الفهرس 
INTRODUCTION AND AIM OF THE WORKOnly 14 pages are availabe for public view
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Abstract
The aim of this work is to study the degree of hearing loss in rheumatoid arthritis, its relation to the activity and the duration of the disease and to assess the prevalence and severity of laryngeal involvement in patients with rheumatoid arthritis and correlation of this involvement with sex, age onset, disease duration, presence or absence of subcutaneous nodules, serologic status and the degree of erosive changes seen in standard plain radiographs of the hand.
Conclusion:
Rheumatoid arthritis is a systemic connective tissue disorder affecting different organ systems of the body.
Our work revealed that rheumatoid arthritis could affect the middle ear, and/ or the inner ear as well as it could affect the larynx.
Middle ear affection occurs in the form of stiffness of the synovial ossicular joints. This stiffness may occur in the majority of cases without reaching enough level to cause hearing loss (43.33%), or in a few cases (13.33%) it may precede in severity until it reaches enough level to be clinically evident as conductive hearing loss. This conductive hearing loss is not common in the population with rheumatoid arthritis, and may be a part of the inflammatory process affecting synovial joints of the body.
Inner ear affection may be apart of the autoimmune nature of the disease resulting in sensor neural hearing loss (43.33%), usually of the mild type and most probably due to vasculitis the cochlea or the cochlear nerve.
Laryngeal affection occurs in the form of the cricoarytenoid joint, and/ or formation of rheumatoid nodules in the larynx.