Hearing loss in progressive systemic sclerosis patients: a comparative study

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
I KastanioudakisA Skevas

Abstract

To investigate the middle and inner ear involvement in patients with progressive systemic sclerosis (PSS). We prospectively evaluated 34 PSS patients. All patients underwent a complete ear-nose-throat physical examination and audiological evaluation with pure tone, impedance, and speech audiometry. In addition, systemic manifestations of the disease and drug therapy were recorded. Finally, all patients were tested for the presence of autoantibodies. The results were compared with those of 45 age-matched healthy subjects. We found a sensorineural hearing loss in 20% and mixed type hearing loss in 3.3% of the patients. There was no correlation of hearing loss with age, systemic manifestations of the disease, presence of autoantibodies, and drug therapy. Ten percent of the patients had patulous eustachian tubes. One fourth of PSS patients had a hearing loss affecting the middle and mainly the high frequencies. This is a lower percentage than that reported by other investigators. A significant prevalence of bilateral patulous eustachian tubes was noticed as well. Further investigation is needed for a better understanding of the mechanism of ear damage in PSS patients.

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Citations

May 13, 2010·Rheumatology International·Katarzyna MaciaszczykTomasz Durko
Jun 10, 2006·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Rosamaria SantarelliEdoardo Arslan
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Dec 14, 2017·CoDAS·Julia de Souza Pinto Valente, Ana Paula Corona
Feb 28, 2019·CoDAS·Marília Mendes SilvaAna Paula Corona

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