to conduct screening examination of hearing impairment in pupils of 1-11 forms, in order to prevent the persistent hearing loss. In case of the detection of the initial signs of the auditory system pathology, the timely rehabilitation of such patients is recommended.


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