Current aspects of etiology, diagnosis and therapy of otosclerosis

摘要: The presented article shows the current scientific concept including diagnostics and therapy of otosclerosis with an emphasis on surgical treatment options. three main proposed causes for are viral hormonal origin as well a genetic predisposition. In 25 to 50% familiar accumulation can be seen. Usually patients become aware clinical problems by progressive middle ear hearing loss in young adulthood. up 80% cases both affected during lifetime. Surgical options stapedotomy, stapedectomy laser-assisted stapedotomy. every case alternative use aid must offered consultation. Typical complications rare but persistent vertigo, secondary facial palsy sensorineural complete single-sided deafness 1% cases. most common finding which necessitates stapes revision surgery is necrosis long incus process dislocation piston.