Lim, Chee Chean and Ahmad, Tengku Ezulia Binti Tengku Nun and Bin Sawali, Halimuddin and Bin Afandi, Ahmad Nordin and Paniselvam, Vinota and Bernard, Merlinda W. and Narayanan, Prepageran and Abu Bakar, Mohd Zukiflee (2023) Evaluation of auditory system in obstructive sleep apnea patients. European Archives of Oto-Rhino-Laryngology, 280 (5). pp. 2201-2207. ISSN 0937-4477, DOI https://doi.org/10.1007/s00405-022-07711-1.
Full text not available from this repository.Abstract
Objectives Obstructive sleep apnea (OSA) has been associated with auditory dysfunction both to the cochlear and higher auditory pathways. However, available literatures presented conflicting results. We aimed to study the impact of OSA severity and their polysomnography parameters on hearing function. Materials and methods A total of 44 patients were included after evaluation for sleep disorders and were divided into four groups in accordance with apnea-hypopnea index (AHI). Pure tone audiometry (PTA), distortion product otoacoustic emission (DPOAE) and auditory brainstem response (ABR) were compared in commensurate with the severity of AHI. Polysomnography oximetry parameters of oxygen desaturation index, mean SPO2, minimum SPO2 and percent SPO2 < 90% were correlated with their respective PTA, DPOAE and ABR results. Results There was no significant change in the PTA, DPOAE and ABR results in connection with AHI severity. However, we found significant correlations between mean SPO2 and percent SPO2 < 90% with ABR wave I, III and V absolute latencies. Minimum SPO2 was also significantly correlated with wave III peak latency changes. Conclusions Mean SPO2, percent SPO2 < 90% and minimum SPO2 could be key prognostic indicators of central auditory dysfunction in OSA patients. These parameters should be explored further as indicators of OSA severity rather than utilizing AHI alone. The hypoxic burden derived could be a better predictor of auditory function abnormalities rather than one derived from AHI.
| Item Type: | Article |
|---|---|
| Funders: | None |
| Uncontrolled Keywords: | Obstructive sleep apnea; Sensorineural hearing loss; Sleep study; Oximetry |
| Subjects: | R Medicine > RF Otorhinolaryngology |
| Divisions: | Faculty of Medicine > Otorhinolaryngology Department |
| Depositing User: | Ms Zaharah Ramly |
| Date Deposited: | 28 Nov 2023 08:49 |
| Last Modified: | 28 Nov 2023 08:49 |
| URI: | http://eprints.um.edu.my/id/eprint/39346 |
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