Description

Chang and Chinosornvatana reported a grading system for cisplatin ototoxicity in children. This can help to identify a patient who may benefit from a change in intervention. The authors are from Stanford University and Columbia University.


Patient selection: pediatric patient receiving cisplatin chemotherapy.

 

Hearing Loss in dB

Frequency

Grade

<= 20

1, 2 and 4 (and 3)

0

20 to 39.9

1, 2 and 3

2b

>= 40

1

4

>= 40

2, 3

3

20 to 39.9

4

1b

>= 40

4 to 6

2a

>= 40

6 to 12

1a

 

Hearing loss primarily in higher frequencies is seen in lower grades of hearing loss.

 

Frequency

Hearing Loss in dB

Grade

1

< =20

0

 

20 to 39.9

2b

 

>= 40

4

2

< =20

0

 

20 to 39.9

2b

 

>= 40

3

3

< =20

0

 

20 to 39.9

2b

 

>= 40

3

4

< =20

0

 

20 to 39.9

1b

 

>= 40

2a

5

>= 40

2a

>=6

>= 40

2a

 


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