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Otosclerosis
Aka: Otosclerosis
- Definition
- Ankylosis between stapes footplate and surrounding bone of the inner ear
- Epidemiology
- Most often presents in middle-aged white women
- Gender predominance: Twice as common in women
- Family History is present in 50% of cases
- Autosomal dominant trait, with poor penetrance
- Pathophysiology
- Abnormal bone deposition at base of stapes (footplate)
- Stapes fixed to oval window and unable to vibrate
- Signs
- Conductive Hearing Loss or mixed Hearing Loss
- Hearing Loss usually limited to 50 decibels
- Disproportionately effects low frequencies most commonly
- Bilateral involvement is most common
- Management
- Hearing Aid
- Sodium fluoride: halts or retards progression
- Surgery: Stapedotomy or Stapedectomy
- Restore transmission with middle ear prosthesis
- Improvement in 95% of patients