Politzera-Federici Symptom

The Politzer-Federzi sign (also known as “Politzer-Federzi” or “Politzer-Federazi”) is a clinical sign that is used to diagnose diseases of the upper respiratory tract and ear. It was described in 1876 by the Austrian otolaryngologist Otto Politzer and his colleague, the Italian otolaryngologist Francesco Federici.

The symptom is a sensation of vibration in the ear area, which can occur with various diseases of the upper respiratory tract, such as sinusitis, otitis media, pharyngitis, laryngitis and others. The patient may experience vibration in the ear, which may be caused by noise in the nose, throat, or lungs.

To diagnose the disease causing the symptom, the otolaryngologist may perform a number of tests, including audiometry, impedance measurements, and tympanometry. These tests can determine the presence and extent of ear and airway dysfunction.

The Politzer-Federatsi symptom is an important diagnostic sign for identifying diseases of the upper respiratory tract and ear, and can help the doctor correctly diagnose and prescribe appropriate treatment.



The Politzer-Federici symptom, or the “clicking” symptom, is a sign that characterizes the presence of a ruptured eardrum due to ear injury. A rupture (crack) of the eardrum can be detected using two methods: clouding (darkening) of its transparency and a click that occurs when tapping on the mastoid process.

Politzer and Federici independently found a connection between a click in the ear and a ruptured eardrum. Politzer discovered that when there was a rupture in the eardrum, a clicking sound was produced when the edge was tapped. Federici discovered that in patients with a ruptured eardrum, there was a clouding of its transparency.

Both scientists independently described this symptom in 1889.