Hearing loss in children with primary ciliary dyskinesia. (January 2018)

• Record Type: Journal Article
• Authors: Kreicher, Kathryn L.; Schopper, Heather K.; Naik, Akash N.; Hatch, Jonathan L.; Meyer, Ted A.
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 104(2018:Jan.)
• Page Start: 161
• Page End: 165
• Publication Date: 2018-01
• Subjects: Pediatric hearing loss -- Primary ciliary dyskinesia; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2017.11.005
• Languages: English
• ISSNs: 0165-5876

Abstract

Abstract: Objectives: To evaluate the type and severity of hearing impairment in pediatric patients with primary ciliary dyskinesia (PCD) and relate these measures to patient demographics, treatment options, and other otologic factors. Methods: A retrospective analysis of children with a diagnosis of PCD, Kartagener's syndrome, or situs inversus in the AudGen Database was conducted. Audiograms were analyzed for type of hearing loss (HL), severity, laterality, and progression. Medical charts were reviewed to identify factors that influence severity and progression of hearing loss. Results: 56 patients met inclusion criteria and 42 patients had HL. 66.6% had bilateral and 33.3% had unilateral loss (70 total ears with HL). Conductive hearing loss (CHL) was the most common type of HL, though 30% of children had some sensorineural component to their hearing loss. 92.9% of children with HL received at least one diagnosis of otitis media, but HL did not improve in the majority (77.8%) of ears in our study regardless of ear tube placement. Conclusions: Slight to mild CHL and all types of otitis media are prevalent among patients with PCD, and some of these children have sensorineural hearing loss (SNHL). All patients diagnosed with situs inversus at birth should be evaluated by an otolaryngologist.