EVALUATION OF HIGH-FREQUENCY HEARING, RELATED TINNITUS, AND VERTIGO IN CHILDREN WITH GROWTH HORMONE INSUFFICIENCY, EARLY PUBERTY, TYPE 1 DIABETES MELLITUS, OBESITY, AND IDIOPATHIC SHORT STATURE
Keywords:
vertigo, tinnitus, pediatrics, endocrine problems,, hearing patternAbstract
Background: Globally, a sizable fraction of infant mortality and morbidity are associated with metabolic and
endocrine diseases. Diabetes mellitus, growth hormone deficiency, childhood obesity, precocious puberty, and other
conditions are among the comorbidities and disorders that influence many body organs, including inner ear
functions.
Objectives: This clinical experiment evaluated high-frequency hearing, related tinnitus, and vertigo in children with
growth hormone insufficiency, early puberty, type 1 diabetes mellitus, obesity, and idiopathic short stature, among
other endocrine problems.
Methods: 32 healthy children and 120 subjects with idiopathic short stature, precocious puberty, type 1 diabetes
mellitus, obesity, and/or growth hormone deficiency underwent evaluations that included a full otolaryngologic
examination, otoscopic ear examination, tympanometry, vertigo, and tinnitus. After statistical analysis of the
gathered data, conclusions were drawn.
Methods
20dB (p= 1.000, 0.465, and 1.000). 8.82% (n=9) experienced dizziness, while 18.6% (n=19) reported tinnitus.
In study participants with ISS, vertigo and tinnitus were present in 22.7% (p=0.04) of cases. Vertigo with PTA and
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Type 1 DM, 4% (n=1) subjects with obesity, and 3.84% (n=1) subjects with GHD.
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Conclusion: Within the constraints of the study, the findings indicate that pediatric endocrine disorders may cause
changes in the inner ear that have an unclear cause. To identify and address any related abnormalities at an early
stage, the study recommends that all children entering endocrinology clinics undergo a comprehensive hearing test
as well as a balancing assessment.




