COVID-19 caused hearing loss

Milisavljevic Dusan, Stankovic Milan, Dordevic Nikola, Milisavljevic Dusan, Stankovic Milan, Dordevic Nikola

Abstract

Purpose: The objective of this cross-sectional study was to determine if there is a potential link between COVID-19 infection and hearing loss.

Methods: The prospective study was conducted in the COVID Hospital Clinical Centre Niš, Serbia. We performed tonal audiometry and used a custom questionnaire and medical histories to determine the incidence of hearing loss in COVID-19 positive patients.

Results: There were 74 patients with COVID-19 that met the inclusion criteria of this study and they composed our experimental group. Fifty-four (73%) were men and 20 (27%) women. There were 30 (40.5%) patients with hearing loss. Seventeen patients had unilateral and 13 had bilateral hearing loss. Significant differences between hearing loss groups and control group were found across all age groups, but not at all frequencies. No important differences were found when unilateral hearing loss and bilateral hearing loss groups were compared. There were no significant differences in distributions of comorbidities between the patients with hearing loss and normal hearing patients.

Conclusions: We found that 30 (40.5%) of the COVID-19 positive patients had sensorineural type of hearing loss. Across all age groups, there were statistically significant differences in frequencies between the COVID-19 positive patients and the control group. There were no significant differences in distributions of comorbidities between the patients with hearing loss and normal hearing patients. Distribution of unilateral and bilateral hearing loss and audiogram types was also not significantly different between the age groups.

Keywords: Audiometry; Covid-19; Hearing loss.

Conflict of interest statement

The authors have no relevant financial or non-financial interests to disclose.

© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Figures

Fig. 1
Fig. 1
Average audiograms of EG, CG, UHL and BHL groups. (EG experimental group, CG control group, UHL unilateral hearing loss, BHL bilateral hearing loss)
Fig. 2
Fig. 2
Average audiograms of the UHL group, by the age groups. (UHL unilateral hearing loss)
Fig. 3
Fig. 3
Average audiograms of the BHL group, by the age groups. (BHL bilateral hearing loss)

References

    1. Coronavirus disease (COVID-19)—World Health Organization (2020) . Acessed 18 Oct 2020
    1. Cao Y, Liu X, Xiong L, Cai K (2020) Imaging and clinical features of patients with 2019 novel coronavirus SARS‐CoV‐2: a systematic review and meta‐analysis. J Med Virol, . Acessed 18 Oct 2020
    1. Freni F, Meduri A, Gazia F, Nicastro V, Galletti C, Aragona P, et al. Symptomatology in head and neck district in coronavirus disease (COVID-19): a possible neuroinvasive action of SARS-CoV-2. Am J Otolaryngol. 2020;41(5):102612. doi: 10.1016/j.amjoto.2020.102612.
    1. Kim G-U, Kim M-J, Ra SH, Lee J, Bae S, Jung J, et al. Clinical characteristics of asymptomatic and symptomatic patients with mild COVID-19. Clin Microbiol Infect. 2020;26(7):948.e1–948.e3. doi: 10.1016/j.cmi.2020.04.040.
    1. Cohen BE, Durstenfeld A, Roehm PC. Viral causes of hearing loss: a review for hearing health professionals. Trends Hear. 2014;18:233121651454136. doi: 10.1177/2331216514541361.
    1. Young Y-H. Contemporary review of the causes and differential diagnosis of sudden sensorineural hearing loss. Int J Audiol. 2020;59(4):243–253. doi: 10.1080/14992027.2019.1689432.
    1. Chandrasekhar SS, Tsai Do BS, Schwartz SR, Bontempo LJ, Faucett EA, Finestone SA, et al. Clinical practice guideline: sudden hearing loss (update) Otolaryngol Head Neck Surg. 2019;161(1_suppl):S1–S45. doi: 10.1177/0194599819859885.
    1. Kalcioglu MT, Cag Y, Kilic O, Tuysuz O (2020) May COVID-19 cause sudden sensorineural hearing loss? Int J Infect Dis, . Acessed 18 Oct 2020
    1. Elibol E. Otolaryngological symptoms in COVID-19. Eur Arch Otorhinolaryngol. 2021;278(4):1233–1236. doi: 10.1007/s00405-020-06319-7.
    1. Fidan V (2020) New type of corona virus induced acute otitis media in adult. Am J Otolaryngol, . Acessed 18 Oct 2020
    1. Kilic O, Kalcioglu MT, Cag Y, Tuysuz O, Pektas E, Caskurlu H, et al. Could sudden sensorineural hearing loss be the sole manifestation of COVID-19? An investigation into SARS-COV-2 in the etiology of sudden sensorineural hearing loss. Int J Infect Dis. 2020;97:208–211. doi: 10.1016/j.ijid.2020.06.023.
    1. Mustafa MWM. Audiological profile of asymptomatic Covid-19 PCR-positive cases. Am J Otolaryngol. 2020;41(3):102483. doi: 10.1016/j.amjoto.2020.102483.
    1. Degen C, Lenarz T, Willenborg K. Acute profound sensorineural hearing loss after COVID-19 pneumonia. Mayo Clin Proc. 2020;95(8):1801–1803. doi: 10.1016/j.mayocp.2020.05.034.
    1. Jie Z, Hu HH, Zhi XZ. The multicenter collaboration group of Department of Science and Technology of Guangdong Province and Health Commission of Guangdong Province for chloroquine in the treatment of novel coronavirus pneumonia. Expert consensus on chloroquine phosphate for the treatment of novel coronavirus pneumonia. Chinese. 2020;43(3):185–188. doi: 10.3760/cma.j.issn.1001-0939.2020.03.009.
    1. Cianfrone G, Pentangelo D, Cianfrone F, Mazzei F, Turchetta R, Orlando MP, et al. Pharmacological drugs inducing ototoxicity, vestibular symptoms and tinnitus: a reasoned and updated guide. Eur Rev Med Pharmacol Sci. 2011;15(6):601–636.
    1. Prayuenyong P, Kasbekar AV, Baguley DM. Clinical implications of chloroquine and hydroxychloroquine ototoxicity for COVID-19 treatment: a mini-review. Front Public Health. 2020;8:252. doi: 10.3389/fpubh.2020.00252.
    1. Sakalli E, Temirbekov D, Bayri E, Alis EE, Erdurak SC, Bayraktaroglu M. Ear nose throat-related symptoms with a focus on loss of smell and/or taste in COVID-19 patients. Am J Otolaryngol. 2020;41(6):102622. doi: 10.1016/j.amjoto.2020.102622.
    1. De Sousa KC, Smits C, Moore DR, Myburgh HC, Swanepoel DW. Pure-tone audiometry without bone-conduction thresholds: using the digits-in-noise test to detect conductive hearing loss. Int J Audiol. 2020;59(10):801–808. doi: 10.1080/14992027.2020.1783585.
    1. Convery E, Keidser G, Seeto M, Freeston K, Zhou D, Dillon H. Identification of conductive hearing loss using air conduction tests alone: reliability and validity of an automatic test battery. Ear Hear. 2014;35(1):e1–e8. doi: 10.1097/AUD.0b013e31829e058f.
    1. Homans NC, Metselaar RM, Dingemanse JG, et al. Prevalence of age-related hearing loss, including sex differences, in older adults in a large cohort study. Laryngoscope. 2017;127(3):725–730. doi: 10.1002/lary.26150.
    1. Lazarini PR, Camargo AC. Idiopathic sudden sensorineural hearing loss: etiopathogenic aspects. Braz J Otorhinolaryngol. 2006;72(4):554–561. doi: 10.1016/s1808-8694(15)31004-1.
    1. Abdel Rhman S, Abdel Wahid A. COVID-19 and sudden sensorineural hearingloss, a case report. Otolaryngol Case Rep. 2020;16:100198. doi: 10.1016/j.xocr.2020.100198.
    1. McFadyen JD, Stevens H, Peter K. The emerging threat of (micro)thrombosis in COVID-19 and Its therapeutic implications. Circ Res. 2020;127(4):571–587. doi: 10.1161/CIRCRESAHA.120.317447.
    1. Wichmann D, Sperhake JP, Lütgehetmann M, Steurer S, Edler C, Heinemann A, et al. Autopsy findings and venous thromboembolism in patients with COVID-19: a prospective cohort study. Ann Intern Med. 2020;173(4):268–277. doi: 10.7326/M20-2003.
    1. Harenberg J, Jonas JB, Trecca EMC. A liaison between sudden sensorineural hearing loss and SARS-CoV-2 infection. Thromb Haemost. 2020;120(9):1237–1239. doi: 10.1055/s-0040-1714370.
    1. Delgado-Roche L, Mesta F. Oxidative stress as key player in severe acute respiratory syndrome coronavirus (SARS-CoV) infection. Arch Med Res. 2020;51(5):384–387. doi: 10.1016/j.arcmed.2020.04.019.
    1. Nile SH, Nile A, Qiu J, Li L, Jia X, Kai G. COVID-19: pathogenesis, cytokine storm and therapeutic potential of interferons. Cytokine Growth Factor Rev. 2020;53:66–70. doi: 10.1016/j.cytogfr.2020.05.002.
    1. Saniasiaya J. Hearing loss in SARS-CoV-2: what do we know? Ear, Nose Throat J. 2020 doi: 10.1177/0145561320946902.
    1. Meneses-Barriviera CL, Bazoni JA, Doi MY, Marchiori LLM. Probable association of hearing loss, hypertension and diabetes mellitus in the elderly. Int Arch Otorhinolaryngol. 2018;22(4):337–341. doi: 10.1055/s-0037-1606644.

Source: PubMed

3
Subscribe