Clinical picture, diagnosis & treatment
Otosclerosis is a medical condition that afflicts the bony labyrinth in the inner ear. This causes inflammatory bone remodeling processes (otospongiosis), followed by bone ‘hardening’ (sclerotization). This is frequently accompanied by ossicular chain hardening, which in turn leads to conductive hearing loss.
Surgical or medicinal treatment is performed in some cases. If this is impossible, hearing aids will be used to help alleviate the hearing impairment and give you back your quality of life.
There is no known procedure to prevent the bone remodeling process itself. Surgical treatment, during which the attempt is made to reestablish the hardened ossicular chain function, is usually recommended. This is usually performed by removing the stirrup and replacing it with a prosthesis (artificial stirrup). If the cochlea is affected, however, treatment does not have to be surgical; instead, the patient is given sodium fluoride for several months. For some otosclerosis patients, surgical treatment is not possible – making hearing aids the best possible solution to alleviate hearing impairment and ensure additional quality of life.