Otosclerosis- how to manage?
Hello, my nephew, aged 11 years, reported unilateral progressive hearing loss for 5 years, and moderate, intermittent, whistle-like tinnitus; there were no vestibular symptoms. He reported repeated episodes of otitis media with effusion during the past 5 years that was resistant to the usual medical treatment. He had a family history of otospongiosis (mother and maternal grandmother). How to treat this condition?
@rikrounak Conductive hearing loss is frequent in infancy; they are usually secondary to acute or chronic otitis media with or with no effusion. Other congenital or acquired causes of conductive hearing loss, such as otospongiosis and tympanosclerosis, are generally underdiagnosed or diagnosed late, which may result in delayed language development. Treatment approaches to otospongiosis include antienzyme or bone resorption moderating drugs, PSAD, and surgery. Surgery is not recommended in children below age 5 years; in such cases, PSAD are the treatment of choice.