otosclerosis Treatment

Otosclerosis called localizedbone damage the capsule, which is located in the labyrinth of the inner ear. As a result of destruction of bone tissue appears stapes ankylosis, entailing disruption of the sound-device in the form of conductive hearing loss.

A decrease in hearing quality is not the only symptom of the disease: a person is pestered by noise and pain in the ear, dizziness and neurasthenia. Are there any chances of recovery?

Why do I get otosclerosis

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Most often, a disappointing diagnosis is made.women aged 20 to 35 years. Why the disease affects the fair sex in the prime of life is not known for certain. As a rule, otosclerosis first affects one ear, and, slowly developing, later passes to the second. This can happen even after a few years. The condition of a woman with otosclerosis can be significantly aggravated due to pregnancy. So, during the first pregnancy, the disease progresses strongly in 33% of expectant mothers, in the second - in 60%, and in the third - in 80%.

There are several hypotheses about the possible factors that encourage the development of hearing loss. The leader among them the hereditary theory: very often the disease runs in families. In addition, 40% of people with otosclerosis, detect various genetic diseases.

Taking into account that patients with otosclerosispregnant women's health condition deteriorates significantly, the researchers suggest that the changes taking place with the endocrine system and metabolism at this time, in some way influence the development of the disease.

Types of diseases

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Gradually, the disease is gaining momentum, and thendisturbed perception of not only low, but already high-pitched sounds. In times when the symptoms of otosclerosis is particularly pronounced, the patient is extremely difficult to understand the whisper, normal speech perception is also given to him with difficulty.

The disappointing fact: hearing loss in otosclerosis regress is impossible, but there is a gradual worsening. In the rapid development of hearing loss can affect the overall fatigue of the body, as well as significant restructuring of endocrine nature, such as childbearing, the process of his birth and menstruation. A characteristic feature of the disease is a drop in the quality of hearing up to 3 degrees of hearing loss despite the fact that the total deafness never comes.

On the "outsider" ringing in the ears (or only oneear) complains to the 80-83% of people with otosclerosis. Describing his feelings, patients notice that constantly hear sounds very similar to the noise of leaves or work primus. Doctors call this phenomenon of white noise. In an attempt to explain its origin, scientists agree that the blame for violations in the cochlea of ​​circulatory and metabolic nature.

If the disease occurs withoutexacerbations affected ear in a patient does not hurt. However, complications otosclerotic process area mastoid ear cover pain Expander nature. Unfortunately, the occurrence of pain indicates that the ear drops more quickly. Dizziness in people suffering from otosclerosis, almost does not happen. If there is something like this, these feelings are not strong and rapidly disappearing. If the hearing loss is very pronounced, the doctor may suggest both its origin (congenital syphilis, for example).

Neurasthenia patients with otosclerosis develops ongrounds of lack of full communion of the fact that it is difficult to perceive is said to them. Hard of hearing people are constantly tense, so try once again with no one to talk. As a result, he became very withdrawn and apathetic. The patient was tormented insomniaSo the day he is sleepy and sluggish. Neurasthenic syndrome is present in almost all cases, it is accompanied by very pronounced white noise and a strong decline in the quality of hearing.

Diagnosis of the disease

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The noise in the ear - the first of the complaints that are heardotolaryngologist from the person suspected of otosclerosis. The doctor's task is to distinguish this disease from similar symptoms to it by other diseases. Among them, for example, an adhesive medium otitis, Chronic suppurative otitis media, cerumen impaction,ear swelling and so forth. To differentiate otosclerosis conduct a thorough study of the ear and otoscopy. During audiometry revealed problems with speech perception at the level of a whisper. If the patient overcomes ear pain and dizziness, need examination by otonevrologa and vestibulologa. With the sighting of X-ray of the skull reveal irregularities in the bone of the labyrinth capsule.

otosclerosis Treatment

Correct otosclerosis surgical treatments that have plagued improved transmission of sound vibrations from a number of auditory ossicles to the perilymph of the maze.

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MirSovetov notes that the actual operation, ifreduction in sound conductivity is at the level of not less than 25 dB, and the air - not more than 50 dB. But if otosclerosis is in an active stage of development or complicated than ever, surgery postponed indefinitely.

Surgical treatment of otosclerosis involves 3 types of surgery: the mobilization of the stirrup, fenestration of the labyrinth and stapedoplasty.

Mobilization aimed at his stirruprelease from the snare of bone adhesions, fenestration - the formation of a new window in the run-up of the maze. Unfortunately, the operation brought only short-term results, and a few years after the visible improvement of hearing loss progresses again. Stapedoplasty considered the most effective, in which the prosthesis is put in place the stirrup. Operate ear that hears worse. If the operation is successful, re-intervention for the correction of hearing in the second ear possible after 5-6 months. In 80% of cases, this operation provides a steady improvement in patient quality of speech perception.

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