Otosclerosis Hearing Loss Diagnosis And Treatment Options | Ear Problems
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- Опубліковано 3 сер 2018
- Otosclerosis Diagnosis And Treatment Options | Ear Problems. Dr. Cliff Olson, Audiologist and founder of Applied Hearing Solutions in Anthem Arizona, discusses Otosclerosis and its treatment options.
Website: www.DrCliffAuD.com
Clinic Website: www.AppliedHearingAZ.com
Otosclerosis and Otospongiosis are caused by bony formations around the Stapes middle ear bone that connects to the cochlea. This impedes the conduction of sound from the eardrum to the cochlea. This typically results in a Conductive Hearing Loss.
Approximately 60% of cases are genetic. It occurs in females twice as often as in males, and in Caucasians more than any other racial group. The onset of Otosclerosis and Otospongiosis is usually around ages 15-45.
Otosclerosis and Otospongiosis are generally diagnosed by a hearing evaluation which indicates a conductive hearing loss, abnormal tympanometry, and often absent reflexes. Once referred to an ENT physician, a CT scan may be completed to confirm the diagnosis.
There are two typical treatment options for these conditions, Amplification with hearing aids and Surgery. Depending on the severity, surgery may be recommended to correct the conductive hearing loss.
The two surgical procedures are a Stapedectomy which involves removing the Stapes and the Stapes footplate and replacing them with a prosthetic, or a Stapedotomy which involves removing the Stapes and drilling a hole into the Stapes footplate and replacing it with a prosthetic.
If the surgical procedures return hearing thresholds to normal, no additional treatment is needed. However, if there is still a hearing loss after surgery, hearing aids may still be needed.
Overall, Otosclerosis and Otospongiosis are very treatable. So if you are on the younger side and your hearing has declined, make sure you find an audiologist to get your hearing tested. The sooner you identify the problem, the sooner you can fix it.
It's worth noting that "hearing aids" includes traditional hearing aids & bone anchored hearing aids.
Can u explain gelle's test..
Hey Doctor, what are your thoughts about sodium fluoride therapy to help slow down the progression of the disease
I was diagnosed with Otosclerosis four years ago. My ear started ringing one night and it didn't disappear after a couple of seconds like it normally did. I went to an Audiologist and they noticed the ear drum wasn't responding properly and that's when I was referred to an ENT who had me do a CT Scan which confirmed Otosclerosis. My hearing has been stable these last four years, the hearing loss I have was deemed to be mild according to the hearing test. The hearing loss wasn't severe enough to warrant an operation so they gave me hearing aids and we're doing a "wait and see" approach.
To those suffering with tinnitus, it does get better as habituation takes hold. I rarely use my hearing aids as I've become fairly accustomed to the ringing and don't notice it most day.
Similar situation here! Only my right ear is affected and diagnosed since 2020. I hear less in my right ear. Tinnitus is annoying but I am used to it now. Main problem would be listening to people speak in crowded area. It isn’t really difficult, but if they are speaking softly it is.
Thank you very much for this informative short video.
Can the otospongiosis make you go deaf? Do you have to do the surgery as soon as you're diagnosed with it? Is it reversible?!
My mother had surgeries for both ears 10 years ago and now she has a hearing loss on the left ear and doctors said she has to do the surgery again!
Hello Doctor!
I've had diagnosed with otosclerosis. I would like to know how to schedule for a surgery on you. I'm from Republic of Moldova. Actually I am a medical student.
Please ask to my question((
Commendable explanation 👏🏻👏🏻
Thanks for the very informative vidoe Dr cliff 👍👍
I have the Oticon Opn1 and they are working great for me. I have an MRI scheduled for Oct 3rd. So many possible side effects with this surgery and they only do one ear at a time. It’s terrifying! This is a great video explaining everything. Not a lot of good info around about it. Thanks for making it.
Glad to help Duncan!
Sir, up to what db of conductive hearing loss is preferred case for stapedotomy?
Sir, up to what db of conductive hearing loss can be reached maximum in otosclerosis?
Say 85 db? 90 db?
I have a question. Can I work out after 3 months of having this surgery ?
Sir I am suffering from otosclerosis in my right ear doctor suggested me to undergo surgery but I am really afraid of it. I can hear but little difficult in hearing.What do you think about it ?
Thank you for your efforts ❤️
Is it possible that after some years your hearing goes down in the ear that has been treated?
Can you use sodium flouride or calcium gluconate before deciding for surgery option
Thanks for the videos Dr Cliff :D
My pleasure Tory!
Hi - I am in the process of scheduling my surgery. I do have some things planned like travel and concerts. How long before you can go to concerts? I think air travel I was told 3 weeks. Thanks
I have otosclerosis and I'm about to go for results from the CT to confirm it. I'm pretty nervous about the whole thing. This video was helpful. Thank you.
Hi I might have this, how did it go for you
I'm in exactly the same position. My appointments are in a couple of weeks. My hearing loss in effected ear is mod. to severe, so I'm hoping I am a candidate for surgery.
Thank u so mut for this valuable information
I was diagnosed with Otosclerosis 6 years ago. That’s on top of the sensorineural HL I already had, in same ear. This ended up with mixed HL in that eat. Otoneurologist refused to do the surgery, because of my age. I am now 67 years old. He thought that surgery was too risky for someone over age 60. Do you agree? I am a speech pathologist. I wear bilateral hearing aids. The mixed HL has resulted in much frustration, because the hearing on that worse side, is still very poor, even with the hearing aid.
Hey Ronnie. It's hard to say. I've had several patients who didn't have the surgery due to the potential associate risks. I can't directly speak to the recommendation you received from the Otoneurologist, but it may be worth a second opinion.
Just a question. Can a person start lifting weights in gym one month after this surgery
Sir, up to what age otosclerosis is progressive??
What is meant by paracusis willisii?
Is there anyone (anywhere in the world) working on alternatives to surgery? I have otosclerosis in my right ear and I want to join the military. The surgery is not a viable option for me.
Any natural ways to improve this?
I have the same problem and doctor recommended me a surgery but I am afraid that if the surgery fails then I would not be able to hear from hearing aids as I do now
There are always risks associated with any surgery, but these surgeries are generally lower risk. I can't blame you for wanting to avoid it though.
I JS finished my 2nd ear yesterday and man this dizziness and unbalance kicking my ass...really bad
Is otosclerosis related to drugs as contraceptives?
Can you do a video about cholesteatoma and hearing loss options after mastoidectomy with tympanoplasty?
I will add this to the list. Thanks.
My father(60) had a problem of water leakage from the ears for a long but he just used to take home remedies to heal that.
But today when he started feeling pain inside his ears we took him to the doctor, he said that there is a damage in the bones of his ears belive me sir this news left us with deep sorrow my mother got extremely emotional.😭
Sir, Does this bone break problem have any solution?
Please help me out sir!
It would be a great help.🙏
thank you Dr'
I am recently diagnosed with bilateral cochlear otosclerosis. My doctor told me that he will give me medicines for it but I am very confused. Please help me as I am only 30 years old and has sensorineural hearing loss.
Same here i m also 30yr and i hve too Otosclerosis. I am afraid plz tell me better optn
I have also operated through this process stepedectomy
Dear doctor I had my sinus surgery 4 years ago and I also had hearing loss for 60% only due to sinus and now I m again feeling sinus and suffering from hearing loss, what would I do plz help, doctor advised me for otoslerosis
Is it sinuses or otosclerosis?
i need to undergo stapedotomy and as of now my TSH levels are a bit high (9.96) can i still go through the surgery in 3 days?
I am not a surgeon. You need to ask your doctor who would perform the surgery.
CANNOT thank you enough doctor.
After 7 months I know now that my dizziness is caused by the existing otosclerosis because it is connected with the inner ear. Waiting time here in Ireland is 2 years and I am constantly dizzy. Any cure until they call me for stapedectomy!
Please do answer.
Thanks
How old are you?
@@sumeradavid8458 I am 50 now and I was cured for dizziness by a physio through some balancing exercises few days after this comment. The name of disease I cannot remember but it was the imbalance due to sinusitis. It gets better until I accidently move my eyes to the extreme corner and the dizziness comes back. Again I am given exercises. I suspect this is incurable disease .
I started having hearing loss and then followed by tinnitus and even episodes of vertigo/nausea/acid reflux. Is it otosclerosis or Mienere* disease. Plz do reply doc.
You gotta go to and Audiologist or an ENT. You can't diagnose either Meniere’s or Otosclerosis based on the symptoms
Всем привет! Меня зовут Александр мне 35 лет! В 2019 поставили диагноз отосклероз на правое ухо !В роду по линии отца и матери отосклероза нет! Как думаете может ли отосклероз переити от меня к моему сыну ???
The doctor I've been to suggested I might have Otosclerosis though only a CT scan would confirm it. I have low frequency hearing loss.
Dear ,Dr
I have done surgery on 2016 but again that bezzing sound arises , and it is more loud than previous one , is there risk for another surgery 😭😭😭😭
Can you hear normally
Hearing test was great though and removed wax still ears ringing
I have had 2 surgeries and now left with nothing to attach..per my Doctor in UW Madison. Will a hearing aid work? I was told no in 2013, the last surgery caused meniere's. I went to the ENT for vertigo last week and he told me a hearing aid would help me now.. that they have improved.
Hello doctor!
I have bilateral otoselerosis doctors recommend me to get surgery..but I'm not sure it'll get successful..so pls tell me what should I do.
I'll wait for your reply.
50 years ago my wife, who is now 76, - she has bilateral otoselerosis, as her mother did - had a stapedectomy in one ear and it was a failure. She was told then never to try it on the other ear, which has slowly declined to the point where it now has 115 DB loss. Her latest hearing test: her audiologist recommended she inquire about cochlear implants and bone anchored hearing aids but she doesn't want to chance another surgery. Maybe in five years . . . any surgery is taking a chance.
I have a stapes operation in 2011 and same hearing issue started again so does it possible to go for same operation again in same ear. Please reply as I feel nervous. Thanks in advance 🙏
Hey Doctor I had this surgery in my left ear. But since last couple of months I m facing same in right ear, do I need to surgery in my right ear too, if I do then will it be any problem?
Thanks
How was the experience if the recovery after you woke up from surgery?? Was terrible painful? Or not too bad?
@@izzycontreras4357 it was okay but after surgery dizziness will always kill you..
@@fahmidafaiza4425 not too bad pain wise?
Always tell them you want medication for nausea direct after surgery (before waking up) . Especially for this surgery.
First surgery more issues. 2nd just over a week ago only slightly dizzyness when moving my head to fast.
Minor pain. Mostly the cut and sometimes a bit earpain.
Simply medication is enough.
Why My ears kept ringing after doing this surgery?
after this surgery patients can able to do MRI or CT Scan?
Yes
+Doctor Cliff, AuD Thanks for reply
I was afraid of the reason that I might lose hearing altogether. Now the tinnitus seems to get louder and louder and hearing is declining too. What are the chances that tinnitus will go away if surgery is successful. I am hesitant about surgery as my CT scan came normal.
If a hearing loss gets corrected, there is a chance that the tinnitus subsides.
Not to contradict the doctor, but tinnitus is tricky. They don't really know what causes it. You may get lucky and have it improve, but that shouldn't be the main reason to have the surgery in my opinion. It ought to be that your hearing loss is severely impacting your quality of life. The hearing improvement is really great, but I still have tinnitus. Maybe when I get my second ear corrected, but I'm not counting on it.
Abid Hyder I went for hearing aid option . Baha 5 and am very satisfied.
Is mager operation
how many days i have to rest after this surgery? i can run and play?
Minimum 1 month
I JS had surgery for this Tuesday..left ear and they gotta do my right ear in a few months
Hello how old are you?
And are you feeling better in hearing after surgery?
I'm going to have this next month..
Suggest me..
@@sumeradavid8458 33....the after surgery gonna be worse than the surgery itself.... depending on how you react to the anesthesia...i had it march 2nd and it's still healing but the hearing in my left ear is amazing...so far..worlds apart...I'll do my right ear after this
Whine time of a serious note: I'm 49 and had a stapedectomy on my right ear that was at about 40% since I was a teenager- but no improvement. Between age 47 and 49 my left ear mysteriously diminished to about 40% and since I met my deductable I had that ear done also. So with what was supposed to be about an 80% chance of improved hearing you would think one of them would have taken but the left ear actually ended up worse. So if I was a gambling man I'd be pretty upset. Well despite not being a gambling man, that double failure just doesn't make sense to me. It's depressing and it's now been over a year since both surgeries so I can't keep waiting for them to heal more- they are what they are. What should I be doing at this point? I have Phonak hearing aids and Bose hearphones but is there anything else that can be done surgically for my situation? Losing your hearing stinks and I'm not saying that I'm young but I'm by no means in the target audience to have hearing aids. Thanks
Do you have a purely conductive hearing loss or is there a sensorineural component as well?
@@DrCliffAuD My right was diagnosed as conductive. my left was diagnosed as conductive but after surgery and 6 months of follow ups it was changed to sensorineural. not sure about the final diagnosis of the right ear
did you ask because you're curious or might you have any suggestions?
This happened to me in my left ear after surgery it got worse. I had surgery when I was 21. I decided not to do my right ear because what was the point for me. Im now in my 50’s and can only hear if you scream into my ear. 😮 I have gone to several ENT’s and all say there’s nothing they can do.
@@Truelyblue333 friend of mine just got her first one done last month and i might at least go to her guy and see what he has to say. sucks don't it?
I just had my surgery one week ago. I feel the tinnitus became very loud, especially when everything is quiet, my tongue taste like metal. I have dizziness which prevent me from driving, even walking where there is a car's noise. After my research, it shows that i should feel the difference after 3 weeks or more, hopefully my hearing get better. I feel some strange sensations on left side of my head. At sleeping time, I feel some liquid inside of my ear (mid ear) moving back and forth when I move my head. Every sound even the normal ones sounds very loud for me and make me nervous. My walking is very slow because I try to find a balance. So, this is all about my First Week After Surgery. I will let you know how I will feel the second week. Inchallah it will be much better. please Doctor after reading this, let me feed back and tell me if this feelings are normal or no ? May God heal every single person who struggle from sickness. amine.
Hi Billy. Others have these reported side effects following surgery. You need to give your body time to heal, but most of these cases have positive outcomes.
Thank you so much for the feedback
I had this to. Is very normal in the 3/6 months you Will ear the sounds very loud. Then with time you Will recovery. Remember that our ear is very sensitive it controls your balance. So try not to do fast movements 😊 I had mine in 2012 and was a sucess a gain Almost everthing.
I had this surgery almost two years ago. What you're describing is NORMAL. Most of it should improve. For me, I still have a strange sensation on my tongue, but I've gotten used to it. I have occasional tinnitus, but again I've gotten used to it.
Overall, I'm very glad I had the surgery. Thinking about having the other ear done soon. It's crazy how little I can hear with what I once considered my "good" ear!
Dear, What is the current progress of hearing after surgery?? Is surgery proved useful for you?
Hello Doctor, greetings from India.
I'm experiencing hearing loss from past 4 yrs. I can hear in calm place but can't hear in noisy place and even can't understand some words after asking twice or thrice that what they said. I had sinus prblm earlier and used spectacles for headache. Now my headache has gone.
I cant hear when some one call me from behind.
But I can purely understand when they talk in front of me.
I had typhoid 3 times and chicken pox once. That was 10 yrs back
Is this affecting my ear ?
Or do I really have ear prblm
Please let me know why I'm facing this prblm .
I have Consulted many ENT but none of them telling what's hindering my hearing .
Have you got it checked with audiologist ?
Can I have a second surgery . My first lasted 30 years but my hearing is going now . I don't do well with hearing aids as I have a narrow canal..I have lost 2. I live in brisbane Queensland Australia. 😅 my name is Maria thankyou😂
My neck stiff too
How this disganosed I did hearing test
Im cousese of this deasese please help me
Kan ki NAS sukh gai hi please help
I can hear but still have ringing in my ears
roger funk it may keep up 6 months
@@Kopte_88 thanks for reply
I'm a professional musician, age 34, and I will be getting a stapedectomy in March 2022.
How it went?
@@widM_ I'm still recovering, but it's amazing so far. The stiches are still healing so I'm not hearing high frequencies yet, but everything is louder than I've ever heard
@@MadeOnTape That's great to hear. How was your hearing before? How quickly did hearing loss progressed after first diagnose?
@@widM_ it's something I had my whole life in my left ear, but I didn't realize it wasn't normal. I just thought I was "right-eared" when I was a kid.
By the time I got it diagnosed, it was not great, then it took me about 5 or 6 years to muster the courage to get the surgery, so the hearing got worse in that time as well
@@MadeOnTape Bro please give me the update. How is it now???
Dear doc....my mom has an unilateral hearing loss for nearly 13 years...her age is 50+...in 2017 we visited an ENT..He confirmed after tympanometry it is otosclerosis bt did not perform any MRI..my mom used to feel as if her ear was watery and water will drain out from her ear...she is also suffering from headaches in the back of head...is there something to worry about??...plzz inform me..
I can only really comment about the hearing loss aspect of Otosclerosis. Any issues with headaches should be consulted with her doctor.
@@DrCliffAuD bt can there be a chance of having acoustic neuroma????
Can there be a chance of having acoustic neuroma????....plzz reply
Dear Doctor I am 69 years old having otosclerosis and acute hearing loss in my left year .I had a stapedectomy in the same year about 25 years ago which improved my hearing and enabled me to work actively .Now at 69 since I am quite healthy and active wanted to know if I can opt for another stapedectomy
How much(%) successful surgery this is?
Probably depends on the surgeon, but success appears to be high.
+Doctor Cliff, AuD Ok thank u so much
👍
Can otosclerosis start with out hearing loss?
Yes, that symptom is why most people see an audiologist.
Homiopathy madicine tell
the speaker looks like an AI ??
I'm diagnosed with moderately severe mixed hearing loss, with a loss of 51dbhl left and 46 dbhl right. And also the neural paths have decreased . What are the options available for this because my doctor told that if there is nerve weakness involved surgery cannot be done.
Hello @ajaiar8468 what did you do about your case, did u have the surgery??
@@MERYRa I had my stapedectomy surgery a year back, only on my left ear, now I'm completely alright hearing is back to normalcy. The right ear has been preserved for the future as a back up .
Всем привет! Меня зовут Александр мне 35 лет! В 2019 поставили диагноз отосклероз на правое ухо !В роду по линии отца и матери отосклероза нет! Как думаете может ли отосклероз переити от меня к моему сыну ????