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Middle Ear, Otosclerosis: Workup
Updated: Nov 7, 2008
Workup
Imaging Studies
Computed tomography scanning of the temporal bone can often demonstrate foci of demineralization in the otic capsule in cases of cochlear otosclerosis.
Other Tests
A full audiometric evaluation, including impedance testing, is necessary.
Histologic Findings
See Pathophysiology.
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References
Toynbee J. Pathological and surgical observations of the diseases of the ear. Trans Med Chir Soc Lond. 1841;24:190-196.
Jack FL. Remarkable improvement of hearing by removal of the stapes. Trans Am Otol Soc. 1893;284:474-89.
Holmgren J. The surgery of otosclerosis. Ann Otol Rhinol Laryngol. 1937;46:3-12.
Sourdille M. New technique in the surgical treatment of severe and progressive deafness from otosclerosis. Bull NY Acad Med. 1937;13:673.
Lempert J. Improvement in hearing in cases of otosclerosis: A new, one-stage surgical technic. Arch Otolaryngol. 1938;28:42-97.
Rosen S. Restoration of hearing in otosclerosis by mobilization of the fixed stapedial footplate; an analysis of results. Laryngoscope. Apr 1955;65(4):224-69. [Medline].
Shea JJ Jr. A personal history of stapedectomy. Am J Otol. Sep 1998;19(5 Suppl):S2-12. [Medline].
McCabe BF. Otosclerosis and vertigo. Proc Trans Pacific Oto-Ophth Soc. 1966;47:37.
Canalis RF. Valsalva's contribution to otology. Am J Otolaryngol. Nov-Dec 1990;11(6):420-7. [Medline].
Frattali MA, Sataloff RT. Far-advanced otosclerosis. Ann Otol Rhinol Laryngol. Jun 1993;102(6):433-7. [Medline].
Ghorayeb BY, Linthicum FH Jr. Otosclerotic inner ear syndrome. Ann Otol Rhinol Laryngol. Jan-Feb 1978;87(1 Pt 1):85-90. [Medline].
Gordon MA, Silverstein H, Willcox TO, et al. A reevaluation of the 512-Hz Rinne tuning fork test as a patient selection criterion for laser stapedotomy. Am J Otol. Nov 1998;19(6):712-7. [Medline].
Karosi T, Konya J, Petko M, et al. Histologic otosclerosis is associated with the presence of measles virus in the stapes footplate. Otol Neurotol. Nov 2005;26(6):1128-33. [Medline].
Lesinski SG. Causes of conductive hearing loss after stapedectomy or stapedotomy: a prospective study of 279 consecutive surgical revisions. Otol Neurotol. May 2002;23(3):281-8. [Medline].
Poe DS. Laser-assisted endoscopic stapedectomy: a prospective study. Laryngoscope. May 2000;110(5 Pt 2 Suppl 95):1-37. [Medline].
Pulec JL. The cause of otosclerosis. Ear Nose Throat J. Dec 1998;77(12):941. [Medline].
Silverstein H. Laser stapedotomy minus prosthesis (laser STAMP): a minimally invasive procedure. Am J Otol. May 1998;19(3):277-82. [Medline].
Silverstein H, Hester TO, Rosenberg SI, et al. Preservation of the stapedius tendon in laser stapes surgery. Laryngoscope. Oct 1998;108(10):1453-8. [Medline].
Further Reading
Keywords
otosclerosis, middle ear, otosclerosis of the middle ear, otospongiosis, total stapedectomy, partial stapedectomy, stapedotomy, otosclerosis, stapes, ankylosis, ear problems, hearing problems, plugged ear, blocked ear, clogged ear, deafness, hearing loss, progressive hearing loss, conductive hearing loss, progressive conductive hearing loss
Workup: Middle Ear, Otosclerosis