OTOSCLEROSIS

OTOSCLEROSIS
Otosclerosis is the abnormal growth of bone of
the MIDDLE ear. This bone prevents structures
within the ear from working properly and
causes hearing loss. For some people with
otosclerosis, the hearing loss may become
severe.
RISK FACTORS
• It usually starts when you're young. You can develop
otosclerosis between the ages of 10 and 45, but
you're most likely to get it during your 20s.
Symptoms usually are at their worst in your 30s.
• It often runs in families. About half of all people with
otosclerosis have a gene that's linked to the
condition. But even if you have the gene, you won't
necessarily get it.
RISK FACTORS
• Certain medical problems can raise your chances of
otosclerosis. For example, if you had measles at
any time, your risk may go up. Stress fractures to
the bony tissue around your inner ear also might
make it more likely to happen. And immune
disorders, in which your immune system mistakenly
attacks parts of your body, also can be linked to the
condition.
CLINICAL
MANIFESTATION
The main symptom of otosclerosis is hearing loss. At
first, you may notice that you can't hear low-pitched
sounds or people whispering. This usually gets worse
over time.

• Dizziness or balance problems

• Tinnitus, or ringing, roaring, or hissing in your ears
DIAGNOSTIC TESTS
If you notice you have trouble hearing, see an
otolaryngologist (ear, nose, and throat doctor, or ENT).
He'll look closely at your ear, test your hearing, and
ask about your family health history. In some cases, he
may recommend a computerized tomography (CT)
scan. A series of X-rays are taken at different angles
and put together to make a more detailed image.
TREATMENT
Stapedectomy - a surgeon puts a device in your
middle ear that moves the stuck stapes bone, letting
sound waves travel to your inner ear so you can hear
better.
WARNING! - A stapedectomy can help some people.
But like all types of surgery, it has risks. In rare cases,
it can make hearing loss worse.
NURSING
MANAGEMENT
• Sensory alteration interventions
• Don't yell
• Talk into less impaired ear
• Eye contact, standing in front of patient, light touch
NURSING MANAGEMENT
AFTER SURGERY
• Blow nose gently 1 side at a time for 1w
• Sneeze and cough with mouth open
• No heavy lifting, straining, bending
• Popping/cracking sensations normal for 3-5w
• Temporary hearing loss probably normal
• Avoid water in ear (petroleum jelly while showering)
• Report excess drainage
THANK YOU,
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