{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T17:43:25Z","timestamp":1789839805422,"version":"4.0.1"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,6,23]],"date-time":"2014-06-23T00:00:00Z","timestamp":1403481600000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Osteoporosis is a common metabolic disorder that causes progressive changes in bone structure. Metabolic changes and possible degeneration of middle ear ossicles or the cochlear capsule may cause hearing loss in patients with osteoporosis. The aim of this study was to evaluate the hearing function and otolaryngologic symptoms of patients with osteoporosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred patients with osteoporosis, 50 osteopenic patients and 25 healthy controls were evaluated prospectively. Bone mineral density (<jats:styled-content style=\"fixed-case\">BMD<\/jats:styled-content>) of patients was measured by dual\u2010energy X\u2010ray absorptiometry (<jats:styled-content style=\"fixed-case\">DEXA<\/jats:styled-content>). Otorhinolaryngologic examinations were performed on all patients together with an otologic symptoms survey, pure tone audiometry, word recognition test and distortion product otoacoustic emission (<jats:styled-content style=\"fixed-case\">DPOAE<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients with osteoporosis showed higher incidence of sensorineural type of hearing loss (<jats:styled-content style=\"fixed-case\">SNHL<\/jats:styled-content>). Mean pure tone audiometry findings of the patients and controls were significantly different in 500\u20138000\u00a0Hz frequencies (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.01 for 500\u20132000\u00a0Hz, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05 for 4000\u20138000\u00a0Hz). Distortion product otoacoustic emission results of patients with osteoporosis at 6\u00a0kHz were significantly lower than controls and osteopenic patients (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05). Tinnitus complaints were remarkably higher in patients with osteoporosis (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.01). No correlation was found between <jats:styled-content style=\"fixed-case\">BMD<\/jats:styled-content> scores and hearing levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The data show that osteoporosis may be associated with <jats:styled-content style=\"fixed-case\">SNHL<\/jats:styled-content>. Cochlear dysfunction may play role in this hearing loss.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.12242","type":"journal-article","created":{"date-parts":[[2014,4,10]],"date-time":"2014-04-10T10:51:35Z","timestamp":1397127095000},"page":"145-149","source":"Crossref","is-referenced-by-count":31,"title":["Patients with osteoporosis have higher incidence of sensorineural hearing loss"],"prefix":"10.1111","volume":"39","author":[{"given":"O.K.","family":"Kahveci","sequence":"first","affiliation":[{"name":"Faculty of Medicine Department of Otolaryngology Afyon Kocatepe University Afyonkarahisar Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U.S.","family":"Demirdal","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Department of Physical Training and Rehabilitation Afyon Kocatepe University Afyonkarahisar Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Y\u00fccedag","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Department of Otolaryngology Afyon Kocatepe University Afyonkarahisar Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U.","family":"Cerci","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Department of Otolaryngology Sifa University Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,6,23]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"104","article-title":"Osteoporosis \u2013 prevention and detection in general practice","volume":"41","author":"Ewald D.","year":"2012","journal-title":"Aust. 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