Hearing loss in pediatric renal patients.
Modern techniques of prolonging life and useful function for endstage renal patients have been accompanied by a variety of new clinical and pathological manifestations, among which are inner ear problems. Of 151 pediatric renal patients followed prospectively 47% had hearing loss, which closely approximates that found in renal patients of all ages. However, only 5.3% of pediatric-age patients, as compared with 15% of all age groups, have hearing loss of unknown etiology. Certain types of hearing loss, for example, those due to acoustic trauma and Ménière's, were not found in the pediatric-age group, while ototoxic, congenital and genetic hearing losses were more common in young persons than in the overall group. Management includes assessment of hearing and vestibular function prior to and at intervals during the administration of ototoxics, monitoring of blood levels, careful attention to otological symptoms and observing the principles of hearing conservation.
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D005260:Female; D034381:Hearing Loss / Q000150:complications* / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000453:epidemiology / Q000628:therapy; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D006435:Renal Dialysis