Impact of chronic rhinosinusitis on the audiological profile of patients attending Lagos State University Teaching Hospital

Abstract Background Chronic rhinosinusitis is a common disease in Otorhinolaryngologic practice worldwide and in Nigeria. Its adverse effect on the quality of life has been well documented, and these reports focus on the nasal symptoms. There have been reports of the impact on the hearing ability of...

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Bibliographic Details
Main Authors: Adeola Lucy Sanda, Vincent Abimbola Adekoya, Olubukola Abimbola Fasina, Adeyemi Aderoju Adesanya, Clement Chukwuemeka Nwawolo
Format: Article
Language:English
Published: SpringerOpen 2025-07-01
Series:The Egyptian Journal of Otolaryngology
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Online Access:https://doi.org/10.1186/s43163-025-00864-w
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Summary:Abstract Background Chronic rhinosinusitis is a common disease in Otorhinolaryngologic practice worldwide and in Nigeria. Its adverse effect on the quality of life has been well documented, and these reports focus on the nasal symptoms. There have been reports of the impact on the hearing ability of patients. Reports show that it can cause conductive hearing loss due to interference with middle ear ventilation and sensorineural hearing loss from immunologic injury to the inner ear outer hair cells. Some studies suggest that there are no significant effects on hearing. Thus, there are conflicting data on the impact of chronic rhinosinusitis on hearing loss. Moreover, there is a paucity of data on this in Nigeria. This descriptive study is aimed at assessing the impact of chronic rhinosinusitis on hearing among Nigerian patients with chronic rhinosinusitis compared to apparently healthy controls. The study will contribute to the available data on the impact of chronic rhinosinusitis on hearing. Result The study results showed that 43% of the patients with chronic rhinosinusitis had hearing loss, while all participants in the control group had normal hearing. Sensorineural hearing loss was the most common type (33.6%) among those with chronic rhinosinusitis, while 6.3% and 3.1% had mixed and conductive hearing loss, respectively. There was a significant association between hearing loss and chronic rhinosinusitis (probability value < 0.001). Also, there was a significant relationship between Pure Tone Audiometry and Otoacoustic emission findings (probability value < 0.001) among the patients with chronic rhinosinusitis who had hearing loss. No significant difference was observed in the severity of hearing loss between patients with and without nasal polyps (probability value = 0.259). Conclusion This study showed that a significant percentage of patients with chronic rhinosinusitis had hearing loss, with the sensorineural type predominating. Thus, immunologic injury to the inner ear may be the predominant cause of hearing loss in our study patients.
ISSN:2090-8539