Monitoring cisplatin-induced ototoxicity.

Abstract

Introduction and objective: The ototoxic damage goes unnoticed to disabling levels, being justified to apply control for its early detection procedures, make it possible to a therapeutic change and if necessary, a speech and auditory rehabilitation. The objective of this study will consist to present Protocol we did at the Hospital Clínico Universitario de Valladolid for the follow-up of the patients treated with cisplatin. Method: Ototoxicity monitoring means serially collect hearing thresholds. It is identified on a visit if hearing has worsened in some ear. The comparison allows to detect the change and indicate if it is significant or not in relation to some criteria. We will also evaluate the occurrence of vestibular damage. As auditory monitoring procedures, we will use high frequency audiometry and acoustic oto-emissions. Results: After giving informed consent and a brief medical history we started with baseline assessment of hearing, prior to treatment, continuing with periodic reviews before each cycle. If any change is detected it is reported to the physician and the patient. To grade the ototoxicity, we apply the Brock and Chang criteria. We maintain post-treatment control. Discussion and conclusion: The incidence of ototoxicity of cisplatin is unknown in our country and it is not possible to predict which patients will experience. The increase in the survival rate for cancer involves improving comorbidity, which in the case of its early ototoxicity supposed to find the best solutions to restore the quality of life of patient’s detection.
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Sánchez-Martínez, A., Benito-Orejas, J. I., Tavárez-Rodríguez, J. J., Hernández-Santos, M. L., Morais-Pérez, D., & Soto-Prado, D. (2018). Monitoring cisplatin-induced ototoxicity. Revista ORL, 9(1), 25–33. https://doi.org/10.14201/orl.16774

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Author Biographies

Ana Sánchez-Martínez

,
SACYL. Valladolid
Residente 3º de ORL del Hospital Clínico Universitario de Valladolid.SACYL, Hospital Clínico Universitario de Valladolid, España

José Ignacio Benito-Orejas

,
SACYL. Valladolid
Licenciado Especialista ORL del Hospital Clínico Univesitario de Valladolid.

Juan José Tavárez-Rodríguez

,
SACYL. Valladolid
Licenciado Especialista ORL del Hospital Comarcal de Medina del Campo. Valladolid.

María Lourdes Hernández-Santos

,
SACYL. Valladolid
Licenciada Especialista ORL del Hospital El Bierzo. Ponferrada. León.

Darío Morais-Pérez

,
SACYL. Valladolid
Jefe de Servicio de ORL del Hospital Clínico Universitario de Valladolid.

Diego Soto-Prado

,
SACYL. Valladolid
Licenciado Especialista de Oncología del Hospital Clínico Universitario de Valladolid.
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