Otological and hearing characteristics in children with Turner syndrome.
10.3760/cma.j.cn115330-20210305-00111
- Author:
Ze Bin WU
1
;
Hong Guang PAN
1
;
Guo XU
1
;
Guo Wei CHEN
1
;
Lan LI
1
Author Information
1. Department of Otorhinolaryngology, Shenzhen Children's Hospital, Shenzhen 518038, China.
- Publication Type:Journal Article
- MeSH:
Child;
Female;
Hearing;
Hearing Tests;
Humans;
Otitis Media with Effusion;
Retrospective Studies;
Turner Syndrome/epidemiology*
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2021;56(6):590-595
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the otological and hearing characteristics in children with Turner syndrome (TS), to determine risk factors of hearing loss, and to discuss algorithms for future surveillance. Methods: The clinical data of otolaryngology in children with TS from January 2018 to April 2020 were reviewed retrospectively. A total of 46 female children with TS, aged from 5 to 18 years were enrolled. Karyotypes included 17 cases (37.0%) of monosomy, 16 cases (34.7%) of mosaicism, and 13 cases (28.3%) of abnormal X chromosome structures. The otoscopic characteristics, audiological performance, and otologic diagnoses were evaluated. Multivariate logistic regression and Mann-Whitney U test were used for statistical analysis. Results: The most common otologic comorbidity was otitis media with effusion (OME), including 20 cases (43.5%) with 33 ears (35.9%). 14 cases (30.4%) were diagnosed with hearing loss. The regression analysis revealed that the age (OR=1.345, 95%CI: 1.072-1.760) and comorbidity of OME (OR=9.460, 95%CI: 2.065-60.350) were risk factors associated with hearing loss. In TS with OME, when compared with the mean air conduction threshold, the hearing loss of the group with pars flaccida retractions was significantly higher ((24.3±13.8) dB HL vs. (14.4±4.2) dB HL, U=59.500, P=0.008) than that of the group with none retractions. Conclusion: OME and hearing loss are common in children with TS. As age increases or suffers from OME, the risk of hearing loss increases.
