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Ruth Gussen, MD

Arch Otolaryngol. 1977;103(5):284-286.

Abstract
• Atypical incudomalleal and incudostapedial joint changes were found in a 55-year-old woman with long-standing rheumatoid arthritis and sicca syndrome (Sjögren syndrome). Available audiograms taken at 37 and 42 years of age demonstrated slight bilateral high-frequency loss of hearing.

The ossicular joint changes involved dissolution of disk material together with proliferation of synovial-type elements of the disk and articular surfaces, with formation of pannus-like tissue. There was extensive destruction of cartilage, with cellular collagenous tissue extending along the exposed bone surfaces. Despite strong similarities to rheumatoid arthritis, a definite diagnosis cannot be made in the absence of the inflammatory, Iymphocyteplasma cell component.

(Arch Otolaryngol 103:284-286, 1977)

Author Affiliations
From the Division of Head and Neck Surgery (Otolaryngology) and Department of Pathology, University of California at Los Angeles School of Medicine, Los Angeles.

Footnotes
Accepted for publication Dec 9, 1976.

Reprint requests to UCLA School of Medicine, 3234 Rehabilitation Center, Los Angeles 90024.

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