Abstract
In a selected sample of patients affected by juvenile rheumatoid arthritis (JRA) little is known about middle ear involvement, even though many synovial joints are affected. Multifrequency tympanometry was used to measure admittance, conductance, susceptance and phase angle at different probe frequencies and resonant frequencies. In all, 35 children with JRA and a control group (30 children) were studied. Findings showed that mean resonant frequency values in all children with JRA were greater than in the control children. The multifrequency tympanometry parameters measured in acute JRA subjects are not different from parameters of remission JRA subjects except for a change in the phase angle. The changes found are due to involvement of the incudomalleolar and incudostapedial joints. and incudostapedial joints.
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Calogero B, Giannini P, Marciano E, Saulino C, Auletta G, Marcelli V, Strano CG, Alessio M (1992) Middle ear function with multifrequency tympanometry in children affected by juvenile rheumatoid arthritis (abstract). 2nd European Congress of Otorhinolaryngology and Cervicofacial surgery, 6–10 June, Sorrento (Naples). Monduzzi, Bologna, p 170
Copeman WSC (1963) Rheumatoid otoarthritis? BMJ 3: 1526–1527
Eagles EL, Wishik SM, Doerfler LG (1967) Hearing sensitivity and ear disease in children: a prospective study. Laryngoscope 77 [Suppl] 1: 274
Kovarsky J (1984) Otorhinolaiyngologic complications of rheumatoid disease. Semin Arthritis Rheum 14: 141–150
Margolis RH, Hunter LL, Giebink GS (1994) Tympanometric evaluation of middle ear function in children with otitis media. Ann Otol Rhinol Laryngol 106: 34–38
McCandless GA, Thomas GK (1974) Impedance audiometry as a screening procedure for middle ear disease. Trans Am Acad Ophthalmol Otolaryngol 78: 98–102
Moffat DA, Ramsden RT, Rosenberg JN, et al (1977) Otoadmittance measurement in patients with rheumatoid arthritis. J Laryngol Otol 91: 917–927
Reiter D, Konkle DF, Myers AR, Schimmer B, Sugar JO (1980) Middle ear immittance in rheumatoid arthritis. Arch Otolaryngol 106: 114–117
Rodman GP, Schumacher HR (1983) Primer on the rheumatic diseases, 8th edn. Atlanta Arthritis Foundation, pp 97–103
Russolo M, Bianchi M, Miani C (1991) La timpanometria multifrequenziale nella diagnosi di otosclerosi fenestrale. Audiol Ital 8: 87
Siamopoulou-Mavridou A, Asimakopolos D, Mavridis A, Skevas A, Moursopoulos HM (1990) Middle ear function in patients with juvenile chronic arthritis. Ann Rheum Dis 49: 620–625
Van Camp KJ, Creten WL (1976) Principles of acoustic impedance and admittance. In: Feldman AS, Wilber LA (eds) Acoustic impedance and admittance — the measurement of middle ear function. Williams and Wilkins, Baltimore, pp 300–334
Zwislocki J (1976) The acoustic middle ear function. In: Feldman AS, Wilber LA (eds) Acoustic impedance and admittance. The measurement of middle ear function. Williams and Wilkins, Baltimore, pp 66–77
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Giannini, P., Marciano, E., Saulino, C. et al. Middle ear involvement in children with chronic rheumatoid juvenile arthritis. Eur Arch Otorhinolaryngol 254 (Suppl 1), S30–S33 (1997). https://doi.org/10.1007/BF02439717
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DOI: https://doi.org/10.1007/BF02439717