Abstract
<h3>Introduction</h3> An appreciable number of clinical studies, especially those from the last decade (Külz,<sup>1</sup>in 1899, Edgar,<sup>2</sup>in 1915, Camisasca,<sup>3</sup>in 1950, Marullo,<sup>4</sup>in 1950, Vigi,<sup>5</sup>in 1950, and Profazio and Baravelli,<sup>6</sup>in 1959) indicate that diabetes mellitus may give rise to a lesion of the inner ear characterized by a generally slowly progressing bilateral hearing loss of the perceptive type. At times, however, there may be Ménière-like attacks, with sudden onset of hearing loss accompanied by vestibular symptoms (Hegener,<sup>7</sup>in 1908, Lang,<sup>8</sup>in 1913, Benesi and Sommer,<sup>9</sup>in 1929, Root,<sup>10</sup>in 1946, Cojazzi,<sup>11</sup>in 1950, Jørgensen,<sup>12</sup>in 1959, and Jørgensen and Buch,<sup>13</sup>in 1961). The discussion regarding the causes of the inner ear affection in diabetes has been purely hypothetical, there being only a very few and only early reports in the literature on the histology
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