Search tips
Search criteria 


Logo of jrsocmedLink to Publisher's site
J R Soc Med. 1991 October; 84(10): 587–589.
PMCID: PMC1295552

Hearing loss in chronic renal failure-hearing threshold changes following haemodialysis.


The prevalence of sensorineural hearing loss, measured by pure tone audiometry, was determined in 66 patients with chronic renal failure and threshold changes following haemodialysis were measured in 31 patients. The incidence of hearing loss was 41% in the low, 15% in the middle and 53% in the high frequency ranges respectively. No correlations with weight changes, haematocrit, metabolic bone disease or ototoxic drug history were found. Of 62 ears studied, 38% had a decrease in low frequency threshold after dialysis and 9% had an increase. Threshold in 22/31 ears with pre-existing low frequency loss altered after dialysis with little change in other frequencies and no correlation with weight changes. In conclusion, we find a high incidence of low and high frequency hearing losses in chronic renal failure patients. Fluctuation in low frequencies with dialysis is common. Possible mechanisms include treatment induced changes in fluid and electrolyte composition of endolymph.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (553K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Quick CA, Fish A, Brown C. The relationship between cochlea and kidney. Laryngoscope. 1973 Sep;83(9):1469–1482. [PubMed]
  • Bergstrom L, Jenkins P, Sando I, English GM. Hearing loss in renal disease: clinical and pathological studies. Ann Otol Rhinol Laryngol. 1973 Jul-Aug;82(4):555–576. [PubMed]
  • Kligerman AB, Solangi KB, Ventry IM, Goodman AI, Weseley SA. Hearing impairment associated with chronic renal failure. Laryngoscope. 1981 Apr;91(4):583–592. [PubMed]
  • Yassin A, Badry A, Fatt-Hi A. The relationship between electrolyte balance and cochlear disturbances in cases of renal failure. J Laryngol Otol. 1970 Apr;84(4):429–435. [PubMed]
  • Browning GG, Gatehouse S, Lowe GD. Blood viscosity as a factor in sensorineural hearing impairment. Lancet. 1986 Jan 18;1(8473):121–123. [PubMed]
  • Johnson DW, Wathen RL, Mathog RH. Effects of hemodialysis on hearing threshold. ORL J Otorhinolaryngol Relat Spec. 1976;38(3):129–139. [PubMed]
  • Mitschke H, Schmidt P, Zazgornik J, Kopsa H, Pils P. Effect of renal transplantation on uremic deafness: a long-term study. Audiology. 1977 Nov-Dec;16(6):530–534. [PubMed]
  • Rizvi SS, Holmes RA. Hearing loss from hemodialysis. Arch Otolaryngol. 1980 Dec;106(12):751–756. [PubMed]
  • Yassin A, Safwat F, Fatt-Hi A. Ear, nose and throat manifestations in cases of renal failure treated by dialysis. Hemodialysis and peritoneal dialysis. Ann Otol Rhinol Laryngol. 1966 Mar;75(1):192–201. [PubMed]
  • Kopsa H, Kotzaurek R, Mitschke H, Schmidt P. Hörstörungen bei chronischer Niereninsuffizienz. Monatsschr Ohrenheilkd Laryngorhinol. 1972;106(7):332–339. [PubMed]
  • Oda M, Preciado MC, Quick CA, Paparella MM. Labyrinthine pathology of chronic renal failure patients treated with hemodialysis and kidney transplantation. Laryngoscope. 1974 Sep;84(9):1489–1506. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press