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Hearing loss in osteogenesis imperfecta: characteristics and treatment considerations.
[dentinogenesis imperfecta]
Osteogenesis
imperfecta
(
OI
)
is
the
most
common
heritable
disorder
of
connective
tissue
.
It
is
associated
with
fractures
following
relatively
minor
injury
,
blue
sclerae
,
dentinogenesis
imperfecta
,
increased
joint
mobility
,
short
stature
,
and
hearing
loss
.
Structures
in
the
otic
capsule
and
inner
ear
share
in
the
histologic
features
common
to
other
skeletal
tissues
.
OI
is
due
to
mutations
involving
several
genes
,
the
most
commonly
involved
are
the
COL
1
A
1
or
COL
1
A
2
genes
which
are
responsible
for
the
synthesis
of
the
proalpha-
1
and
proalpha-
2
polypeptide
chains
that
form
the
type
I
collagen
triple
helix
.
A
genotype
/
phenotype
relationship
to
hearing
loss
has
not
been
established
in
OI
.
Hearing
loss
is
commonly
found
in
OI
with
prevalence
rates
ranging
from
50
to
92
%
in
some
studies
.
Hearing
loss
in
OI
may
be
conductive
,
mixed
,
or
sensorineural
and
is
more
common
by
the
second
or
third
decade
.
Treatment
options
such
as
hearing
aids
,
stapes
surgery
,
and
cochlear
implants
are
discussed
.
Diseases
Validation
Diseases presenting
"hearing aids"
symptom
dentinogenesis imperfecta
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