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CPAP Treatment Improves Pure Tone Audiometry Threshold in Sensorineural Hearing Loss Patients with Sleep-Disordered Breathing

Author

Listed:
  • Jessie Chao-Yun Chi

    (Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
    Department of Otorhinolaryngology, Head and Neck Surgery, Taichung Hospital, Ministry of Health and Welfare, Taichung 403, Taiwan)

  • Shin-Da Lee

    (Department of Physical Therapy, Graduate Institute of Rehabilitation Science, China Medical University, Taichung 40402, Taiwan
    Department of Occupational Therapy, Asia University, Taichung 413, Taiwan
    School of Rehabilitation Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China)

  • Ren-Jing Huang

    (Department of Medical Image and Radiological Sciences, Chung Shan Medical University, Taichung 40201, Taiwan)

  • Ching-Hsiang Lai

    (Department of Medical Informatics, Chung Shan Medical University, Taichung 40201, Taiwan
    These authors share equal contribution.)

  • Stanley Yung Liu

    (Department of Otolaryngology, Stanford University School of Medicine, Stanford, CA 94305-5101, USA)

  • Yih-Jeng Tsai

    (School of Medicine, Fu-Jen Catholic University, New Taipei City 24205, Taiwan
    Department of Otolaryngology Head and Neck Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei 111045, Taiwan)

  • Po-Han Fu

    (Graduate Institute of Photonics and Optoelectronics, National Taiwan University, Taipei 10617, Taiwan)

  • Hua Ting

    (Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
    Department of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
    Sleep Medicine Center, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
    These authors share equal contribution.)

Abstract

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 p < 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 p < 0.05) and CPAP-12 m (−7.97 ± 2.74, −8.15 ± 2.35, and −6.67 ± 2.37 dB; all p < 0.01) against corresponding measures of CPAP-BL. High, medium, and average frequencies positively correlated with age ( p < 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.

Suggested Citation

  • Jessie Chao-Yun Chi & Shin-Da Lee & Ren-Jing Huang & Ching-Hsiang Lai & Stanley Yung Liu & Yih-Jeng Tsai & Po-Han Fu & Hua Ting, 2021. "CPAP Treatment Improves Pure Tone Audiometry Threshold in Sensorineural Hearing Loss Patients with Sleep-Disordered Breathing," IJERPH, MDPI, vol. 18(13), pages 1-12, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:13:p:6768-:d:580990
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