What is otosclerosis?

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Otoskleroz Disease ‘about ENT-Head and Neck Surgery Specialist Assoc. Dr. Ozan Seymen Sezen, k In the middle ear, in the ossicles behind the eardrum, and in certain areas, this ear disease, which occurs as a result of calcification, is called ‘Otosclerosis’. If it is not treated, it can bring the patients’ work and social life to a point of stopping, Tedavi he explained in detail.

Patients with otosclerosis hear better in the crowd!

Otoskleroz disease, known as ı inner ear calcification işitme, is one of the common causes of hearing loss. Dr. Ozan Seymen Sezen,, Otoskleroz; It is possible to treat the inner ear nerves only when the disease progresses, often causing hearing loss because it prevents the transmission of sound. 

The disease is genetically transmitted from the family. In other words, family members are more susceptible to this disease. Besides, it is more common in women than men. In young adults (20 to 30 years of age), usually, only one or two ears show signs of decreased hearing. Sometimes, ringing in the ear and rarely mild dizziness accompany this hearing loss. 

Hearing loss increases every year. These people, unlike other hearing loss diseases in crowded and noisy environments (weddings, night clubs, etc.) when they talk with someone who is better than normal. 

Movement restriction occurs in the stirrup

Assoc. Dr. Ozan Seymen Sezen, yapısal In otosclerosis disease, the solidification of the wall of the stirrup ossicle is the result of structural calcification on the wall adjacent to the inner ear. In this case movement of the stirrup occurs. Accordingly, the sound waves cannot be transmitted to the inner ear fluids sufficiently and a hearing loss called ‘transmission type’ occurs.

Only the sounds cannot be transmitted when the inner ear is intact. However, in the later stages of the disease, this calcification may also affect the inner ear wall and neural type hearing loss may also occur. The extent of hearing loss may vary with the severity of calcification. The effects of light sounds such as inability to be heard, ringing, and dizziness and balance problems can also occur. Hafif

The disease has 2 stages!

Sezen, who referred to two different phases of ear calcification, said: The patient can be followed up with hearing tests since the calcification is not fully formed in the early period. In this period, which is also known as soft stage, the patient can be given tablets containing sodium fluoride and the disease progression may be slowed down.

However, when calcification progresses and in the case of a late stage, hearing loss affects the patient’s social life, the treatment method for patients is surgery. 

Inserting ‘Teflon Piston’ into the Ear

Seymen, li There are 3 ways of treatment today. These patients can use hearing aids and get good results. However, this method does not stop disease progression and requires lifetime use. 

The second treatment option is drug use. Various drugs can be used for this. However, they are recommended to reduce the active periods of disease progression. It does not improve hearing and is not used continuously. So there are limited places in the treatment of the disease. 

The step after the determination of transition to surgical therapy to the surgical intervention for the treatment of otosclerosis disease. The name of this surgery is ‘stapedectomy’ surgery. Usually ‘Teflon piston so we call a prosthesis is disposed instead of the bipartite stirrup rest. The hooked upper part of the prosthesis is hung on the anvil bone.

Thus, the prosthetic device from the sound vibrations of the stirrup bone reaches the base of the hole in the inner ear fluid and hearing is restored by creating waves in the liquid. This surgery, which requires specialization, is performed using advanced surgical microscopes and sometimes with the help of laser. Uzman 

Don’t travel with dizziness

As a result of the surgical intervention in the progressive period of the disease, the possible symptoms and the need to be done, Assoc. Dr. Ozan Seymen Sezen,, Possible post-operative symptoms may manifest as dizziness.

Sometimes nausea and vomiting may be accompanied by dizziness, but this is a temporary condition. Pain is rare and mild. In the early postoperative period, patients should avoid traveling by plane and car, dive and heavy lifting until the dizziness completely disappear.

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