Controversies in the Evaluation and Management of Otosclerosis

John T. McElveen; J. Walter Kutz

doi:10.1016/j.otc.2017.11.017

Controversies in the Evaluation and Management of Otosclerosis

John T. McElveen, J. Walter Kutz

Research output: Contribution to journal › Review article › peer-review

16 Scopus citations

Abstract

Controversies have been associated with the etiology, diagnosis, evaluation, and management of otosclerosis since Valsalva first described stapes fixation as a cause of hearing loss. Although the exact mechanism of the bone remodeling associated with otosclerosis remains uncertain, stapedotomy has been accepted as the surgical treatment of most patients with stapedial otosclerosis. There remains a disparity of opinion, however, regarding the role of preoperative imaging, surgical technique, implant selection, and medical therapy for cochlear otosclerosis. In addition, opinions vary regarding the optimal postoperative care of patients undergoing stapedotomy and a patient's ability to participate in activities that may result in barotrauma.

Original language	English (US)
Pages (from-to)	487-499
Number of pages	13
Journal	Otolaryngologic Clinics of North America
Volume	51
Issue number	2
DOIs	https://doi.org/10.1016/j.otc.2017.11.017
State	Published - Apr 2018

Keywords

Barotrauma
Bisphosphonates
Implantable hearing devices
Lasers
Middle ear actuators
Otosclerosis
Stapedectomy
Stapedotomy

ASJC Scopus subject areas

Otorhinolaryngology

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10.1016/j.otc.2017.11.017

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title = "Controversies in the Evaluation and Management of Otosclerosis",

abstract = "Controversies have been associated with the etiology, diagnosis, evaluation, and management of otosclerosis since Valsalva first described stapes fixation as a cause of hearing loss. Although the exact mechanism of the bone remodeling associated with otosclerosis remains uncertain, stapedotomy has been accepted as the surgical treatment of most patients with stapedial otosclerosis. There remains a disparity of opinion, however, regarding the role of preoperative imaging, surgical technique, implant selection, and medical therapy for cochlear otosclerosis. In addition, opinions vary regarding the optimal postoperative care of patients undergoing stapedotomy and a patient's ability to participate in activities that may result in barotrauma.",

keywords = "Barotrauma, Bisphosphonates, Implantable hearing devices, Lasers, Middle ear actuators, Otosclerosis, Stapedectomy, Stapedotomy",

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AU - Kutz, J. Walter

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AB - Controversies have been associated with the etiology, diagnosis, evaluation, and management of otosclerosis since Valsalva first described stapes fixation as a cause of hearing loss. Although the exact mechanism of the bone remodeling associated with otosclerosis remains uncertain, stapedotomy has been accepted as the surgical treatment of most patients with stapedial otosclerosis. There remains a disparity of opinion, however, regarding the role of preoperative imaging, surgical technique, implant selection, and medical therapy for cochlear otosclerosis. In addition, opinions vary regarding the optimal postoperative care of patients undergoing stapedotomy and a patient's ability to participate in activities that may result in barotrauma.

KW - Barotrauma

KW - Bisphosphonates

KW - Implantable hearing devices

KW - Lasers

KW - Middle ear actuators

KW - Otosclerosis

KW - Stapedectomy

KW - Stapedotomy

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Controversies in the Evaluation and Management of Otosclerosis

Abstract

Keywords

ASJC Scopus subject areas

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