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Otosclerosis : Causes, symptoms & treatments

Causes

The cause of otosclerosis is unknown. However, there is some evidence that it may be passed down through families.

People who have otosclerosis have an abnormal sponge-like bone growing in the middle ear. This growth prevents the ear bones from vibrating in response to sound waves. Such vibrations are needed in order for you to hear.

Otosclerosis is the most common cause of middle ear hearing loss in young adults. It typically begins in early to mid-adulthood. It is more common in women than in men. The condition may affect one or both ears.

Risks for this condition include pregnancy and a family history of hearing loss. Caucasians are more likely to develop this condition than people of other races.

Symptoms

  • Hearing loss (slow at first, but gets worse over time)
  • Ringing in the ears (tinnitus)
  • Vertigo or dizzi

Treatment:

Otosclerosis may slowly get worse. The condition may not need to be treated until you have significant hearing problems.

Medications such as fluoride, calcium, or vitamin D may help to slow the hearing loss, but the benefits have not yet been proved.

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 relieve some of the symptoms.

Surgery to remove part of the ear (stapes) and replace it with a prosthesis can cure conductive hearing loss. 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.

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