Ototoxicity of cisplatinum in children and adolescents
1990

Hearing Loss from Cisplatinum in Children

Sample size: 22 publication Evidence: moderate

Author Information

Author(s): R. Skinner, A.D.J. Pearson, H.A. Amineddine, D.B. Mathias, A.W. Craft

Primary Institution: University of Newcastle upon Tyne

Hypothesis

The study aimed to determine the extent of hearing loss in young people treated with cisplatinum and identify those at greater risk of toxicity.

Conclusion

Cisplatinum can cause significant hearing loss in children, particularly at higher frequencies, with variability among patients.

Supporting Evidence

  • Significant hearing loss occurred in all but one patient at 8,000 Hz.
  • Hearing loss was greater with higher cumulative doses of cisplatinum.
  • Patients who received prior radiotherapy had more severe hearing loss.
  • Four patients reported hearing difficulties, with one experiencing school-related issues.

Takeaway

Cisplatinum can make kids' ears hurt and cause them to lose their hearing, especially if they get a lot of it.

Methodology

Audiometry was performed on 22 children and adolescents who received cisplatinum to assess hearing damage.

Limitations

The study had a small sample size and variability in treatment regimens.

Participant Demographics

Participants were aged 7 to 19 years, with a mean age of 13 years; 12 were male.

Statistical Information

P-Value

p<0.0001

Statistical Significance

p<0.0001

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