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Sensorineural Hearing Loss in Patients with Inflammatory Bowel Disease: A Subclinical Extraintestinal Manifestation

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Abstract

Isolated case reports in which symptomatic hearing loss develops suddenly during the course of inflammatory bowel disease (IBD) have been reported, but the presence of subclinical sensorineural hearing loss (SNHL) associated with IBD has been investigated in only two preliminary studies.In order to research this further, we aimed to investigate the presence of subclinical SNHL in IBD by comparison with a control group and to examine possible relations between the bowel disease parameters and hearing loss.Otoscopy, tympanometry, and pure tone audiometry were carried out in 39 patients with IBD (21 Crohn's disease [CD], 18 ulcerative colitis [UC]) and 25 healthy age- and sex-matched controls. All patients and control subjects had normal otoscopy findings and tympanometry was unremarkable, excluding middle ear disease and conductive hearing loss. Analysis of each frequency examined showed that the average hearing thresholds were increased significantly in the study group compared to those of the control group at higher frequencies (2, 4, and 8 kHz). When these parameters were compared with the control group according to subgroups of IBD, a significant difference was determined for the UC group at frequencies of 2, 4, and 8 kHz and for the CD group only at the frequency of 4 kHz. Although there was a trend of increment in SNHL as the age of the patient and duration and extent of UC increased, no significant correlation was observed between SNHL and these parameters or sex, activity, involvement site, medication history of IBD, and coexistence of other extraintestinal manifestations. In conclusion, it was demonstrated that a subclinical SNHL may be associated with UC and somewhat with CD, affecting mainly the high frequencies. In light of this finding, it may be advisable to investigate labyrinth functions as well as other extraintestinal manifestations in patients with IBD.

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Authors and Affiliations

  1. Departments of Gastroenterology, Şişli Etfal Training and Research Hospital, Istanbul

    Nİhat Akbayir Md, Canan Alkim MD, H.Mehmet Mehmet SÖKmen, Levent Erdem MD & Nihat Akbayir Dr

  2. Departments of Otorhinolaryngology, Şişli Etfal Training and Research Hospital, Istanbul

    Asli Batur ÇAliŞ MD & AyÇA Özbal MD

  3. Department of Gastroenterology, Faculty of Medicine, Harran University, Urfa, Turkey

    FÜsun BÖLÜKbaŞ MD

  4. Hüseyin paşa sok No. 23/10, Kiziltoprak Istanbul, 34724, Turkey

    Nihat Akbayir Dr

Authors
  1. Nİhat Akbayir Md
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  2. Asli Batur ÇAliŞ MD
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  3. Canan Alkim MD
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  4. H.Mehmet Mehmet SÖKmen
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  5. Levent Erdem MD
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  6. AyÇA Özbal MD
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  7. FÜsun BÖLÜKbaŞ MD
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  8. Nihat Akbayir Dr
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Correspondence to Nihat Akbayir Dr.

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Akbayir, N., ÇAliŞ, A.B., Alkim, C. et al. Sensorineural Hearing Loss in Patients with Inflammatory Bowel Disease: A Subclinical Extraintestinal Manifestation. Dig Dis Sci 50, 1938–1945 (2005). https://doi.org/10.1007/s10620-005-2964-3

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  • DOI: https://doi.org/10.1007/s10620-005-2964-3

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