Otosclerosis is a condition where abnormal bone growth occurs in the middle ear, fixating or freezing the connections between the three tiny middle ear bones, preventing them from moving properly, which disrupts the transmission of sound and causes conductive hearing loss. [2]
Hearing healthcare providers may use a combination of tools to confirm an otosclerosis diagnosis, including:
- An audiogram – a hearing test that can reveal a characteristic dip in bone conduction thresholds.
- Acoustic immittance testing. Acoustic reflex testing stimulates a tiny muscle in the middle ear. If otosclerosis is present, this reflex response will be abnormal due to the stiffening of the middle ear bones.
- CT scans – imaging that can detect bone changes in the middle ear or cochlea.
Otosclerosis typically develops gradually, often starting in early to mid-adulthood. It may affect one or both ears.
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