Otosclerosis Causes Symptoms and Treatments

Otosclerosis is a process that occurs
in the middle that leads to hearing loss. So normally when
sound comes into the ear it hits the eardrum, and then it will cause the
little bones to vibrate and then that sends a sound signal through the
inner ear. In otosclerosis there’s a change in how those little bones are
able to move and usually the third little bone, the stapes bone is fixed
and so that sound signal doesn’t get transmitted through the inner ear as
well and so patients have a hearing loss related to that. Otosclerosis commonly
affects patients that are around 30 to 50 years of age or that’s usually when
it presents. More common in women than men but it can affect children and
present in older adults too. Most patients will have hearing loss. Some
patients with otosclerosis will have ringing in their ear or buzzing but
usually have a normal ear exam. don’t have lots of history of ear infections.
To diagnose otosclerosis we usually have patients get a hearing test to confirm
they have a certain type of pattern of their hearing loss, and then we also
examine their ears and they usually have a normal ear exam and then to really
confirm the diagnosis it would be to go into surgery and see that that bone
is not moving adequately. So there’s a couple different ways that we treat
patients with otosclerosis. One is we can observe them. So if the hearing loss is
not significantly impacting their day-to-day activities and we can follow
them with serial audiograms. Other things that we can do is we can
try a hearing aid and so they can see audiologist to get fit for a hearing aid
and then we can also offer a surgery to replace one of those. that little bone
that’s not moving adequately with a prosthesis.

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