Myringosclerosis in children with chronic renal failure on regular hemodialysis

Abstract

Objective: To find out a possible association between children with chronic renal failure (CRF) on regular hemodialysis and myringosclerosis (MS). Materials and Methods: This study included 41 patients with CRF on regular hemodialysis 3 times weekly who were compared with 41 normal children without history of ear problems matched for age and sex serving as a control. Children were assessed by history, otoscopic examination, and laboratory assessment, at the time of ear examination. Results: The incidence of affected (MS) ears in CRF children was 9/82 (10.976%). While in healthy control was 4.878% (4/82 ears) with nonstatistically significant difference (P = 0.148). Regular hemodialysis for >3 years showed significantly more MS with no significant relation to the serum levels of calcium, phosphorus, parathyroid hormone, or other recorded laboratory findings. Conclusion: Regular hemodialysis for CRF more than 3 years is associated with significantly more MS incidence when dialysis duration exceeds 3 years with no significant relation laboratory findings.