2011
DOI: 10.1177/014556131109000506
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The Role of Ultrahigh-Frequency Audiometry in the Early Detection of Systemic Drug-Induced Hearing Loss

Abstract: In monitoring patients for drug-induced hearing loss, most audiometric evaluations are limited to the range of frequencies from 0.25 to 8 kHz. However, such testing would fail to detect ototoxicity in patients who have already experienced hearing loss in the ultrahigh frequencies from 10 to 20 kHz. Awareness of ultrahigh-frequency ototoxicity could lead to changes in a drug regimen to prevent further damage. We conducted a prospective study of 105 patients who were receiving a potentially ototoxic drug-either … Show more

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Cited by 33 publications
(23 citation statements)
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“…In accordance with previously published data the deterioration of hearing, documented using hfPTA [3,4,5,27,28], was detected at the early phases of the treatment.…”
Section: Discussionsupporting
confidence: 91%
See 1 more Smart Citation
“…In accordance with previously published data the deterioration of hearing, documented using hfPTA [3,4,5,27,28], was detected at the early phases of the treatment.…”
Section: Discussionsupporting
confidence: 91%
“…Special equipment is necessary for high frequency audiometry. Since the damage to the organ of Corti caused by CDDP starts in the highest frequencies, it is necessary to find a reasonable compromise between the required sensitivity of the method and available technical means [8].…”
mentioning
confidence: 99%
“…12,13 Nagaris et al also showed approximately half had bilaterally symmetric NIHL as in present study and 34.2% had left side predominance. 28 But it is contradictory to the study by Nair et al where right sided hearing loss was predominant. 10 The left sided asymmetry may be secondary to biological difference of a less active acoustic reflex on the left ear or may be the higher otoacoustic emission amplitude on the right side due to its more intense auditory efferent system.…”
Section: Original Articlementioning
confidence: 87%
“…However, it does provide guidance towards creating a roadmap that countries, such as South Africa, may aspire towards in implementing an ototoxicity monitoring programme. Similar to India [79], no programmes have been formally implemented to identify and monitor ototoxicity in patients on cancer chemotherapy in South Africa. As a result, there is no contextually relevant research to steer the implementation of an accountable and effective ototoxicity monitoring program in the country.…”
Section: Methodsmentioning
confidence: 99%