Review Article

Cisplatin-Associated Ototoxicity: A Review for the Health Professional

Table 2

Studies reflecting cisplatin-associated hearing loss in adults.

StudyCountryType of studyAudiological tests conductedPatient populationNumber of patients who developed ototoxicity

Malgonde et al. [47]IndiaProspectivePure tone audiometry (frequencies not specified) and short increment sensitivity index test34 patients with head and neck cancers receiving cisplatin containing chemotherapy and concomitant radiation therapy34 (100%)

Whitehorn et al. [48]South AfricaRetrospective cross-sectionalAir (0.25–8 kHz) and bone conduction pure tone audiometry107 patients receiving cisplatin containing chemotherapy, irrespective of the type of the cancer59 (55.1%)

Nitz et al. [49]GermanyProspective longitudinal trinational population-basedAir (0.125–8 kHz) and bone conduction pure tone audiometry1 patient with soft-tissue sarcoma and 16 with osteosarcoma, receiving cisplatin and/or carboplatin containing chemotherapy6 (35.3%)

Arora et al. [8] India Prospective, randomized, observational Pure tone air (0.25–16 kHz) and bone conduction audiometry
Results are reflective of frequencies 4 to 16 kHz.
57 patients receiving cisplatin containing chemotherapy:
10 patients (low dose group, carcinoma of the larynx)6 (60%)
35 patients (middle dose group, head and neck cancers, carcinoma of the cervix)35 (100%)
12 patients (high dose group, carcinoma of the lung and carcinoma of the testis)12 (100%)

Dell’Aringa et al. [50]BrazilCase seriesTympanometry, acoustic reflex threshold testing, distortion product otoacoustic emissions (DPOAEs), air (0.25–8 kHz) and bone conduction pure tone audiometry, speech audiometry17 patients with extracranial head and neck cancers receiving cisplatin containing chemotherapy and concomitant radiation therapy12 (70.5%), left ears; 11 (64.7%), right ears

Schultz et al. [51]BrazilProspectiveFull audiometric evaluations, with only air (0.25–8 kHz) and bone conduction pure tone audiometry thresholds computed31 patients receiving cisplatin containing chemotherapy, irrespective of the type of cancer12 (38%), NCI criteria; 19 (65%), Brock et al.’s criteria; 17 (54%), ASHA criteria; 9 (29%), David and Silverman’s criteria

Zuur et al. [52]The NetherlandsProspectiveAir (0.125–16 kHz) and bone conduction pure tone audiometry60 patients with locally advanced head and neck cancer, receiving cisplatin containing chemotherapy and concomitant radiation therapy19 (31%), up to 8 kHz; 28 (47%), up to 16 kHz

Dutta et al. [36] India Prospective Pure tone audiometry (frequencies not specified)60 patients receiving cisplatin containing chemotherapy, type of cancer not indicated9 (15%)
51, low dose group6 (12%)
9, high dose group3 (33%)

Strumberg et al. [53]GermanyRetrospectivePure tone air (0.125–12 kHz) and bone conduction audiometry, transient evoked otoacoustic emissions test (TEOAE)32 patients with testicular cancer receiving cisplatin containing chemotherapy21 (70%)

Nagy et al. [54]USARetrospectiveTympanometry, air (0.25–8 KHz) conduction pure tone audiometry53 patients with oesophageal, lung, or head and neck cancer receiving cisplatin containing chemotherapy and concomitant radiation therapy (only for head and neck cancer)19 (36%)

Bokemeyer et al. [35]GermanyRetrospectivePure tone air (0.5–8 kHz) and bone audiometry86 patients with testicular cancer receiving cisplatin containing chemotherapy57 (66%)

Waters et al. [32] Canada Retrospective Pure tone air (0.25–8 kHz) and bone conduction audiometry, immittance audiometry, and speech audiometry60 patients with advanced ovarian carcinomas receiving cisplatin containing chemotherapy
39, low dose, short treatment (25 from LDE group and 14 new cases after treatment modification)6 (15%)
8, low dose, blocks0 (0%)
25, low dose, extended treatment9 (36%)
13, high dose, short treatment12 (92%)