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Research ArticleOriginal Article
Open Access

Does SARS-CoV-2 affect cochlear functions in children?

Cigdem F. Koca, Turgut Celik, Agit Simsek, Sukru Aydin, Mehmet Kelles, Seyma Yasar and Omer Erdur
Saudi Medical Journal March 2022, 43 (3) 259-265; DOI: https://doi.org/10.15537/smj.2022.43.3.20210782
Cigdem F. Koca
From the Department of Otolaryngology Head and Neck Surgery (Koca, Kelles), Faculty of Medicine, Turgut Özal University, from the Department of Otolaryngology Head and Neck Surgery (Celik, Aydin), Malatya Training and Research Hospital, from the Department of Audiology (Simsek), Faculty of Health Sciences; from the Department of Biostatistics and Medical Informatics (Yasar), Faculty of Medicine, Inonu University, Malatya, and from the Department of Otorhinolaryngology (Erdur), Faculty of Medicine, Selcuk University, Konya, Turkey.
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  • For correspondence: [email protected]
Turgut Celik
From the Department of Otolaryngology Head and Neck Surgery (Koca, Kelles), Faculty of Medicine, Turgut Özal University, from the Department of Otolaryngology Head and Neck Surgery (Celik, Aydin), Malatya Training and Research Hospital, from the Department of Audiology (Simsek), Faculty of Health Sciences; from the Department of Biostatistics and Medical Informatics (Yasar), Faculty of Medicine, Inonu University, Malatya, and from the Department of Otorhinolaryngology (Erdur), Faculty of Medicine, Selcuk University, Konya, Turkey.
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Agit Simsek
From the Department of Otolaryngology Head and Neck Surgery (Koca, Kelles), Faculty of Medicine, Turgut Özal University, from the Department of Otolaryngology Head and Neck Surgery (Celik, Aydin), Malatya Training and Research Hospital, from the Department of Audiology (Simsek), Faculty of Health Sciences; from the Department of Biostatistics and Medical Informatics (Yasar), Faculty of Medicine, Inonu University, Malatya, and from the Department of Otorhinolaryngology (Erdur), Faculty of Medicine, Selcuk University, Konya, Turkey.
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Sukru Aydin
From the Department of Otolaryngology Head and Neck Surgery (Koca, Kelles), Faculty of Medicine, Turgut Özal University, from the Department of Otolaryngology Head and Neck Surgery (Celik, Aydin), Malatya Training and Research Hospital, from the Department of Audiology (Simsek), Faculty of Health Sciences; from the Department of Biostatistics and Medical Informatics (Yasar), Faculty of Medicine, Inonu University, Malatya, and from the Department of Otorhinolaryngology (Erdur), Faculty of Medicine, Selcuk University, Konya, Turkey.
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Mehmet Kelles
From the Department of Otolaryngology Head and Neck Surgery (Koca, Kelles), Faculty of Medicine, Turgut Özal University, from the Department of Otolaryngology Head and Neck Surgery (Celik, Aydin), Malatya Training and Research Hospital, from the Department of Audiology (Simsek), Faculty of Health Sciences; from the Department of Biostatistics and Medical Informatics (Yasar), Faculty of Medicine, Inonu University, Malatya, and from the Department of Otorhinolaryngology (Erdur), Faculty of Medicine, Selcuk University, Konya, Turkey.
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Seyma Yasar
From the Department of Otolaryngology Head and Neck Surgery (Koca, Kelles), Faculty of Medicine, Turgut Özal University, from the Department of Otolaryngology Head and Neck Surgery (Celik, Aydin), Malatya Training and Research Hospital, from the Department of Audiology (Simsek), Faculty of Health Sciences; from the Department of Biostatistics and Medical Informatics (Yasar), Faculty of Medicine, Inonu University, Malatya, and from the Department of Otorhinolaryngology (Erdur), Faculty of Medicine, Selcuk University, Konya, Turkey.
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Omer Erdur
From the Department of Otolaryngology Head and Neck Surgery (Koca, Kelles), Faculty of Medicine, Turgut Özal University, from the Department of Otolaryngology Head and Neck Surgery (Celik, Aydin), Malatya Training and Research Hospital, from the Department of Audiology (Simsek), Faculty of Health Sciences; from the Department of Biostatistics and Medical Informatics (Yasar), Faculty of Medicine, Inonu University, Malatya, and from the Department of Otorhinolaryngology (Erdur), Faculty of Medicine, Selcuk University, Konya, Turkey.
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Article Figures & Data

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    Figure 1

    - Contralateral supression amplitudes. dB: decibel, kHz: kilohertz

Tables

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    Table 1

    - Transient evoked otoacoustic emission results measured in silence.

    FrequenciesGroupsP-value
    Hospitalized patientsOutpatientsControls
    Mean±SDMedian (min-max)Mean±SDMedian (min-max)Mean±SDMedian (min-max)
    1 kHz6.6±2.997 (-3 - 14)5.89±3.555 (-2 - 16)6.5±4.226 (-3 - 14)0.409*
    1.5 kHz8.23±3.958 (-3 - 20)7.13±3.197.5 (1-15)9.06±4.859 (-2 - 22)0.087**
    2 kHz7.42±3.487 (-2 - 14)7.72±3.87 (3-24)6.88±4.658 (-4 - 15)0.949*
    3 kHz6.71±4.047 (-2 - 18)6.91±4.317 (-3 - 20)7.24±3.816 (0-17)0.897**
    4 kHz6.92±3.697 (-3 - 16)6.3±3.936 (-2 - 14)5.46±3.946 (-4 - 12)0.398*

    kHz: kilohertz, SD: standard deviation, Min: minimum, Max: maximum, *Kruskall-Wallis, **one-way ANOVA, a statistically significant difference (p<0.05)

      • View popup
      Table 2

      - Transient evoked otoacoustic emission results obtained through masking.

      FrequenciesGroupsP-value
      Hospitalized patientsOutpatientsControls
      Mean±SDMedian (min-max)Mean±SDMedian (min-max)Mean±SDMedian (min-max)
      1 kHz4.67±2.614.5 (-5 - 10)2.8±5.053 (-9 - 20)2.42±4.553.5 (-9 - 10)0.033*
      1.5 kHz5.38±3.465 (-1 - 16)4.67±3.554 (-5 - 14)5.28±4.384 (-4 - 18)0.432*
      2 kHz5.46±2.825.5 (-3 - 11)5.3±3.25 (-6 - 12)4.08±4.384 (-5 - 12)0.209*
      3 kHz4.94±3.135 (-4 - 13)4.61±4.265 (-9 - 18)4.32±3.294 (-6 - 12)0.384*
      4 kHz4.85±3.165 (-5 - 11)3.33±4.494 (-6 - 13)2.4±4.164 (-5 - 10)0.021*

      kHz: kilohertz, SD: standard deviation, Min: minimum, Max: maximum, *Kruskall-Wallis, a statistically significant difference (p<0.05)

        • View popup
        Table 3

        - Contralateral supression amplitudes.

        FrequenciesGroupsP-value
        Hospitalized patientsOutpatientsControls
        Mean±SDMedian (min-max)Mean±SDMedian (min-max)Mean±SDMedian (min-max)
        1 kHz1.94±1.122 (-1 - 5)3.09±3.442 (-4 - 13)4.08±4.12 (-2 - 15)0.063*
        1.5 kHz2.85±1.792.5 (-2 - 8)2.46±1.772.5 (-1 - 8)3.78±2.963 (-1 - 13)0.097*
        2 kHz1.96±2.391.5 (-6 - 8)2.41±2.772 (-6 - 13)2.8±3.421.5 (-2 - 12)0.594*
        3 kHz1.77±2.82 (-7 - 11)2.3±2.642 (-7 - 10)2.92±2.92 (0-11)0.351*
        4 khz2.06±2.882 (-5 - 9)2.98±3.072.5 (-3 - 10)3.06±3.522 (-10 - 12)0.284*

        kHz: kilohertz, SD: standard deviation, Min: minimum, Max: maximum, *Kruskall-Wallis, a statistically significant difference (p<0.05)

          • View popup
          Table 4

          - Contralateral supression amplitudes.

          FrequenciesSuppressionGroupsP-value
          Hospitalized patientsOutpatientsControls
          n (%)
          1 kHzNo3 (6.2)7 (15.2)3 (6.0)0.206*
          Yes45 (93.7)39 (84.8)47 (94.0)
          1.5 kHzNo1 (2.1)4 (8.7)1 (2.0)0.176*
          Yes47 (97.9)42 (91.3)49 (98.0)
          2 kHzNo9 (18.7)6 (13.0)9 (18.0)0.723*
          Yes39 (81.2)40 (87.0)41 (82.0)
          3 kHzNo11 (22.9)7 (15.2)4 (8.0)0.122*
          Yes37 (77.1)39 (84.8)46 (92.0)
          4 kHzNo13 (27.1)9 (19.6)5 (10.0)0.094*
          Yes35 (72.9)37 (80.4)45 (90.0)

          kHz: kilohertz, *Pearson Chi-square, a statistically significant difference (p<0.05)

            • View popup
            Table 5

            - Distortion product otoacoustic emission results.

            FrequenciesGroupsP-value
            Hospitalized patientsOutpatientsControls
            Mean±SDMedian (min-max)Mean±SDMedian (min-max)Mean±SDMedian (min-max)
            1 kHz8.54±3.428.15 (1.4-23.6)9.15±4.628.25 (1.4-31.1)9.48±4.4210 (-1 - 18.4)0.080*
            2 kHz12.41±5.9210.9 (1.3-27.5)11.54±5.2410.3 (1.1-26.4)14.61±5.0914.65 (7.7-30.4)0.009*
            4 kHz14.68±7.0912.9 (2.2-34.6)14.04±6.212.75 (5.1-28)16.13±6.515.4 (4.7-27.2)0.293*
            6 kHz12.68±5.4511.75 (3.1-25.1)11.45±5.4510.6 (1.3-24.1)10.98±410 (5.7-20.2)0.298*

            kHz: kilohertz, SD: standard deviation, Min: minimum, Max: maximum, *Kruskall-Wallis, a statistically significant difference (p<0.05)

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            Does SARS-CoV-2 affect cochlear functions in children?
            Cigdem F. Koca, Turgut Celik, Agit Simsek, Sukru Aydin, Mehmet Kelles, Seyma Yasar, Omer Erdur
            Saudi Medical Journal Mar 2022, 43 (3) 259-265; DOI: 10.15537/smj.2022.43.3.20210782

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            Does SARS-CoV-2 affect cochlear functions in children?
            Cigdem F. Koca, Turgut Celik, Agit Simsek, Sukru Aydin, Mehmet Kelles, Seyma Yasar, Omer Erdur
            Saudi Medical Journal Mar 2022, 43 (3) 259-265; DOI: 10.15537/smj.2022.43.3.20210782
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            Keywords

            • COVID-19
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