Clinical Presentation, Diagnosis, and Treatment of Otosclerosis

Otosclerosis is a condition that affects the bones of the inner ear, leading to progressive hearing loss. It is primarily caused by abnormal bone remodeling in the otic capsule, resulting in fixation of the stapes bone.

Clinical Presentation

Patients with otosclerosis often report gradual hearing loss, tinnitus, and sometimes dizziness. The condition may present bilaterally or unilaterally.

Diagnostic Approaches

• Audiometry: Confirms conductive hearing loss.
• Tympanometry: Evaluates middle ear compliance.
• CT Imaging: Useful for visualizing otosclerotic foci.

Medical and Surgical Treatment Options

Medical Management

• Fluoride Therapy: Aims to slow disease progression.
• Hearing Aids: Assist in sound amplification.

Surgical Intervention

Stapedectomy is the gold-standard surgical procedure for restoring hearing in cases of advanced otosclerosis.

Conclusion

Otosclerosis remains a significant cause of conductive hearing loss. Timely diagnosis and appropriate intervention can significantly improve patient outcomes.