Hearing Loss in Patients of Chronic Renal Failure: A Study of 100 Cases

  • Rakesh Singh Meena
  • Yogesh Aseri
  • B. K. Singh
  • P. C. Verma
Original Article


The purpose of our study was to determine the incidence of hearing loss and to describe the hearing impairment and the possible contributing factors, responsible for sensori neural hearing loss in chronic renal failure (CRF) patients. This was a prospective study carried out on 50 cases of CRF attending otorhinolaryngological services for hearing disturbance and on 50 healthy volunteers for control study, having the same inclusion criteria except (does not suffering with CRF) having normal renal function tests. These volunteers attended the ENT OPD, for oto-rhino-laryngological services but not for hearing problems. 14 (28%) out of 50 cases of CRF had sensori neural hearing loss of moderate to severe degree in the high frequency range which was bilateral and symmetrical, while in control group the incidence of sensorineural hearing loss was only 6%.


Chronic renal failure (CRF) Sensori neural hearing loss (SNHL) Brainstem evoked response audiometery (BERA) Oto acoustic emission (OAE) Haemodialysis (HD) 


  1. 1.
    Bazzi C, Venturini C, Arrigo GD, Amico G (1995) Hearing loss in short and long term haemodialyzed patients. Nephrol Dial Transpl 10:1865–1868Google Scholar
  2. 2.
    Ozturan O, Lam S (1998) The effect of hemodialysis on hearing using pure tone audiometery and distortion product otoacoustic emission. ORLJ of Oto Rhino lary 60:306–313Google Scholar
  3. 3.
    Johnson DW, Wathen RL, Mathog RH (1976) Effects of hemodialysis on hearing threshold. ORLJ Oto Rhino lary 38:129–139Google Scholar
  4. 4.
    Antonelli A, Bonfiolii F, Garrubbaa V et al (1991) Audiological findings in elderly patients with chronic renal failure. Acta Otolaryngologica 476(Suppl):54–68CrossRefGoogle Scholar
  5. 5.
    Arnold W (1984) Inner ear and renal diseases. Ann Oto Rhino Lary 112(Suppl):119–124Google Scholar
  6. 6.
    Quic CA, Fish A, Brown C (1973) The relationship between cochlea and kidney. Laryngoscope 83:1469–1482CrossRefGoogle Scholar
  7. 7.
    Arnold W (1975) Experimental studies in the pathogenesis of inner ear disturbances in renal diseases. Arch Otorhinolaryngol 211:217PubMedCrossRefGoogle Scholar
  8. 8.
    Bergstrom L, Jenkins P, Sando I, English G (1973) Hearing loss in renal disease: clinical and pathological studies. Ann Oto Rhino lary 82(Suppl):555–574Google Scholar
  9. 9.
    Gartland D, Tucker B, Chalstrey S, Keene M, Baker L (1991) Hearing loss in chronic renal failure–hearing threshold changes following hemodialysis. J Roy Soc Med 84:587–589Google Scholar
  10. 10.
    Yassin A, Badry A, Fatthi A (1970) The relationship between electrolyte balance and cochlear disturbances in cases of renal failure. J Laryngol Otol 84:833–843Google Scholar
  11. 11.
    Hutchson J, Klodd D (1982) Electrophysiological analysis of auditory, vestibular, and brainstem function in chronic renal failure. Laryngoscope 92:833–843Google Scholar
  12. 12.
    Serbetcioglu B, Erdogan S, Sifil A (2001) Effects of a single session of hemodialysis on hearing abilities. Acta Otolaryngol 121:836–838PubMedCrossRefGoogle Scholar
  13. 13.
    Brookes GB (1985) Vitamin D deficiency and deafness: 1984 update. Am J Otol 6:102–107PubMedGoogle Scholar
  14. 14.
    Alder D, Fiehn W, Ritz E (1980) Inhibition of Na+, K+ stimulated ATPase in the cochlea of guinea pig. A potential cause of disturbed inner ear functions in terminal renal failure. Acta Otolaryngol 90:55–60CrossRefGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2011

Authors and Affiliations

  • Rakesh Singh Meena
    • 1
    • 2
  • Yogesh Aseri
    • 1
    • 2
  • B. K. Singh
    • 1
    • 2
  • P. C. Verma
    • 1
    • 2
  1. 1.Jawahar Lal Nehru MedicalCollegeAjmerIndia
  2. 2.A.G. HospitalsAjmerIndia

Personalised recommendations