Materiały źródłowe

• #1 Otosclerosis: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/22033-otosclerosis

  Otosclerosis treatment depends on the location of irregular bone and the severity of your condition. Many people successfully manage otosclerosis-related hearing loss with hearing aids. In select cases, stapedectomy (a type of surgery) can help improve your hearing. If you have cochlear otosclerosis (in your inner ear), your provider may recommend a cochlear implant. […] Hearing aids amplify the sounds around you to help you hear better. An audiologist can customize the settings on your hearing aid according to your specific needs. […] Stapedectomy (stay-puh-DEK-tuh-mee) is the medical term for otosclerosis surgery. During this procedure, an otolaryngologist places a prosthesis (replacement hearing bone) in your middle ear. This prosthesis bypasses the stapes bone, allowing sound waves to travel to your inner ear. As a result, your hearing improves.

• #1 Otosclerosis: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/22033-otosclerosis

  Cochlear implants can improve hearing in people with cochlear otosclerosis. (Your cochlea is a spiral, fluid-filled structure in your inner ear that helps with hearing.) A cochlear implant bypasses your inner ear structures and creates a new pathway on which sounds can travel to your brain. […] You cant cure otosclerosis, but you can manage it with treatment. You’ll likely need a hearing aid or surgery, depending on your specific situation. Or your provider may monitor your condition and recommend treatment only if symptoms worsen. […] Without treatment, otosclerosis may get worse over time. In some cases, it can spread to your inner ear and cause cochlear otosclerosis. Your healthcare provider can discuss your options with you and tell you whether they recommend monitoring your condition or moving forward with treatment.

• #2 Otosclerosis | Otolaryngology⁠ — Head & Neck Surgery | Stanford Medicine

  https://med.stanford.edu/ohns/OHNS-healthcare/earinstitute/conditions-and-services/conditions/otosclerosis.html

  Otosclerosis is an inherited disease that affects the bone of the ear. […] The most common type of hearing loss seen in otosclerosis is known as a „conductive” or mechanical hearing loss, since the disease keeps sound vibrations from being conducted through the middle ear to the inner ear. […] Treatment options for otosclerosis are selected on a number of factors and should be customized to each affected individual. […] Unfortunately, there is no medicine that can definitively reverse the effects of otosclerosis. […] The great majority of individuals with otosclerosis can do quite well with hearing aids. […] Surgery can be a highly effective treatment for otosclerosis. […] Surgery can only help the „conductive” part of the hearing loss (that from immobility of the stapes bone).

• #3 Conservative Otosclerosis Treatment With Sodium Fluoride and Other Modern Formulations: A Systematic Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10008770/

  Otosclerosis, also known as otospongiosis, is a primary osteodystrophy of the otic capsule of the inner ear and one of the leading causes of deafness in adults. The rationale for medical therapy for otospongiosis is to slow down and eventually stop the phase of bone resorption. Conservative treatments include sodium fluoride (NaF), bisphosphonates, and other modern medicines. […] According to the results of the research, the administration of NaF for a period of at least six months stabilizes hearing thresholds (HTs), improves vestibular symptoms, and delays the worsening of tinnitus. The administration of bisphosphonates for a period of at least six months showed significant percentage differences in the improvement of hearing loss, dizziness, and tinnitus remission. […] The therapeutic approach chosen for the treatment of otosclerosis depends on the patients symptoms, general health, age, degree and type of hearing loss, and bilateral or unilateral location of the lesion. Treatment options consist of either simple monitoring, hearing aids, surgical treatment, or medical treatment of the disease.

• #3 Conservative Otosclerosis Treatment With Sodium Fluoride and Other Modern Formulations: A Systematic Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10008770/

  Sodium fluoride (NaF), bisphosphonates, and other formulations such as bioflavonoids, vitamin D, vitamin A, corticosteroids, nonsteroidal anti-inflammatory drugs (NSAIDs), immunosuppressive agents, and biological treatments are available. […] Sodium fluoride and bisphosphonates are the main treatments currently used to prevent the onset or progression of otosclerosis symptoms. NaF, in combination with calcium carbonate and vitamin D, can reduce the rate of deterioration of both conductive and sensorineural hearing loss due to otosclerosis. […] Particularly promising in the treatment of otosclerosis are the bisphosphonates, which are gaining ground, judging by not only the results of their action in the treatment of patients with otosclerosis but also by the possibilities of different routes of administration (oral or intravenous) and the frequency of doses (daily, monthly, or annually). […] Treatment with bisphosphonates has also been suggested in cases where sodium fluoride treatment has not been well tolerated.

• #4 What Is Otosclerosis? Symptoms & Diagnosis| NIDCD

  https://www.nidcd.nih.gov/health/otosclerosis

  How is otosclerosis treated? Currently, there is no effective drug treatment for otosclerosis, although there is hope that continued bone-remodeling research could identify potential new therapies. Mild otosclerosis can be treated with a hearing aid that amplifies sound, but surgery is often required. In a procedure known as a stapedectomy, a surgeon inserts a prosthetic device into the middle ear to bypass the abnormal bone and permit sound waves to travel to the inner ear and restore hearing. […] It is important to discuss any surgical procedure with an ear specialist to clarify potential risks and limitations of the operation. For example, some hearing loss may persist after stapedectomy, and in rare cases, surgery can actually worsen hearing loss.

• #5 Otosclerosis Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Details

  https://emedicine.medscape.com/article/859760-treatment

  As with conductive hearing losses of other etiologies, hearing aids are usually helpful. Fluoride supplementation has met with variable response and is used sporadically for labyrinthine otosclerosis. It has also been used for postoperative medical management of obliterative otosclerosis. […] Approaches to surgical management of otosclerosis include total stapedectomy, partial stapedectomy, and stapedotomy. Hearing improvement can be achieved through surgery for congenital stapes footplate ankylosis with a concomitant ossicular chain anomaly. Final hearing levels after surgery can be influenced by sensorineural impairment. […] A study by Vincent et al indicated that stapedotomy can be safely and effectively performed in children with juvenile otosclerosis. The study included 34 pediatric patients with otosclerosis (41 primary stapedotomies total), with the postoperative air-bone gap closure being 10 dB or less in 93% of patients and to within 20 dB in 98% of patients.

• #5 Otosclerosis Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Details

  https://emedicine.medscape.com/article/859760-treatment

  Commonly quoted statistics indicate that 90% of appropriately chosen surgical candidates enjoy a significant hearing improvement. Eight percent experience no significant hearing improvement. Up to 2% (including 0.2% who may experience complete sensorineural hearing loss in the operative ear) experience additional hearing loss. […] The aforementioned study by Wedel et al indicated that stapedotomy is an effective treatment for otosclerosis. The report looked at 93 stapedotomies in patients with otosclerosis, with the mean postoperative air-bone gap being 10 dB or less in 59% of surgeries. Other signs of success included improvement in 75% of procedures according to the Belfast rule of thumb. The investigators also determined that the size of the preoperative air-bone gap directly corresponded to how well the patient could hear after surgery.

• #6 Otosclerosis

  https://www.nhs.uk/conditions/otosclerosis/

  The 2 main treatment options for otosclerosis are hearing aids or surgery. […] Hearing aids work by making the sounds around you louder. They can help you hear easier, but they will not stop your hearing from getting worse. […] You may also be offered surgery to remove one of the small bones (the stapes) in your affected ear or ears. If your stapes is removed, it will be replaced by a plastic or metal implant. Surgery is usually very successful at improving hearing. […] You will usually be referred to an ear, nose and throat specialist (ENT) who will help you decide which treatment may be best for you.

• #7 Treatments | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/ear-nose-and-throat/otosclerosis/treatments.html

  Hearing aids amplify the sound around you so you can hear. We recommend hearing aids for people with otosclerosis who have conductive hearing loss caused by immobility of the stapes. Our specialists work with you to figure out the type, fit, and settings that work best for you. […] Surgery is an option for people with advanced conductive hearing loss from otosclerosis. Using small incisions and tiny instruments, we perform microsurgery to fix the delicate structures in your ear. We use a microsurgical procedure called stapedectomy (or stapedotomy). This procedure involves removing all or part of the stapes and replacing it with an artificial device (prosthesis). […] On occasion, we may recommend cochlear implant surgery. This procedure may help restore hearing for people with significant inner ear hearing loss (sensorineural) in addition to mechanical hearing loss (conductive).

• #8 Otosclerosis | The Ear Institute

  https://theearinstitute.com/ear-hearing/otosclerosis/

  Mild cases of otosclerosis can be corrected with a hearing aid designed to amplify sounds. Orally ingested sodium fluoride has been shown to slow the progression of the disease, and may be an option. […] In more advanced cases, a surgical procedure known as a stapedectomy is often performed. In this surgery, part or all of the affected stapes bone is removed and replaced with a prosthetic device that enables the bones of the middle ear to resume movement, allowing sound waves to reach the inner ear, improving or restoring hearing. […] There are inherent risks in any surgery, but left untreated, otosclerosis will only get worse. Speak to your doctor about the best treatment options for your hearing loss.

• #9 Otosclerosis – American Hearing Research Foundation

  https://www.american-hearing.org/disease/otosclerosis/

  Otosclerosis affects the bones of the middle ear that conduct sound. […] Treatment for otosclerosis depends on the persons specific circumstances, the degree of the symptoms, and decisions made together by the doctor and individual. […] Different approaches that have been used to treat and/or manage otosclerosis include the following: […] Otosclerosis will progress to different degrees and at different rates for different people. […] Many people with otosclerosis use hearing aids to help compensate for the hearing loss. […] Some doctors prescribe these dietary supplements in certain doses and according to specific schedules in the hope of slowing the progression of the disease. […] The doctor may consider a specialized surgery known as a stapedectomy when the otosclerosis has progressed to a certain point.

• #9 Otosclerosis – American Hearing Research Foundation

  https://www.american-hearing.org/disease/otosclerosis/

  Currently, there is no drug treatment for otosclerosis. But research continues with the goal of one day developing safe and effective pharmacological therapies to treat the disorder. […] People with otosclerosis should speak with their physicians about the challenges theyre facing and seek appropriate professional support.

• #10

  https://journals.lww.com/jaapa/fulltext/2017/02000/otosclerosis__an_update_on_diagnosis_and_treatment.3.aspx

  Hearing aids are an alternative for patients who are not candidates for stapes surgery or are in need of sensorineural hearing loss correction. […] Implantable hearing aids, such as middle ear implants and bone conduction implants, are now being used in patients with otosclerosis who do not tolerate traditional hearing aids. […] Cochlear implants do not amplify acoustic signals like hearing aids. […] Although cochlear implants are beneficial for some patients, other research suggests that stapedotomy combined with hearing aids results in good outcomes in patients with severe mixed hearing loss. […] Pharmacological options are not considered mainstream treatment for otosclerosis; the efficacy of various treatments is still in question. […] Sodium fluoride acts as an antagonist to bone remodeling and osteoclast activation throughout the skeletal system.

• #10

  https://journals.lww.com/jaapa/fulltext/2017/02000/otosclerosis__an_update_on_diagnosis_and_treatment.3.aspx

  Otosclerosis, a process of progressive pathologic bone remodeling, is one of the more complex diseases that leads to hearing loss. […] The traditional treatment of otosclerosis, stapes surgery, is now being augmented or replaced by innovations in hearing aid technology and cochlear implants. […] Stapes surgery restores the mechanical transmission of sound through the middle ear, correcting conductive hearing loss. […] Stapedectomy, in which the stapes footplate and the crura are removed and replaced with a prosthesis. […] Stapedotomy, in which a small hole is made in the central aspect of the stapes footplate for the prosthesis without the removal of the structure. […] Indications for stapes surgery include conductive hearing loss, air-bone gap of at least 20 dB, speech discrimination score of 60% or greater, and good patient health.

• #10

  https://journals.lww.com/jaapa/fulltext/2017/02000/otosclerosis__an_update_on_diagnosis_and_treatment.3.aspx

  The adequate dosage of sodium fluoride required to arrest bone remodeling in the otic capsule has yet to be determined. […] Bisphosphonates and vitamin D also are being considered as possible future treatments for patients with otosclerosis; however, research is in an early phase. […] Improvements in technology and research have paved the way for additional diagnostic techniques and advancement in treatments.

• #11 Otosclerosis Treatment Procedures | Sydney Hills ENT Clinic

  https://hillsent.com.au/services/otosclerosis-stapedectomy-surgery/

  In otosclerosis, excessive bony growth occurs around the third middle ear bone (stapes or stirrup), which normally conducts the sound to the cochlea. […] This stapedial otosclerosis is correctable by surgery. […] For patients with stapedial otosclerosis, surgery known as a stapedectomy may be recommended. This surgery is performed through the ear canal, however an incision behind or anterior to the ear may be made to remove muscle tissue to use in the operation. The operation can be performed under either general or local anaesthesia, and is usually a day surgery procedure with no overnight hospital stay required. Stapedectomy has a 90% success rate in permanently restoring hearing. […] If patients are not candidates for stapedectomy, we can offer rehabilitation options including hearing aids, bone anchored hearing devices (Baha or Sophono) and cochlear implants.

• #11 Otosclerosis Treatment Procedures | Sydney Hills ENT Clinic

  https://hillsent.com.au/services/otosclerosis-stapedectomy-surgery/

  When there is a sensorineural (nerve) component to the patients hearing loss with otosclerosis, or if there is unexplained nerve hearing loss and a family history of otosclerosis then medical therapies may be indicated. […] Sodium floride theoretically enters the abnormal bone in the ear and arrests the disease progression in 70-80% of patients. […] These medicines are not recommended in children, if pregnant or breast feeding. […] Bisphosphonates have replaced the use of sodium floride in the treatment of other bone disorders such as Pagets disease, osteoporosis and osteogenesis imperfecta due their affinity to enter bone and reduce the dissolving of hard bone.

• #12 Otosclerosis | Temple Health

  https://www.templehealth.org/services/conditions/otosclerosis

  Both nonsurgical and surgical treatments for otosclerosis exist, and treatment depends on the degree of hearing loss and patient preference. […] Surgery involves either drilling through the bottom of the stapes bone and placing a prosthesis in that hole (stapedotomy) or removing the entire bone and implanting a prosthesis (stapedectomy). […] These will help with hearing loss due to the disease. As the disease progresses, more powerful hearing aids may be needed. […] A cochlear implant is an electronic sound processor, one part of which hooks over the ear and the other is implanted inside the ear. The two pieces are coupled by a powerful magnet. This might be needed if the otosclerosis has affected hearing in the inner ear in addition to causing stapes fixation. […] This dietary supplement is used to speed up hardening of otosclerosis lesions to limit the damage they cause. It may have side effects, including nausea, itching and joint pain.

• #13 Treatment of Far-Advanced Otosclerosis: Stapedotomy Plus Hearing Aids to Maximize the Recovery of Auditory Function—A Retrospective Case Series

  https://www.mdpi.com/2227-9032/11/5/676

  Far-advanced otosclerosis (FAO) refers to severe otosclerosis with scarce auditory functions. […] The combination of surgery and hearing aids allowed excellent recovery of the perception of pure tone sounds and speech. […] Our results suggest that stapedotomy plus hearing aids could improve the auditory capacities of patients with FAO independent of their auditory thresholds at T0. […] FAO can be treated using (i) conventional hearing aids, which due to the poor results that could be obtained, are only indicated in patients with contraindications to surgery; (ii) stapedotomy plus conventional hearing aids; (iii) stapedotomy plus implantable middle-ear prostheses; and (iv) cochlear implants. […] Currently, despite the interesting proposal of Merkus et al., the guidelines for the treatment of FAO are unclear, and the choice of the method to restore the hearing capacity is a physician’s personal decision.

• #13 Treatment of Far-Advanced Otosclerosis: Stapedotomy Plus Hearing Aids to Maximize the Recovery of Auditory Function—A Retrospective Case Series

  https://www.mdpi.com/2227-9032/11/5/676

  Our study aims to evaluate the improvement in hearing capacities in a series of patients who underwent stapedectomy plus hearing aids independent of the scores obtained in the SPT; this aim could validate (or invalidate) Merkus’s suggestions. […] Overall, our results show that combining stapedectomy with hearing aids benefitted patients affected by FAO independent of their pre-surgery WRS. […] Stapedotomy presents some advantages compared to a cochlear implant. […] The use of a cochlear implant in the treatment of FAO allows patients to obtain better results compared to the conventional stapedotomy plus hearing aid with regards to the improvement in the hearing threshold. […] Today, there is a lack of guidelines to support hearing specialists in the choice between stapedotomy and cochlear implants for the treatment of patients with FAO. […] Our case series showed that patients with FAO might benefit from stapedectomy plus hearing aids; this could allow them to recover good auditory functions in terms of both the PTA test and the SPT. […] Both stapedotomy and cochlear implantation are effective therapies for FAO.

• #14 Otosclerosis: Practice Essentials, History of the Procedure, Epidemiology

  https://emedicine.medscape.com/article/994891-treatment

  Otosclerosis surgery has developed through 3 distinct eras. Approaches to surgical management of otosclerosis include total stapedectomy, partial stapedectomy, and stapedotomy. […] This technique gained wide acceptance and has been improved since inception. In the 1970s, Myers conducted stapedotomy using a piston prosthesis. […] A stapes surgery can improve the symptoms, but endolymphatic hydrops should be ruled out prior to consideration of otosclerosis surgery. […] Indications for surgical management of otosclerosis include conductive hearing loss with a greater than 20 dB air-bone gap. […] All patients with otosclerosis should be offered the option of wearing a hearing aid prior to proceeding with stapes surgery.

• #15 Otosclerosis: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001036.htm

  Otosclerosis may slowly get worse. The condition may not need to be treated until you have more serious hearing problems. […] Using some medicines such as fluoride, calcium, or vitamin D may help to slow the hearing loss. However, the benefits of these treatments have not yet been proven. […] A hearing aid may be used to treat the hearing loss. This will not cure or prevent hearing loss from getting worse, but it may help with symptoms. […] Surgery can cure or improve conductive hearing loss. Either all or part of one of the small middle ear bones behind the eardrum (stapes) is removed and replaced with a prosthesis. […] A total replacement is called a stapedectomy. […] Sometimes only part of the stapes is removed and a small hole is made in the bottom of it. This is called a stapedotomy. Sometimes a laser is used to help with the surgery.

• #16 Stapedectomy: Definition, Surgery, Procedure & Recovery

  https://my.clevelandclinic.org/health/treatments/22382-stapedectomy

  A stapedectomy is surgery to treat hearing loss caused by otosclerosis. This condition affects your hearing by damaging your stape, a tiny U-shaped bone in your middle ear. Your stape helps you hear by sending sound waves from your middle ear to your inner ear. In a stapedectomy, healthcare providers replace your damaged stape with an artificial device. […] Healthcare providers perform stapedectomy (stay-puh-dek-tuh-mee) surgery to restore your hearing. Stapedectomies repair middle ear damage caused by otosclerosis. This condition damages your stape, which is a tiny U-shaped bone in your middle ear that sends sound waves to your inner ear. Healthcare providers treat otosclerosis by replacing your stape with an artificial device. […] You may need a stapedectomy if you have hearing loss caused by otosclerosis (oh-tuh-skli-roh-sis). This condition happens when your stape fuses with surrounding bone tissue, losing the flexibility it needs to transmit sound waves from your middle ear to your inner ear.

• #17 Otosclerosis | Boston Medical Center

  https://www.bmc.org/patient-care/conditions-we-treat/db/otosclerosis

  If the hearing loss is mild, the otolaryngologist may suggest continued observation or a hearing aid to amplify the sound reaching the ear drum. […] Sodium fluoride has been found to slow the progression of the disease and is sometimes prescribed. […] In some cases of otosclerosis, a surgical procedure called stapedectomy can restore or improve hearing. […] A stapedectomy is an outpatient surgical procedure done under local or general anesthesia. […] The prosthetic device allows the bones of the middle ear to resume movement, which stimulates fluid in the inner ear and improves or restores hearing. […] Modern-day stapedectomy has been performed since 1956 with a success rate of approximately 90 percent. […] Following surgery, patients may be asked to refrain from nose blowing, swimming, or other activities that may get water in the operated ear.

• #18 Otosclerosis Treatment & Stapedectomy NYC | Mount Sinai – New York

  https://www.mountsinai.org/locations/ear-institute/conditions/otosclerosis

  Otosclerosis is a disorder in which abnormal bone forms around the stapes — a tiny bone within your inner ear (cochlea). This abnormal bone growth prevents the stapes from vibrating properly, causing a decrease in hearing, sometimes in both ears. […] Because Mount Sinai has been treating otosclerosis for many years and has a longstanding reputation for excellence, our Center for Hearing and Balance is a major referral hub for patients with otosclerosis. We treat a high volume of cases each year and have years of experience restoring patients’ hearing. […] Stapedectomy — the surgical removal of the stapes and insertion of a prosthesis — was first introduced at Mount Sinai in the 1950s. At Mount Sinai we perform many stapedectomy operations each year, with excellent results. An alternative to stapedectomy is the use of a hearing aid. No medication has proven effective.

• #18 Otosclerosis Treatment & Stapedectomy NYC | Mount Sinai – New York

  https://www.mountsinai.org/locations/ear-institute/conditions/otosclerosis

  Stapedectomy is successful in restoring hearing in more than 90 percent of cases, and the gain in hearing is usually permanent. In a small number of cases, there is no improvement in hearing. […] The hearing usually starts to return about one week after surgery and can improve thereafter. […] Patients usually leave the hospital the same day and are encouraged to rest at home and avoid strenuous work for one week after surgery. […] The gain in hearing is usually rapid and permanent, and the prosthesis rarely fails.

• #19 What is Otosclerosis? (Definition, Symptoms, and Treatment Options)

  https://www.houstonent.com/blog/what-is-otosclerosis-definition-symptoms-and-treatment-options

  Around 90 percent of patients experience hearing improvement after surgery. In around eight percent, the inner ear becomes a little worse and they can still use a hearing aid or hearing remains unchanged. In around one to two percent, the hearing loss may become worse. In rare cases (around one in 100), the inner ear can stop working entirely which means a hearing aid can’t be used. Sometimes, additional surgery might be necessary.

• #20 SciELO Brazil – Brazilian Society of Otology task force – Otosclerosis: evaluation and treatment Brazilian Society of Otology task force – Otosclerosis: evaluation and treatment

  https://www.scielo.br/j/bjorl/a/J98FqMQdLzXcr7MmnwpzJJF/

  Objectives: To review and provide evidence-based recommendations for the diagnosis and treatment of otosclerosis. […] Results: The topics were divided into 2 parts: 1) Diagnosis – audiologic and radiologic; 2) Treatment – hearing AIDS, pharmacological therapy, stapes surgery, and implantable devices – bone-anchored devices, active middle ear implants, and Cochlear Implants (CI). […] Drug treatment has shown little benefit. If the patient does not want to undergo stapedotomy, the use of hearing aids is well indicated. Implantable systems should be indicated only in rare cases, and the CI should be indicated in cases of profound deafness. […] Stapes surgery is recommended for patients with conductive hearing loss with mean pure tone thresholds ≥ 25 dB at 250 Hz, 500 Hz, 1000 Hz, and 2000 Hz and an ABG ≥ 20 dB.

• #20 SciELO Brazil – Brazilian Society of Otology task force – Otosclerosis: evaluation and treatment Brazilian Society of Otology task force – Otosclerosis: evaluation and treatment

  https://www.scielo.br/j/bjorl/a/J98FqMQdLzXcr7MmnwpzJJF/

  Among nonsurgical treatment options, hearing devices provide the best result. Drug treatment has shown few satisfactory results. […] The use of hearing aids is well indicated for the treatment of patients with otosclerosis. However, when compared with stapes surgery, the cost-benefit ratio is worse. […] Patients with otosclerosis and severe mixed hearing loss with an ABG > 30 dB should consider stapedotomy with subsequent use of a PSAP. Results are good when discrimination of disyllabic words is greater than 50% at 70 dB. […] The surgery indicated for auditory rehabilitation in patients with otosclerosis is stapedotomy, which is a safe procedure if performed by an experienced surgeon. […] Cochlear implantation outcomes in advanced otosclerosis are similar to those in patients with other causes of profound deafness.

• #21 Otosclerosis – Balance & Dizziness Canada

  https://balanceanddizziness.org/disorders/vestibular-disorders/otosclerosis/

  Hearing aids are usually the first treatment choice. […] Hearing improves for 80% of patients after minimally invasive surgery. […] Treatment for otosclerosis depends on the severity and type of hearing loss, age and overall health, and patient preferences. Your doctor will discuss the risks and benefits of each treatment. […] If otosclerosis has not progressed past the middle ear, hearing aids are usually the preferred first treatment choice to correct conductive hearing loss. […] Stapes surgery corrects conductive hearing loss by restoring the mechanical transfer of sound through the middle ear. […] 80% of patients have significantly better hearing after surgery. […] To be considered for stapes surgery, patients need good inner-ear function in both ears (bilateral) as well as in range conductive hearing tests. […] Cochlear implantation is rarely a treatment option and often comes only after unsuccessful otosclerosis surgeries.

• #22 Otosclerosis Treatment in Farmington Hills | Michigan Ear Institute

  https://michiganear.com/services/otosclerosis-stapedectomy/

  Stapedectomy or stapedotomy is performed though the ear canal under local or general anesthesia. […] The stapes prosthesis allows sound vibrations to pass from the eardrum to the inner ear fluids, correcting the conductive hearing loss. […] Hearing improvement may or may not be noticeable at surgery or immediately afterwards. […] The degree of hearing improvement depends on how the ear heals. […] In two percent (2%) of the cases the hearing may be further impaired due to the development of scar tissue, infection, blood vessel spasm, irritation of the inner ear, or a leak of inner ear fluid (fistula). […] If you are a suitable candidate for surgery, you are also suitable to benefit from a properly fitted hearing aid. […] If you are a suitable candidate for surgery and do not have the stapes operation at this time, it is advisable to have careful hearing tests repeated at least once a year.

• #23 Otosclerosis Surgical Treatment in Dallas, Fort Worth and Frisco, TX – Dallas Ear Institute

  https://www.dallasear.com/services/the-center-for-otosclerosis/otosclerosis-surgical-treatment/

  Most patients with Otosclerosis experience ear ringing (tinnitus). The amount of tinnitus is not necessarily related to the degree or type of hearing impairment. […] Dizziness may occur for a few hours following a stapedectomy and may result in nausea and vomiting. […] Taste disturbance and mouth dryness are not uncommon for a few weeks following surgery. […] A perforation (hole) in the eardrum is an unusual complication of the surgery. […] Temporary weakness of the face is a very rare complication of stapedectomy.

• #24 Otosclerosis | Treatment & Management | Point of Care

  https://www.statpearls.com/point-of-care/26432

  Medical treatment is primarily aimed to halt the progress of otosclerosis or to prevent disease progression. There is no medical therapy that is curative for otosclerosis. Though sodium fluoride is prescribed to slow the progression of otosclerosis, its efficacy is still controversial. Third-generation bisphosphonates, such as risendronate and zolendronate, as well as older medications, like etidronate, have been used to treat otosclerosis with promising results. Additionally, vitamin D and bioflavonoids have been reported to improve hearing in some cases, but are not consistently effective. Bilateral hearing aids are also used in many patients, either alone or in combination with other treatments. […] The treatment of choice is stapedotomy or stapedectomy, along with the placement of a prosthesis. In these procedures, either a hole is drilled in the center of the stapes footplate with a high-speed microdrill or a laser (stapedotomy), and a prosthesis is placed between the long process of the incus and the oval window membrane via the hole in the stapes footplate, or the stapes footplate is removed partially or in its entirety and a prosthesis placed between the incus and the oval window, typically with a vein or fascia graft used to protect the oval window membrane (stapedectomy). Surgical treatment for otosclerosis generally produces good outcomes, irrespective of the approach employed, provided appropriate patient selection. For patients with bilateral otosclerosis, the ear with greater hearing loss is typically addressed first; both ears are not operated under the same anesthetic in order to avoid the very unlikely scenario in which total sensorineural hearing loss occurs bilaterally as a result of surgery. Complications from surgery include facial paralysis, dysgeusia, prosthesis displacement, reparative granuloma, and vertigo.

• #25 Otosclerosis and Hearing Loss: Risk Factors, Symptoms, and Treatment

  https://www.webmd.com/cold-and-flu/ear-infection/otosclerosis-facts

  You may not need treatment right away, but otosclerosis usually worsens over time. Your provider may talk to you about: […] Hearing aids cannot cure otosclerosis, but they can improve the hearing loss you experience because of it. […] If your hearing loss is serious or gets worse, your doctor may recommend a surgery called a stapedectomy. With this procedure, a surgeon puts a device in your middle ear that moves the stuck stapes bone, letting sound waves travel to your inner ear so you can hear better. […] A stapedectomy can help some people. But like all types of surgery, it has risks. In rare cases, it can make hearing loss worse. If you have otosclerosis in both ears, a surgeon will operate on one ear at a time. After the first one, you’ll need to wait at least 6 months for it to be done on your other ear. […] Some doctors may treat otosclerosis with sodium fluoride, a dietary supplement. But this hasn’t been proven to work.

• #26 Otosclerosis

  https://dariuskohanmd.com/otosclerosis

  If the hearing loss is mild, Dr. Kohan may suggest continued observation and/or the use of a hearing aid to amplify the sound reaching the ear drum. […] Sodium fluoride has been found to slow the progression of the disease, particularly when it affects the cochlea, and may also be prescribed. […] In most cases of otosclerosis, a surgical procedure called stapedectomy is the most effective method of restoring or improving hearing. […] A stapedectomy is an outpatient surgical procedure done under local or general anesthesia through the ear canal with an operating microscope. […] It involves removing the immobilized or fixed stapes bone and replacing it with a prosthetic device. […] The prosthetic device allows the bones of the middle ear to resume movement, which allows sound to properly reach the fluid in the inner ear and thereby improves or restores hearing. […] Modern-day stapedectomies have been performed since 1956 with a success rate of 95 percent. […] Following surgery, patients are asked to refrain from nose blowing, heavy lifting, aerobic exercise or other activities that may change pressure in the operated ear.

• #27 Otosclerosis – Office Instructions – ENT Specialty Care

  https://www.entspecialtycare.com/provider-physician/instructions-otosclerosis/

  If the hearing loss is mild the otolaryngologist may suggest continued observation and a hearing aid to amplify the sound reaching the ear drum. […] Sodium fluoride has been found to slow the progression of the disease and may also be prescribed. […] In most cases of otosclerosis a surgical procedure called stapedectomy is the most effective method of restoring or improving hearing. […] A stapedectomy is an outpatient surgical procedure done under local or general anesthesia through the ear canal with an operating microscope. […] It involves removing the immobilized stapes bone and replacing it with a prosthetic device. […] The prosthetic device allows the bones of the middle ear to resume movement which stimulates fluid in the inner ear and improves or restores hearing. […] Modern-day stapedectomies have been performed since 1956 with a success rate of 90 percent. […] Following surgery patients may be asked to refrain from nose blowing swimming or other activities that may get water in the operated ear.

• #28 Otosclerosis | Rocky Mountain Ear Center

  https://rockymountainearcenter.com/ear-problems/otosclerosis/

  If the hearing loss is mild, the otoneurologist may suggest continued observation and a hearing aid to amplify sounds reaching the eardrum. […] Sodium fluoride has been found to slow the progression of the disease and may also be prescribed. […] In most cases of otosclerosis, a surgical procedure called stapedectomy is the most effective method of restoring or improving hearing. […] Following surgery, patients may be asked to refrain from nose blowing, swimming, or other activities where water may enter the operated ear. […] Since packing is placed in the ear at the time of surgery, hearing improvement will not be noticed until packing is removed after surgery at the follow up appointment.

• #29 Otosclerosis and Stapedectomy Specialists | Idaho Ear Clinic Boise | Otologists and Neurotologists Boise, ID

  https://www.idahoear.com/condition-otosclerosis/

  If you are a suitable candidate for surgery, you are also a suitable candidate for hearing aids. […] Stapedectomy (or stapedotomy) is recommended for patient with otosclerosis who are candidates for surgery. The procedure is typically performed under local anesthesia. The patient is able to go home the day of surgery. […] The stapes prosthesis moves with the sound waves and transmits those waves to the fluid of the inner ear. The hearing improvement is usually permanent. […] Hearing may be improved immediately following surgery but may fluctuate for the first 2-3 weeks following surgery. Maximum hearing is obtained by approximately 4 months. […] If your surgery is successful and you regain hearing and no longer need your hearing aid, it would be greatly appreciated if you would donate your hearing aid to the Idaho Ear Clinic.

• #30 Otosclerosis Medical Treatment – Dallas Ear Institute

  https://www.dallasear.com/services/the-center-for-otosclerosis/otosclerosis-medical-treatment/

  There are no medicines that can correct or prevent the conductive type hearing loss of Otosclerosis. However, treatment with a fluoride medication may be used for a patient who is developing progressive nerve-type hearing loss related to Otosclerosis. […] A hearing aid can be effective in treating the hearing loss related to otosclerosis in many patients whether the hearing loss is nerve or conductive related. Whether or not a hearing aid is the best option for you is an individual decision between you and your doctor.

• #31 Otosclerosis – ENT Health

  https://www.enthealth.org/conditions/otosclerosis/

  The main options for otosclerosis include observation with repeated hearing tests, a hearing aid(s), or surgery. Observation is recommended only for mild hearing loss. Some medicines such as sodium fluoride or bisphosphonate supplements have been reported to limit the worsening of otosclerosis, but there is no definitive evidence of preventing its progression. […] Surgery for otosclerosis is called a stapedectomy or stapedotomy. In general, the stapes surgery is an outpatient procedure that can be done under local or general anesthesia. The surgery is done through the ear canal with an operating microscope, or endoscope. It involves removing part (stapedotomy) or all (stapedectomy) of the fixed stapes bone and replacing it with a prosthetic device or implant. The prosthetic device allows the bones of the middle ear to move again, correcting the conductive hearing loss. This surgery will not address any inner ear (sensorineural) hearing loss. […] In advanced cases of otosclerosis, in which the disease has caused additional inner ear (sensorineural) hearing loss, a stapedectomy procedure may not be enough to restore useful hearing. In these situations, a cochlear implant may be considered.

• #32

  https://www.browardcenta.com/ear-conditions/otosclerosis/

  Otosclerosis Treatment Options include observation with repeated hearing tests, a hearing aid(s), or surgery. […] Surgery for otosclerosis is called a stapedectomy or stapedotomy. […] The surgery is done through the ear canal with an operating microscope, or endoscope. It involves removing part (stapedotomy) or all (stapedectomy) of the fixed stapes bone and replacing it with a prosthetic device or implant. […] In advanced cases of otosclerosis, in which the disease has caused additional inner ear (sensorineural) hearing loss, a stapedectomy procedure may not be enough to restore useful hearing. In these situations, a cochlear implant may be considered.

• #33 Otosclerosis: A Surprising Cause of Tinnitus (That Can Be Cured)

  https://treblehealth.com/otosclerosis-and-tinnitus/

  It’s important to note that surgical outcomes are generally incredibly successful at treating hearing loss that results from otosclerosis, with one study boasting a success rate of 95% and sustained improvement over 14 years. These positive outcomes are also observed in reducing tinnitus in patients with otosclerosis. […] A more advanced surgical procedure is cochlear implants, usually recommended for those with very severe hearing loss. While they may help improve tinnitus, implants are typically pursued following other attempts at management and treatment. […] Lastly, it’s worth considering hearing aids – an effective option to help address hearing loss from otosclerosis and the perception of tinnitus. […] In any case, more research is needed to determine what effect hearing aids have on tinnitus from otosclerosis specifically.

• #34 Otosclerosis and Stapedectomy | Glacier Ear, Nose & Throat | Blog

  https://glacierentclinic.com/otosclerosis-and-stapedectomy/

  If otosclerosis is confirmed at this time, the surgeon will perform a stapes surgery to fix the hearing loss. […] Sensorineural hearing loss in otosclerosis is thought be the end result of abnormal cycle of softening then hardening of the bone surrounding the inner ear: a process called otospongiosis. […] Generally these medications have minimal side effects but the benefits of these therapies are uncertain.

• #35 Otosclerosis: Symptoms, Diagnosis and Treatment Options

  https://www.healthyhearing.com/report/53072-Otosclerosis

  No medications are available to treat otosclerosis, per the NIDCD. If you are diagnosed, the treatment strategy may depend somewhat on the severity of your hearing loss. […] Doctors sometimes recommend a wait-and-see approach, without any intervention. Observation is a good approach when the hearing loss is mild, and you can hear well enough for everyday life, says Dr. Waguespack. […] Another alternative is using hearing aids to improve your ability to hear. For some people, the level of hearing loss is to a degree where a hearing aid is fine, says Dr. Kim. Getting hearing aids will treat the primary symptomhearing lossbut does not treat the underlying condition of otosclerosis, per the NLM. […] Finally, surgery is a treatment option. Your doctor may recommend a stapedectomy. During this surgery, we remove the non-moving stapes bone and replace it with a prosthesis made out of titanium, explains Dr. Kim.

• #35 Otosclerosis: Symptoms, Diagnosis and Treatment Options

  https://www.healthyhearing.com/report/53072-Otosclerosis

  The majority of the time, this surgery is successful at restoring hearing, she says. There are, however, rare cases where complications can ensure, leading to profound hearing loss or other side effects. If you have bilateral otosclerosis, typically youll have the surgery in your worse ear first, allowing it to heal before having surgery in the other ear, says Dr. Waguespack. […] Keep in mind that choosing to try a hearing aid does not generally preclude having surgery at a later date, says Dr. Waguespack, meaning you may want to try hearing aids first, and later opt to have surgery. […] Otosclerosis will still progress if you dont treat it, notes Dr. Kim. […] If you have symptomshearing loss, dizziness, tinnitusthe best approach is to get diagnosed. Then, if you are diagnosed with otosclerosis, talk to your doctor about your next steps, and what makes sense for you given your level of hearing loss. You may be referred to an audiologist or an ear, nose and throat (ENT) doctor. […] There are so many treatment options available, you shouldnt just not do anything, says Dr. Kim.

• #36 Otosclerosis – Symptoms & Treatment Options – Sunnybrook Hospital

  https://sunnybrook.ca/content/?page=otosclerosis-patient-information

  Otosclerosis is a hereditary condition of the ear whereby bony hardening occurs at the bottom of the third middle ear ossicle (bone) called the stapes. […] The result of otosclerosis is hearing loss, usually occurring in early adulthood with progressive deterioration. […] Treatment options include: Do nothing if the hearing loss is mild or not troublesome. […] Use a hearing aid, a trial of hearing aid is generally available from various manufacturers. […] Surgery, a stapedotomy is a surgery aiming to replace the stapes bone. […] The aim of a stapedotomy is to replace the stapes bone. […] 85% of patients will have significant hearing improvement. […] This operation does not alter the bony process itself and it does not prevent the ear from undergoing further nerve degeneration.

• #37 Otosclerosis

  https://dizziness-and-balance.com/disorders/hearing/otosclerosis/otoscler_treat.html

  There are four treatment options: […] Otosclerosis does not have to be treated, as there are no medications that have been shown to work, and it will progress or not independent of any treatment. […] Hearing aids are effective for conductive hearing loss and certainly are less risky than having ear surgery. […] Cochlear implant (CI) is a more invasive method than the BAHA for improving hearing. […] Lictor (2013) reviewed all medical treatments and concluded that there is no medical treatment proven to work. […] At the present writing, fluoride therapy is no longer a recommended primary treatment for otosclerosis (NIH consensus), because of its effect on other bones including the possibility of increasing the risk of hip fractures. […] A double blinded study found no significant difference (Kennedy et al, 2003).

• #38 Otosclerosis | Causes of Otosclerosis | Otosclerosis Treatment

  https://www.apollohospitals.com/diseases-and-conditions/how-to-manage-ears-with-otosclerosis/

  Otosclerosis is known to cause a hearing loss in both the ears for most patients. […] Depending on the severity of your condition, your doctor will recommend the treatment plan. The method of treatment depends on the individuals circumstantial health, degree of symptoms, and the united decisions of the doctor and patient. Different treatment approaches include: […] Many people who have otosclerosis are recommended to use hearing aids to compensate for their hearing loss. These aids amplify the sound vibrations and fulfill the specific hearing needs of the patients. […] If your hearing loss gets worse or serious, your doctor may recommend a specialized surgical procedure known as stapedectomy. In this surgery, the doctor removes the affected stapes and replaces it with a prosthetic or artificial stapes. […] However, in case you have developed this disease, you need to follow certain measures so as to prevent worsening it. These include: […] Early diagnosis and treatment will help you retain your hearing without the hassle of a surgery.

• #39 What is otosclerosis and how can you treat it?

  https://www.hearclear.com/hearing-health/otosclerosis/

  However, stapedectomy surgery is delicate and not completely without risk. The surgery isn’t always successful and can even worsen hearing loss. […] It’s important that you discuss the potential risks and complications with your doctor. Then balance them with any possible benefits to make an informed decision.

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