eMedicine Specialties > Pediatrics: Surgery > Otolaryngology
Otosclerosis: Follow-up
Updated: Oct 16, 2008
Follow-up
Further Inpatient Care
- In patients with otosclerosis, audiography should be performed on an annual basis indefinitely.
Prognosis
- Clinical progression of the disease is unpredictable. Bilateral involvement is typical, and, in most cases, conductive hearing loss progresses until the maximal 50-60 dB loss develops.
- Sensorineural hearing loss (SNHL) can result in total deafness, but such severe progression is uncommon.
Patient Education
- For excellent patient education resources, visit eMedicine's Ear, Nose, and Throat Center. Also, see eMedicine's patient education article Tinnitus.
Miscellaneous
Medicolegal Pitfalls
- No unusual or unexpected areas of medicolegal exposure in otosclerosis are recognized.
- The most likely causes of action would be failure to diagnose or failure to inform parents of treatment alternatives. In the latter context, all patients with otosclerosis and their families must recognize that hearing aids work fairly well to remediate hearing loss and that surgery, although the preferred treatment, is not the only treatment
More on Otosclerosis |
| Overview: Otosclerosis |
| Differential Diagnoses & Workup: Otosclerosis |
| Treatment & Medication: Otosclerosis |
Follow-up: Otosclerosis |
| References |
| « Previous Page |
References
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Iurato S, Ettorre GC, Onofri M, Davidson C. Very far-advanced otosclerosis. Am J Otol. Sep 1992;13(5):482-7. [Medline].
Linthicum FH Jr. Histopathology of otosclerosis. Otolaryngol Clin North Am. Jun 1993;26(3):335-52. [Medline].
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Rizer FM, Lippy WH. Evolution of techniques of stapedectomy from the total stapedectomy to the small fenestra stapedectomy. Otolaryngol Clin North Am. Jun 1993;26(3):443-51. [Medline].
Roland PS, Meyerhof WL. Otosclerosis. In: Head and neck Surgery-Otolaryngology. Vol 2. 1998:2083-97.
Willis R. Stapedectomy--past and present. Ann Acad Med Singapore. Sep 1991;20(5):680-5. [Medline].
Zehnder AF, Kristiansen AG, Adams JC, et al. Osteoprotegrin knockout mice demonstrate abnormal remodeling of the otic capsule and progressive hearing loss. Laryngoscope. Feb 2006;116(2):201-6. [Medline].
Further Reading
Keywords
otosclerosis, hearing loss, conductive hearing loss, sensorineural hearing loss, SNHL, deafness, metabolic bone disease, otic capsule, ossicles, tinnitus, disequilibrium, vertigo, otosclerotic inner ear syndrome, secondary endolymphatic hydrops, Ménière syndrome, otitis media, aural atresia, tympanosclerosis, Paget disease, osteogenesis imperfecta
Follow-up: Otosclerosis