ABSTRACT
Mercury is neurotoxic, and numerous studies have confirmed its ototoxic effect. However, the diagnosis and follow-up of mercury exposure require understanding the pathophysiology of the chemical substance. Based on a systematic literature review, this study aimed to demonstrate whether mercury is ototoxic and to analyze its mechanism of action on the peripheral and central auditory system, in order to contribute to the diagnosis and follow-up of exposure. This was a systematic review of studies published on the effects of mercury exposure on the auditory system. The full text of the studies and their methodological quality were analyzed. The review identified 108 studies published on the theme, of which 28 met the inclusion criteria. All the articles in the analysis showed that mercury exposure is ototoxic and produces peripheral and/or central damage. Acute and long-term exposure produces irreversible damage to the central auditory system. Biomarkers were unable to predict the relationship between degree of mercury poisoning and degree of lesion in the auditory system.
O mercúrio é neurotóxico e muitas pesquisas confirmam sua ação ototóxica. Porém, para o diagnóstico e acompanhamento da exposição é necessário entender a fisiopatologia da substância química. O objetivo do trabalho, por meio da revisão sistemática, é evidenciar se o mercúrio é ou não ototóxico e, sendo assim, qual seria sua forma de atuação no sistema auditivo periférico e central, de forma a contribuir para o diagnóstico e acompanhamento da exposição. É uma revisão sistemática dos trabalhos publicados sobre os efeitos da exposição ao mercúrio no sistema auditivo. Analisaram-se os estudos contemplados na íntegra e também sua qualidade metodológica. A pesquisa identificou 108 artigos publicados sobre o tema, sendo que 28 se enquadraram nos critérios de inclusão. Todos os artigos analisados evidenciaram que a exposição ao mercúrio é ototóxico e induz ao dano periférico e/ou central. A exposição aguda e de longo prazo produzem danos irreversíveis ao sistema auditivo central. Os biomarcadores não puderam predizer a relação do grau de intoxicação com o grau de lesão do sistema auditivo.
Subject(s)
Humans , Ear Diseases/chemically induced , Environmental Exposure/adverse effects , Mercury/toxicity , Ear Diseases/diagnosis , Ear Diseases/physiopathology , Hearing Loss/chemically induced , Hearing Loss/diagnosis , Severity of Illness Index , Time FactorsABSTRACT
Mercury is neurotoxic, and numerous studies have confirmed its ototoxic effect. However, the diagnosis and follow-up of mercury exposure require understanding the pathophysiology of the chemical substance. Based on a systematic literature review, this study aimed to demonstrate whether mercury is ototoxic and to analyze its mechanism of action on the peripheral and central auditory system, in order to contribute to the diagnosis and follow-up of exposure. This was a systematic review of studies published on the effects of mercury exposure on the auditory system. The full text of the studies and their methodological quality were analyzed. The review identified 108 studies published on the theme, of which 28 met the inclusion criteria. All the articles in the analysis showed that mercury exposure is ototoxic and produces peripheral and/or central damage. Acute and long-term exposure produces irreversible damage to the central auditory system. Biomarkers were unable to predict the relationship between degree of mercury poisoning and degree of lesion in the auditory system.
Subject(s)
Ear Diseases/chemically induced , Environmental Exposure/adverse effects , Mercury/toxicity , Ear Diseases/diagnosis , Ear Diseases/physiopathology , Hearing Loss/chemically induced , Hearing Loss/diagnosis , Humans , Severity of Illness Index , Time FactorsABSTRACT
Hearing thresholds were estimated in normal-hearing term and preterm neonates of <35 weeks of age using multiple-stimulus auditory steady-state responses (ASSRs). The tresholds, expressed in decibel sound pressure level, at signal frequencies of 500, 1000, 2000 and 4000 Hz were 44.30 +/- 9.88, 27.80 +/- 6.79, 26.77 +/- 6.09 and 32.87 +/- 6.12 for the term group and 49.11 +/- 9.44, 26.38 +/- 6.59, 26.74 +/- 7.57 and 35.90 +/- 8.23 for the preterm group. Significant threshold differences were measured between the groups at 500 and 4000 Hz, while the thresholds at 1000 and 2000 Hz were similar. The signal and noise levels as well as signal-to-noise ratio of responses were also measured and found to be similar. These results indicate that ASSRs can be effectively measured with a similar signal-to-noise ratio in both groups, but that there is a significant maturational effect occurring during gestation at the level of structures which participate in the formation of the ASSR at 500 and 4000 Hz.
Subject(s)
Audiometry, Evoked Response/methods , Deafness/diagnosis , Deafness/physiopathology , Evoked Potentials, Auditory/physiology , Infant, Premature, Diseases/physiopathology , Neonatal Screening , Acoustic Stimulation , Auditory Threshold/physiology , Deafness/congenital , Female , Gestational Age , Humans , Infant, Newborn , Intensive Care Units, Neonatal , Male , Otoacoustic Emissions, Spontaneous , Reference Values , Signal Processing, Computer-Assisted , Sound SpectrographyABSTRACT
This study was designed to investigate the feasibility of applying tone-ABRs in the nursery and neonatal intensive care unit (NICU), and to provide normative tone-ABR data from neonates. Normative tone-ABR latency data were determined. The study obtained intensity series of tone-ABRs from thirty preterm neonates and twenty full-term neonates who had confirmed normal peripheral auditory function after passing both an OAE and ABR screening examination. ABRs were collected in response to 500, 1500, and 4000 Hz tone bursts at 70, 50, 30, and 20 dB nHL. Mean wave V latencies were compared between groups, ears, and by gender. Responses to tone bursts of 20 and 30 dB nHL were detected in 97% and 100% of all ears respectively, in addition to responses to the higher-intensity stimuli. Preterm neonates' ABRs showed significantly longer latencies than those of the full-term infants. Tone-ABR evaluation was found to be both feasible and reliable as a measure of auditory function in neonates.
