A Systematic Review and Meta-Analysis of the Incidence of Sensorineural Hearing Loss in Head and Neck Cancer Patients Undergoing Chemoradiotherapy Compared to Radiotherapy - Scorecard - MDSpire

A Systematic Review and Meta-Analysis of the Incidence of Sensorineural Hearing Loss in Head and Neck Cancer Patients Undergoing Chemoradiotherapy Compared to Radiotherapy

  • By

  • John Bukuru

  • Olivier Sibomana

  • January 14, 2026

  • 0 min

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Clinical Scorecard: A Systematic Review and Meta-Analysis of the Incidence of Sensorineural Hearing Loss in Head and Neck Cancer Patients Undergoing Chemoradiotherapy Compared to Radiotherapy

At a Glance

CategoryDetail
ConditionSensorineural Hearing Loss in Head and Neck Cancer Patients
Key MechanismsChemoradiotherapy, particularly with cisplatin, increases the risk of sensorineural hearing loss compared to radiotherapy alone.
Target PopulationPatients with head and neck cancer undergoing chemoradiotherapy or radiotherapy.
Care SettingOncology clinics and hospitals providing cancer treatment.

Key Highlights

  • Chemoradiotherapy has a higher incidence of sensorineural hearing loss compared to radiotherapy alone.
  • 82.5% of patients undergoing chemoradiotherapy experienced sensorineural hearing loss.
  • 25.7% incidence of sensorineural hearing loss observed in patients undergoing radiotherapy.

Guideline-Based Recommendations

Diagnosis

  • Audiometric assessment to determine hearing thresholds.

Management

  • Consideration of hearing preservation strategies in treatment planning.

Monitoring & Follow-up

  • Regular audiometric evaluations during and after treatment.

Risks

  • Increased risk of sensorineural hearing loss with cisplatin-based chemoradiotherapy.

Patient & Prescribing Data

Adults with advanced head and neck cancer.

Multimodal treatment approaches are necessary for advanced cases, with careful monitoring for hearing loss.

Clinical Best Practices

  • Utilize a multidisciplinary approach for managing head and neck cancer.
  • Implement strategies to mitigate hearing loss in patients receiving chemoradiotherapy.

References

Original Source(s)

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