Ricerc@Sapienza

Immune-mediated inner ear disease can be primary, when the autoimmune response is against the inner ear, or secondary. The latter is characterized by the involvement of the ear in the presence of systemic autoimmune conditions. Sensorineural hearing loss is the most common audiovestibular symptom associated with systemic autoimmune diseases, although conductive hearing impairment may also be present. Hearing loss may present in a sudden, slowly, rapidly progressive or fluctuating form, and is mostly bilateral and asymmetric.

Presbycusis is the most prevalent age-related, non-reversible, sensorineural hearing loss. Evidence supporting the relationship between auditory dysfunction and cognitive degeneration has grown over the years. Because of the aging of the world population, an early identification of the disease and an audiological recovery could mitigate the rate of cognitive decline with positive consequences for quality of elderly’ social life. A group of 50 patient (70–92 years) underwent audiometric tonal examination to evaluate hearing ability.