ENT Updates

Clinical Research

An Investigation of Hearing Levels, Tinnitus and Vertigo Symptoms in Children with Cardiac Disorders

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https://doi.org/10.32448/entupdates.544723
Kocyigit, M., Bornaun, H., Ustun Bezgin, S., G. Ortekin, S., Cakabay, T., Ozkaya, G., & Sahan, E. (2019). An Investigation of Hearing Levels, Tinnitus and Vertigo Symptoms in Children with Cardiac Disorders. ENT Updates, 9(2). https://doi.org/10.32448/entupdates.544723
Volume 9 Issue 2 (2019)
Copyright (c) 2019 Murat Kocyigit, Helen Bornaun, Selin Ustun Bezgin, Safiye G. Ortekin, Taliye Cakabay, Guven Ozkaya, Ebru Sahan
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This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors

  • Murat Kocyigit
    Murat Kocyigit, MD, Department of Otolaryngology, Kanuni Sultan Süleyman Education and Research Hospital, Istanbul, Turkey
  • Helen Bornaun Helen Bornaun, MD, Assoc Prof, Department of Pediatric Cardiology, Kanuni Sultan Süleyman Education and Research Hospital, Istanbul, Turkey
  • Selin Ustun Bezgin Selin Ustun Bezgin, MD, Department of Otolaryngology, Kanuni Sultan Süleyman Education and Research Hospital, Istanbul, Turkey
  • Safiye G. Ortekin Safiye G. Ortekin, MD, Department of Otolaryngology, Kanuni Sultan Süleyman Education and Research Hospital, Istanbul, Turkey
  • Taliye Cakabay Taliye Cakabay, MD, Department of Otolaryngology, Kanuni Sultan Süleyman Education and Research Hospital, Istanbul, Turkey
  • Guven Ozkaya Guven Ozkaya, PhD, Department of Biostatistics, Uludağ University Faculty of Medicine, Bursa, Turkey
  • Ebru Sahan Ebru Sahan, Department of Audiıology, Kanuni Sultan Süleyman Education and Research Hospital, Istanbul, Turkey

Objective: Comorbidities accompanying to cardiac disorders might be as detrimental as the diseases themselves. While it is not common, comorbidities associated with inner ear functions may also be seen. This study was planned to investigate evaluation of hearing which also includes high frequencies, and the presence of vestibular and tinnitus symptoms in children with acute rheumatic fever (ARF), Kawasaki disease (KD) or who underwent open heart surgery (due to atrial septal defect and/or ventricular septal defect, Tetralogy of Fallot).

Methods: This study included a patient group including 214 children patients diagnosed with cardiac disorders (116 males, 98 females; mean age 9.70 [range 6-16]) and a control group including 44 healthy children who do not have any kind of chronic disease (21 males, 23 females; mean age 9.38 [range 6-16]). The subjects underwent hearing test with frequencies between 250-20000 Hz, vestibular and tinnitus symptoms were evaluated by Symptom Questionnaire Forms.

Results: Out of 214 patients in the patient group, 6 (2.8%) had hearing loss in pure tones, 25 (11.7%) had in high frequencies, 35 (16.4%) had tinnitus symptoms, and 21 (9.8%) had vertigo symptoms. Hearing loss in high frequencies was detected in 11.7% of patients with ARF, in 22.7% of patients with KD, and in 7.8% of patients who underwent open heart surgery. The difference between KD patients and the control group in terms of hearing loss was statistically significant (p=0.014). Out of 214 patients in the patient group, 4 (1.9%) had hearing loss in pure tones and high frequencies, vertigo and tinnitus symptoms.

Conclusions: Our results suggest that some childhood cardiac disorders can cause some changes in the inner ear, although the exact cause is unknown. Perhaps, a detailed hearing and balance examination should be a routine in a child diagnosed with a cardiac disorders. We think it is necessary to work on more comprehensive patient groups and tests in the future.

Keywords:

Cardiology pediatric hearing level tinnitus vertigo child