Source
Department of Otorhinolaryngology, Ghent University Hospital, Ghent, Belgium. ingeborg.dhooge@ugent.be
Abstract
OBJECTIVE:
This study involved the assessment of the otologic and audiologic characteristics of a group of patients with Turner syndrome.
STUDY DESIGN:
Prospective study consisting of a questionnaire (77 of 123 responders) and an otologic and audiologic evaluation in patients with Turner syndrome (41 participants).
SETTING:
Tertiary academic medical setting.
PATIENTS:
Children, adolescents, and adults with Turner syndrome (median age, 24 yr).
INTERVENTIONS:
Otomicroscopy, audiometry, immittance measurements, and diagnostic imaging.
RESULTS:
Otologic disease is an important characteristic in Turner syndrome. Sixty-six percent of the patients studied via the questionnaire reported a history of chronic or recurrent middle ear disease. Analysis of audiometric data in 40 patients tested reveals an equal amount of normal ears (38.8%) and pure sensorineural ears (38.8%), each constituting approximately one-third of the patient population. Pure conductive losses represent only one-fifth (21.3%) of auditory abnormality encountered.
CONCLUSIONS:
Careful follow-up during early childhood of children with Turner syndrome is necessary to detect middle ear disease and prevent sequelae. However, long-term periodic review is mandatory even after resolution of middle ear disease to detect sensorineural hearing loss.