CPAP Treatment Improves Pure Tone Audiometry Threshold in Sensorineural Hearing Loss Patients with Sleep-Disordered Breathing
This article investigates the effects of continuous positive airway pressure (CPAP) on hearing impairment in sensorineural hearing loss (SNHL) patients with sleep-disordered breathing (SDB). This retrospective and observational study took place from September 2016 to February 2021, accumulating 77 s...
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doaj-64bf03a15305403baa82966b9ce16d772021-07-15T15:34:23ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012021-06-01186768676810.3390/ijerph18136768CPAP Treatment Improves Pure Tone Audiometry Threshold in Sensorineural Hearing Loss Patients with Sleep-Disordered BreathingJessie Chao-Yun Chi0Shin-Da Lee1Ren-Jing Huang2Ching-Hsiang Lai3Stanley Yung Liu4Yih-Jeng Tsai5Po-Han Fu6Hua Ting7Institute of Medicine, Chung Shan Medical University, Taichung 40201, TaiwanDepartment of Physical Therapy, Graduate Institute of Rehabilitation Science, China Medical University, Taichung 40402, TaiwanDepartment of Medical Image and Radiological Sciences, Chung Shan Medical University, Taichung 40201, TaiwanDepartment of Medical Informatics, Chung Shan Medical University, Taichung 40201, TaiwanDepartment of Otolaryngology, Stanford University School of Medicine, Stanford, CA 94305-5101, USASchool of Medicine, Fu-Jen Catholic University, New Taipei City 24205, TaiwanGraduate Institute of Photonics and Optoelectronics, National Taiwan University, Taipei 10617, TaiwanInstitute of Medicine, Chung Shan Medical University, Taichung 40201, TaiwanThis article investigates the effects of continuous positive airway pressure (CPAP) on hearing impairment in sensorineural hearing loss (SNHL) patients with sleep-disordered breathing (SDB). This retrospective and observational study took place from September 2016 to February 2021, accumulating 77 subjects with SNHL and SDB (60.7 ± 11.1 years). Of which, 28 received CPAP treatment (63.0 ± 8.5 years). In our methodology, hearing thresholds at low, medium, high, and average frequencies are assessed by pure-tone audiometry at baseline (BL), three (3 m), six (6 m), and 12 (12 m) months. Our results show that the BL of at least three frequencies in all subjects is positively associated with old age, males, smoking, alcohol, coronary artery disease, hypertension, and apnea-hypopnea index [AHI] (all <i>p</i> < 0.05). Moreover, low, medium, and average frequencies are negatively correlated at CPAP-6 m (−5.60 ± 2.33, −5.82 ± 2.56, and −5.10 ± 2.26 dB; all <i>p</i> < 0.05) and CPAP-12 m (−7.97 ± 2.74, −8.15 ± 2.35, and −6.67 ± 2.37 dB; all <i>p</i> < 0.01) against corresponding measures of CPAP-BL. High, medium, and average frequencies positively correlated with age (<i>p</i> < 0.001 for high and average frequencies and <0.01 for medium frequencies). We conclude that in SNHL patients with SDB, hearing thresholds at low and medium frequencies improves under CPAP use after six months, which persists at least to the end of one year.https://www.mdpi.com/1660-4601/18/13/6768continuous positive airway pressureobstructive sleep apneaneural deafnesspure-tone audiometrypolysomnography |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jessie Chao-Yun Chi Shin-Da Lee Ren-Jing Huang Ching-Hsiang Lai Stanley Yung Liu Yih-Jeng Tsai Po-Han Fu Hua Ting |
spellingShingle |
Jessie Chao-Yun Chi Shin-Da Lee Ren-Jing Huang Ching-Hsiang Lai Stanley Yung Liu Yih-Jeng Tsai Po-Han Fu Hua Ting CPAP Treatment Improves Pure Tone Audiometry Threshold in Sensorineural Hearing Loss Patients with Sleep-Disordered Breathing International Journal of Environmental Research and Public Health continuous positive airway pressure obstructive sleep apnea neural deafness pure-tone audiometry polysomnography |
author_facet |
Jessie Chao-Yun Chi Shin-Da Lee Ren-Jing Huang Ching-Hsiang Lai Stanley Yung Liu Yih-Jeng Tsai Po-Han Fu Hua Ting |
author_sort |
Jessie Chao-Yun Chi |
title |
CPAP Treatment Improves Pure Tone Audiometry Threshold in Sensorineural Hearing Loss Patients with Sleep-Disordered Breathing |
title_short |
CPAP Treatment Improves Pure Tone Audiometry Threshold in Sensorineural Hearing Loss Patients with Sleep-Disordered Breathing |
title_full |
CPAP Treatment Improves Pure Tone Audiometry Threshold in Sensorineural Hearing Loss Patients with Sleep-Disordered Breathing |
title_fullStr |
CPAP Treatment Improves Pure Tone Audiometry Threshold in Sensorineural Hearing Loss Patients with Sleep-Disordered Breathing |
title_full_unstemmed |
CPAP Treatment Improves Pure Tone Audiometry Threshold in Sensorineural Hearing Loss Patients with Sleep-Disordered Breathing |
title_sort |
cpap treatment improves pure tone audiometry threshold in sensorineural hearing loss patients with sleep-disordered breathing |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2021-06-01 |
description |
This article investigates the effects of continuous positive airway pressure (CPAP) on hearing impairment in sensorineural hearing loss (SNHL) patients with sleep-disordered breathing (SDB). This retrospective and observational study took place from September 2016 to February 2021, accumulating 77 subjects with SNHL and SDB (60.7 ± 11.1 years). Of which, 28 received CPAP treatment (63.0 ± 8.5 years). In our methodology, hearing thresholds at low, medium, high, and average frequencies are assessed by pure-tone audiometry at baseline (BL), three (3 m), six (6 m), and 12 (12 m) months. Our results show that the BL of at least three frequencies in all subjects is positively associated with old age, males, smoking, alcohol, coronary artery disease, hypertension, and apnea-hypopnea index [AHI] (all <i>p</i> < 0.05). Moreover, low, medium, and average frequencies are negatively correlated at CPAP-6 m (−5.60 ± 2.33, −5.82 ± 2.56, and −5.10 ± 2.26 dB; all <i>p</i> < 0.05) and CPAP-12 m (−7.97 ± 2.74, −8.15 ± 2.35, and −6.67 ± 2.37 dB; all <i>p</i> < 0.01) against corresponding measures of CPAP-BL. High, medium, and average frequencies positively correlated with age (<i>p</i> < 0.001 for high and average frequencies and <0.01 for medium frequencies). We conclude that in SNHL patients with SDB, hearing thresholds at low and medium frequencies improves under CPAP use after six months, which persists at least to the end of one year. |
topic |
continuous positive airway pressure obstructive sleep apnea neural deafness pure-tone audiometry polysomnography |
url |
https://www.mdpi.com/1660-4601/18/13/6768 |
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