Otosclerosis

Question 1

Result from the formation of new, abnormal spongy bone, especially around the oval window

More common in women
With familial disposition

Answer 1

Otosclerosis

Question 2

Otosclerosis: Signs and Symptoms

Answer 2

1. Progressive hearing loss
2. Ringing or buzzing in the ear
3. Own voice sounds unusually loud
4. Inability to hear whisper or somebody talking at a distance
5. Can hear fairly well on telephone and in noisy environment

Question 3

Otosclerosis: Management

Answer 3

1. Well fitting hearing aid
2. Stapedectomy

Question 4

Otosclerosis: Surgical Management

Removing of the stapes and part of footplates and inserting a tissue graft and suitable prosthesis

Answer 4

Stapedectomy

Question 5

Otosclerosis: Post-op care

Answer 5

1. Antimotion medication and sedatives for vertigo, nystagmus, or nausea
2. Assist pt in ambulation
3. Pain medication
4. Observe for:
   
   • Ear pain
   • Fever
   • Headache
   • Vertigo

Question 6

Otosclerosis: Post-op care

Patient Education

Answer 6

Advise pt that there may be temporary hearing loss for a few weeks after surgery d/t tissue edema and packing

Packing to be removed by the surgeon in 5-6 days post-op

Protect ear by placing cotton ball n outer ear and changing it BID

Instruct pt to
1. Avoid sudden pressure changes in the ear
- Do not:
- blow nose
- wet head for about 6 weeks
- Avoid sudden head movements
- Avoid flying for several weeks
- Stay away from people with URTI

2. Do not smoke
3. Protect ear when going outdoors for the first week
4. Advise pt to report s/s of complications:
   
   • Return of tinnitus
   • Vertigo
   • Fluctuation of hearing ability