OTOSCLEROSIS

Presented by-
Rit Jhalak
M.Sc. Nursing 1st year
Medical Surgical Nursing
Govt. College of Nursing, Jagdalpur
ear
PARTS OF THE

EA
 THE EARS
The ears are paired sense
organs, located on each side
of your head. They are
organs of hearing and
balance.
 PARTS OF THE EAR
Outer Ear Middle Ear Inner Ear

Auditory Nerve
Cochlea

Ear Canal Eardrum

Eustachian Tube
 Outer Ear

OUTER
EAR
The outer ear is made up of
cartilage and skin. It collects
and channels sound. It
includes the auricle or pinna,
the visible portion of the ear.
The pinna acts as a funnel
that directs the sound deeper
into the ear.
Auricle
 EAR
wayCANAL
The ear canal is a passage
and amplifier for sound
waves. It is a tube that runs
Ear Canal
from the outer ear to the
middle ear. It is lined with
hairs and glands that secrete
wax. The wax traps dusts
and bacteria.
 EARDRU
M
The eardrum, also called the
tymphanic membrane, is a
thin layer of tissue that Eardrum
separates the outer ear from
the middle ear. The eardrum
vibrates when sound waves
hit it. These vibrations move
the bones in the middle ear.
 Middle Ear

MIDDLE
EAR
The middle ear contains
three ossicles, which are
tiny bones that transfer
the sound from the
eardrum to the inner ear.
 Inner Ear

INNER
EAR
The inner ear, also called
the labyrinth, is
responsible for the body's
sense of hearing and
balance. It is called a
labyrinth because of its
complex shape.
EUSTACHI
AN TUBE
The eustachian tube
equalizes the air Eustachian Tube
pressure between the
inner and outer
surfaces of the ear
drum.
COCHLEA
The cochlea is a snail-shaped
hearing organ. It is made up of Cochlea
three chambers that spiral
around a bony core. The hair
cells inside the cochlea detect
sound and send the
information through the
cochlear nerve.
AUDITOR
Y Auditory Nerve

NERVE
The auditory nerve or
cochlear nerve runs from
the cochlea to the brain
stem. It transforms the
sound vibrations into
electrical impulses sent to
the brain.
Introduction
Otosclerosis or “hardening of the ear” result from the formation of an abnormal
sponge-like bone growth along the stapes in the middle ear.
. With the new bone growth, the stapes becomes immobile prevents transmission of
sound vibration into the ear, leading to conductive hearing loss.
Otosclerosis usually affects both ears
Definition
 a disorder, sometimes hereditary, in which there is
formation of new bone around the base of the stapes
(bone of the middle ear), resulting in progressive
hearing loss.
Causes and risk factors

causes risk factors

. idiopathic . pregnancy ( may
. Hereditary trigger the onset)
. Age (15-35 yrs) . Family history
. common in children . Caucasians
. gender (women) 2:1 (Europeans origin
. Viral infection
people)
(Measles)
. Autoimmune
 Clinical Manifestations

Low- pitched sound cannot be heard

Cannot hear whisper

Conductive hearing loss

Paracusis
paracusis- you tend to hear better when there is a
lot of background noise.
 clinical manifestation
dizziness roaring or buzzing of ear

headache and ear ache

tinnitus balance and co-ordination problem

vertigo
 Diagnostic
• Evaluation
History collection
• Physical Examination
• Audiometric testing:- to determine the extent of
hearing loss
• Vestibular testing:- It is used for the patients who
report balance problems.
• Whispered voice test :- show decreased hearing
 Diagnostic
evaluation
• Rinne’s test :- patient hears best with bone conduction
• Weber Test:- Show laterization to more affected area
3. Tympanocentesis:- Send the fluid of middle ear for
culture
4. CT scan:- Collection of fluid in ear & mastoid region,
abscess formator.
5. MRI:- Evaluation of tumor & soft tissue
Management
 Nursing
Management
Nursing Assessment
Rinne test to
evaluate loss
history of onset and of air
progression of conduction
symptoms

extent of hearing past medical and

loss via family history
audiometry
 Nurses Responsibility
1. Position postoperatively according to orders:
• lying on the operated side facilitates drainage
• lying on the non operated side helps prevent displacement of graft
patient care 2. Instruct the client to alter position gradually to prevent vertigo.
3. Ask question about pain, headache, vertigo, or usual sensations in ear.
4. Instruct avoidance of sneezing, blowing nose, swimming, showering,
and flying until permitted by physician.
5. Explain that because of edema from surgery and the presence of
packing, hearing will be diminished but will improve.
6. Non pharmacologic measure for pain may include heat, distraction and
relaxation techniques.
7. Anti-emetics should be given promptly to prevent nausea.
8. Antibiotics are prescribed to reduced chances of infection.
Health Education
 Follow up care
Use of medication
Calcium rich diet

high protein diet

use of hearing aid
 BIBLIOGRAPHY
1. Nair Ravindran Usha. “TEXT BOOK OF MEDICAL AND SURGICAL NURSING”.
Jaypee Brothers Medical Publications (P) Ltd. 1st edition (2009). New Delhi. Page no:830-
832
2. Venkatesan. B. “TEXT BOOK OF MEDICAL SURGICAL NURSING – Vol-II “.
Emmess Medical Publishers.2nd reprint (2022). Page no: 792-794
3. Ansari Javed. “A TEXTBOOK OF MEDICAL SURGICAL NURSING- II (PART-A)” S.
Vikas & company (Medical Publishers). Revised edition (2019). Page no: 28-32.
4. . Sharma. K Suresh: Madhavi. S. “BRUNNER AND SUDDARTH’S TEXTBOOK OF
MEDICAL SURGICAL NURSING” Kluwer Wolters (India) Pvt. Ltd., New Delhi. South
Asian Edition (2018). Page no: 15-18.
 Net references-

5. https://penmedicine.org
6. https://webmed.com
7. https://enthealth.org
8. https://medlineplus.gov
9. https://en.wikepedia.org
10. https://www.healthline.com
Question
Time