Question
I recently came across an article discussing a person with the diagnosis of Cochlear Otosclerosis? Exactly what does the diagnosis of Cochlear Otosclerosis entail? I am assuming a person must have Otosclerosis of the middle ear first in order to get Cochlear otosclerosis? Also I realize it causes SNHL, but what sort of damage does it do to the Inner ear? Some sources mention it causes permanent SNHL but that some medications may be prescribed to prevent further damage. From the House Ear Institute website, it states "in selected cases medication may be prescribed in an attempt to prevent further nerve impairment." What kind of medications are prescribed?
Answer
Yes you are correct, a person must have Otosclerosis of the middle ear first. Cochlear otosclerosis usually occurs in long standing case of otosclerotic fixation of the stapes where the disease process invades the otic capsule. This will begin and usually is contained in the basal turn of the cochlea. The otosclerosis process usually causes a conductive loss. As the disease invades the otic capsule a concomitant sensorineural loss will appear. Radiographic studies (High resolution CT scan) may sometimes reveal the otosclerotic lesion. In the demineralizing or spongiotic stage, normally sharp outline of the capsule becomes interrupted and can disappear. There are reports of otosclerotic invasion of the semicircular canals where dizziness may be a symptom as well.
Treatment for cochlear otosclerosis can include a sodium fluoride regimen. This is used as an attempt to retard or prevent further sensorineural hearing loss. This treatment is not considered a cure but a management technique. George Cire is the Clinical Manager for Bone Anchored Solutions at Cochlear Americas in Englewood, CO. Dr. Cire received his Au.D from A. T . Still University, School of Health Sciences in Mesa, AZ. Dr. Cire has been working in the Audiology field for 29 years.
George Cire, AuD
Clinical Manager, Bone Anchored Solutions, Cochlear Americas
George Cire currently works as Clinical Manager of Bone Anchored Solutions for Cochlear Americas in Englewood, Colorado. Prior to joining Cochlear, Dr. Cire has worked as a field specialist for Phonak Hearing Systems and has been a practicing Audiologist for 30 years. He has worked both in stand-alone private practice and as the director of an ENT affiliated Audiology Practice. His specialty interests are in the areas of clinical verification of amplification and vestibular diagnostics and treatment. Dr. Cire received his BA degree from Louisiana Tech University in Ruston, LA, M.C.D. (Master of Communicative Disorders) from Louisiana State University Health Sciences Center, New Orleans, LA and Au.D. from A. T. Still University, Arizona School of Health Sciences in Mesa, AZ.
Related Courses
1https://www.audiologyonline.com/audiology-ceus/course/implementation-cochlear-implants-enhanced-candidacy-37377Implementation of Cochlear Implants: Enhanced Candidacy Criteria and Technology AdvancesThe participant in this course will understand the extended candidacy criteria with cochlear implantation and expectations. The course will cover implanting under age one, hybrid hearing with cochlear implantation, CI under local anesthesia, single-sided deafness, cochlear implantation, and auditory brainstem implantation.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comImplementation of Cochlear Implants: Enhanced Candidacy Criteria and Technology AdvancesThe participant in this course will understand the extended candidacy criteria with cochlear implantation and expectations. The course will cover implanting under age one, hybrid hearing with cochlear implantation, CI under local anesthesia, single-sided deafness, cochlear implantation, and auditory brainstem implantation.37377OnlinePT60M
The participant in this course will understand the extended candidacy criteria with cochlear implantation and expectations. The course will cover implanting under age one, hybrid hearing with cochlear implantation, CI under local anesthesia, single-sided deafness, cochlear implantation, and auditory brainstem implantation.
2https://www.audiologyonline.com/audiology-ceus/course/conductive-mixed-hearing-loss-otosclerosis-34564Conductive/Mixed Hearing Loss: Otosclerosis and Other CausesThis course will review middle ear mechanics and conductive hearing loss. A highlight of differences and similarities between conditions will be discussed. A review of audiological and otological work-up will be covered and as well as a brief introduction to surgical and non-surgical treatments.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comConductive/Mixed Hearing Loss: Otosclerosis and Other CausesThis course will review middle ear mechanics and conductive hearing loss. A highlight of differences and similarities between conditions will be discussed. A review of audiological and otological work-up will be covered and as well as a brief introduction to surgical and non-surgical treatments.34564OnlinePT60M
This course will review middle ear mechanics and conductive hearing loss. A highlight of differences and similarities between conditions will be discussed. A review of audiological and otological work-up will be covered and as well as a brief introduction to surgical and non-surgical treatments.
3https://www.audiologyonline.com/audiology-ceus/course/audiology-treatment-introduction-to-thieme-32010Current Topics in Audiology Treatment, in Partnership with Thieme PublishersThis course will review current topics in audiology treatment that are detailed in the upcoming book by Thieme publishers. Editor Dr. Jason Galster will provide a tour of content focused on the treatment of hearing loss through amplification, implantable solutions, and a variety of additional techniques.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comCurrent Topics in Audiology Treatment, in Partnership with Thieme PublishersThis course will review current topics in audiology treatment that are detailed in the upcoming book by Thieme publishers. Editor Dr. Jason Galster will provide a tour of content focused on the treatment of hearing loss through amplification, implantable solutions, and a variety of additional techniques.32010OnlinePT60M
This course will review current topics in audiology treatment that are detailed in the upcoming book by Thieme publishers. Editor Dr. Jason Galster will provide a tour of content focused on the treatment of hearing loss through amplification, implantable solutions, and a variety of additional techniques.
4https://www.audiologyonline.com/audiology-ceus/course/sudden-sensorineural-hearing-loss-diagnosis-32026Sudden Sensorineural Hearing Loss: Diagnosis and TreatmentThis course will review the background and epidemiology of sudden sensorineural hearing loss (SSNHL). Identifiable causes, evaluation, and medical treatment options will also be discussed during this one-hour course.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comSudden Sensorineural Hearing Loss: Diagnosis and TreatmentThis course will review the background and epidemiology of sudden sensorineural hearing loss (SSNHL). Identifiable causes, evaluation, and medical treatment options will also be discussed during this one-hour course.32026OnlinePT60M
This course will review the background and epidemiology of sudden sensorineural hearing loss (SSNHL). Identifiable causes, evaluation, and medical treatment options will also be discussed during this one-hour course.
5https://www.audiologyonline.com/audiology-ceus/course/unusual-causes-conductive-hearing-loss-27430Unusual Causes of Conductive Hearing LossIn this webinar, several unusual causes of conductive hearing loss will be examined including enlarged vestibular aqueduct, superior semicircular canal dehiscence, malleus fixation and cerebrospinal fluid leak. The differentiating features of these unusual causes of conductive hearing loss will be discussed relative to more common causes of conductive hearing loss.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comUnusual Causes of Conductive Hearing LossIn this webinar, several unusual causes of conductive hearing loss will be examined including enlarged vestibular aqueduct, superior semicircular canal dehiscence, malleus fixation and cerebrospinal fluid leak. The differentiating features of these unusual causes of conductive hearing loss will be discussed relative to more common causes of conductive hearing loss.27430OnlinePT60M
In this webinar, several unusual causes of conductive hearing loss will be examined including enlarged vestibular aqueduct, superior semicircular canal dehiscence, malleus fixation and cerebrospinal fluid leak. The differentiating features of these unusual causes of conductive hearing loss will be discussed relative to more common causes of conductive hearing loss.
