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Otosclerosis (Otospongiosis)

Kellie D Wheeler, MD Reviewed 04/2024
 


BASICS

DESCRIPTION

  • A primary bone dyscrasia involving the otic capsule with two forms:

    • Clinical otosclerosis: Abnormal spongy bone involves ossicular chain or other structures, leading to altered physi...

DIAGNOSIS

HISTORY

  • Progressive conductive hearing loss, usually with well-preserved speech discrimination

  • Patients are often soft-spoken and aware that they seem to hear better in noisy environments.

PHYSICAL EXAM

TREATMENT

MEDICATION

Newer generation bisphosphonates show promising results, but more research is needed. Sodium fluoride, vitamin D, and calcium gluconate have been tried, especially in cases of pred...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Monitor health-related quality-of-life measures. 

Patient Monitoring

Interval audiometric testing 

PATIENT EDUCATION

  • Because speech discrimination is usually preserve...

REFERENCES

1
Meyer  TA, Lambert  PR. Primary and revision stapedectomy in elderly patients. Curr Opin Otolaryngol Head Neck Surg.  2004;12(5):387–392. [View Abstract on Ovi...

ADDITIONAL READING

de Oliveira Penido N, de Oliveira Vicente A. Medical management of otosclerosis. Otolaryngol Clin North Am. 2018;51(2):441–452  

SEE ALSO

Hearing Loss 

CODES

ICD10

  • H80.90 Unspecified otosclerosis, unspecified ear

  • H80.20 Cochlear otosclerosis, unspecified ear

  • H80.00 Otosclerosis w oval window, nonobliterative, unsp ear

  • H80.10 Otosclerosis involving oval w...

CLINICAL PEARLS

  • The leading cause of conductive hearing loss in adults; clinical onset usually in early 20s—peak incidence third to fifth decade

  • The audiometric signature of otosclerosis is a dip in co...

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