Hearing loss and tinnitus are the main symptoms of otosclerosis. Little is known about the cause of tinnitus in otosclerosis and the factors influencing the effect of surgery on tinnitus. Though by surgery, we are able to inform patient about probable hearing gain and even benefit concerning bilateral hearing, it is however difficult to predict the course of tinnitus. The principle aim of stape...

OBJECTIVE To assess hearing results following primary stapes surgery in patients with otosclerosis, comparing local and general anesthesia. DATA SOURCES PubMed, Embase, the Cochrane Library, CINAHL, and Scopus. REVIEW METHODS A systematic search was conducted, followed by assessment of directness of evidence and risk of bias. Studies reporting original data on the effect of local anesthesia...

Surgery for otosclerosis is simple in concept, yet good outcomes rely on successful execution of the fine details and the avoidance of complications. There are many descriptions of operative procedures for otosclerosis in the literature, including those by this author. These generally describe the basic elements of the operation in a sequential manner but do not focus on the particular critical...

The diagnostic utility of static immittance (SI) with respect to distinguishing healthy from otosclerotic ears was investigated at different probe-tone frequencies in 68 healthy ears and 36 ears with surgically confirmed otosclerosis. Because one effect of otosclerosis is to shift the resonant frequency of the middle ear to higher values as a result of increased stiffness of the middle ear syst...

INTRODUCTION Despite advances in imaging and other diagnostic tests, it is often impossible to establish with confidence a pre-operative diagnosis in a patient with a conductive hearing loss. METHODS We studied a series of 340 exploratory tympanotomies for conductive hearing loss carried out by a single surgeon. RESULTS The most common operative diagnosis was otosclerosis (n = 164, 48.2 per...

Otosclerosis is an autosomal dominant disease affecting the otic capsule. It is believed to be rare in Asian countries including Malaysia. We analyzed the results of 29 patients (35 ears) who had undergone stapes surgery for suspected otosclerosis from January 1996 to June 2002. The demographic data was analyzed. The procedure most commonly performed was stapedotomy. The closure of air bone gap...

The presented article shows the current scientific concept including diagnostics and therapy of otosclerosis with an emphasis on surgical treatment options. The three main proposed causes for otosclerosis are viral and hormonal origin as well as a genetic predisposition. In 25 to 50% a familiar accumulation can be seen. Usually patients become aware of clinical problems by a progressive middle ...

OTOSCLEROSIS is a disease process which arises in the otic capsule in which the normal bone is replaced by new spongy bone. This process begins most commonly just anterior to the oval window fossa in which the stapes sits. Involvement of the stapes in the disease process reduces its mobility, thus resulting in a conductive deafness. Until the fenestration operation was introduced no surgical tr...

We had a case of 75-year old man with a history of progressive hearing loss on both sides who implanted with a Nucleus 24 Contour Advance in the right ear. After 4 years from implantation, the patient started to complaint of right facial twitching when his cochlear implant was active. Despite undergoing numerous alterations in his implant programming, facial nerve stimulation (FNS) persisted. A...