Radiation Therapy and Hearing Loss

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Presentation transcript:

Radiation Therapy and Hearing Loss Niranjan Bhandare, M.S., Andrew Jackson, Ph.D., Avraham Eisbruch, M.D., Charlie C. Pan, M.D., John C. Flickinger, M.D., Patrick Antonelli, M.D., William M. Mendenhall, M.D.  International Journal of Radiation Oncology • Biology • Physics  Volume 76, Issue 3, Pages S50-S57 (March 2010) DOI: 10.1016/j.ijrobp.2009.04.096 Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 1 Mean dose response for sensorineural hearing loss (SNHL) at (a): 4 kHz; (b): 0.5–2 kHz; and (c): all frequencies (0.25–12 kHz). Data from: Figure 3 of Chen et al.(6) (retrospective study; SNHL defined as a ≥20-dB increase in the bone-conduction threshold at ≥1 year; patients received concurrent and adjuvant cisplatin chemotherapy); Figure 1 of Honore et al.(10) (retrospective study; SNHL defined as 20-dB increase in the bone-conduction threshold at ∼0.5–6.5 years); Figure 2 of Pan et al.(5) (prospective study; SNHL defined as a 20-dB difference between bone-conduction thresholds for ipsilateral and contralateral ears at 1 year; doses are ipsilateral-ear mean doses minus contralateral-ear mean doses); Table 2 of Oh et al.(8) (prospective study; SNHL defined as a 15-dB increase in the bone-conduction threshold at 1 year; patients received neoadjuvant and concurrent cisplatin chemotherapy); Tables 1 and 2 of Kwong et al.(7) (prospective study; SNHL defined as a 15-dB increase in the bone-conduction threshold at 1 year; patients received neoadjuvant and concurrent chemotherapy; ears received the full prescription dose; prescriptions were converted to biologically effective dose in 2 Gy fractions using α/β = 3 Gy); Fig 2 of van der Putten et al.(12) (retrospective study; SNHL defined as a 15-dB increase in the average of all pure-tone thresholds at 2–17 years). International Journal of Radiation Oncology • Biology • Physics 2010 76, S50-S57DOI: (10.1016/j.ijrobp.2009.04.096) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 2 Axial computed tomography image through the skull base. EAC = external acoustic canal; C = cochlea; V = vestibule; IAC = internal auditory canal. International Journal of Radiation Oncology • Biology • Physics 2010 76, S50-S57DOI: (10.1016/j.ijrobp.2009.04.096) Copyright © 2010 Elsevier Inc. Terms and Conditions