A Ahmadzadeh1, M Daraei1, M Jalessi2, A A Peyvandi3, E Amini2, L A Ranjbar1, A Daneshi4. 1. Hearing Disorders Research Center,Loghman Hakim Hospital,Shahid Beheshti University of Medical Sciences,Tehran,Iran. 2. Skull Base Research Center,Hazrat Rasoul Akram Hospital,Iran University of Medical Sciences,Tehran,Iran. 3. Clinical Research Development Center,Loghman Hakim Hospital,Shahid Beheshti University of Medical Sciences,Tehran,Iran. 4. ENT and Head and Neck Research Center and Department,Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences,Tehran,Iran.
Abstract
OBJECTIVE: Rheumatoid arthritis is thought to induce conductive hearing loss and/or sensorineural hearing loss. This study evaluated the function of the middle ear and cochlea, and the related factors. METHODS: Pure tone audiometry, speech reception thresholds, speech discrimination scores, tympanometry, acoustic reflexes, and distortion product otoacoustic emissions were assessed in rheumatoid arthritis patients and healthy volunteers. RESULTS: Pure tone audiometry results revealed a higher bone conduction threshold in the rheumatoid arthritis group, but there was no significant difference when evaluated according to the sensorineural hearing loss definition. Distortion product otoacoustic emissions related prevalence of conductive or mixed hearing loss, tympanometry values, acoustic reflexes, and speech discrimination scores were not significantly different between the two groups. Sensorineural hearing loss was significantly more prevalent in patients who used azathioprine, cyclosporine and etanercept. CONCLUSION: Higher bone conduction thresholds in some frequencies were detected in rheumatoid arthritis patients that were not clinically significant. Sensorineural hearing loss is significantly more prevalent in refractory rheumatoid arthritis patients.
OBJECTIVE:Rheumatoid arthritis is thought to induce conductive hearing loss and/or sensorineural hearing loss. This study evaluated the function of the middle ear and cochlea, and the related factors. METHODS: Pure tone audiometry, speech reception thresholds, speech discrimination scores, tympanometry, acoustic reflexes, and distortion product otoacoustic emissions were assessed in rheumatoid arthritispatients and healthy volunteers. RESULTS: Pure tone audiometry results revealed a higher bone conduction threshold in the rheumatoid arthritis group, but there was no significant difference when evaluated according to the sensorineural hearing loss definition. Distortion product otoacoustic emissions related prevalence of conductive or mixed hearing loss, tympanometry values, acoustic reflexes, and speech discrimination scores were not significantly different between the two groups. Sensorineural hearing loss was significantly more prevalent in patients who used azathioprine, cyclosporine and etanercept. CONCLUSION: Higher bone conduction thresholds in some frequencies were detected in rheumatoid arthritispatients that were not clinically significant. Sensorineural hearing loss is significantly more prevalent in refractory rheumatoid arthritispatients.
Authors: Dionicio Angel Galarza-Delgado; Mario Jesus Villegas Gonzalez; Janett Riega Torres; German A Soto-Galindo; Lidia Mendoza Flores; José Luis Treviño González Journal: Clin Rheumatol Date: 2017-12-22 Impact factor: 2.980
Authors: Nadia L Samaha; Mohamad M Almasri; J Dixon Johns; Michael Hoa Journal: Curr Opin Otolaryngol Head Neck Surg Date: 2021-10-01 Impact factor: 1.814