Otosclerosis ear: symptoms and treatment, surgery
How to identify and treat otosclerosis ear?
Many inflammatory and infectious diseases can cause partial or complete hearing loss. Many people think that ear problems only occur due to infections and bacteria trapped in the ear. However, this view is mistaken.
Today, there are several pathologies that lead to a loss of sharpness of sounds and cause severe discomfort in the organ of hearing. One such disease is otosclerosis of the ear.
About the disease
Otosclerosis or otospongiosis is a pathological disease that affects the bony capsule of the labyrinth in the inner ear. Limited change leads to dysfunction of the auditory ossicles in the middle ear.
This affects many functions of human life, including conductive hearing loss occurs and the loss of functionality of the device who perceives the sounds and noises.
Organ the human ear consists of the Pinna, auditory canal, eardrum.
These three components are called the middle region of the organ of hearing.
It also includes the auditory ossicles, which possess mobility and flexibility. Next is the inner ear, which is classified in the maze.
When hit by sound in the ear canal it travels in the eardrum, and then to the auditory ossicles. Redesigned the sound waves pass into the inner ear and then to the brain, which analyzes the information received.
In the disease otosclerosis the incoming sounds do not pass to the stapes and Malleus, as the auditory ossicles are ineffective. With the development of the disease, it goes in the maze and other departments. In this case the person loses hearing completely.
In addition, the person may feel constant pain in my ears, incessant noise and a sense of crackling, dizziness. However, the main symptom of the disease is considered to be a gradual reduction in sounds and noises.
According to statistics, to date, otosclerosis affects about one percent of people around the globe. Most of the victims are women aged about thirty years.
A significant number of victims of this disease are women who find themselves in an interesting position.
During the first pregnancy marks the thirty-percent of cases of otosclerosis. In the case of a second pregnancy – sixty percent. In the third one – eighty.
During hormonal changes, e.g. menopause or puberty also there are cases of the disease.
The number of men who have marked this pathological disease is 20 percent.
The disease is classified a progressive evolution.
In most cases, strikes the other ear in a few months.
Known cases where the disease has moved into the second ear on even after a few years. In the case of unilateral lesions recorded only ten percent of all cases.
At the first symptoms of the disease should be diagnosed. It includes many of the research: otoscopy, audiometry, radiography and others. In most cases, to improve the hearing of patients assigned to surgical treatment.
Form of inflammation
Otosclerosis is divided into several forms, depending on the received modifications in the middle and inner ear:
- In cochlear otosclerosis primarily affects the bony capsule, which leads to the direct destruction of the functioning of the inner ear.
- The process in which covers the oval window of the labyrinth, called stapedial otosclerosis.
- The combination of the two described forms is called a mixed.
This disease is not abrupt, rather it is slow but progressive. The most active stage otospongiosis, at rest, the disease is considered sclerotic phase. They can alternate throughout the disease.
Bone capsule is the primary structure in the labyrinth of the ear. It is formed as a result of embryogenesis and differs from others in that it is not a secondary ossification.
In the case of disease of otosclerosis in different parts of the ear are formed on the Mature bone. Thus in the beginning of the disease appears immature spongy bone tissue. They contain many blood vessels and is considered the active phase of the disease.
Next, the spongy bone is converted into Mature sklerozirovanie bone.
The causes of the disease
Reasons that can trigger the onset of the disease. However, to date, the most common cause is the presence of a gene that is passed from parent to child. For this reason, the disease is primarily considered hereditary.
Often there is a family character of inflammation.
All the prerequisites of the disease are still unknown and are considered speculative.
However, if the disease took place, note the consequences. Because the disease provokes diseases such as:
- changes in the structure of the inner ear area;
- disorders of the middle ear;
- the disease, which disrupts the recycling of substances in the body;
- of metabolic disorders and hormonal disruption during pregnancy;
- the ringing sensation in the ears;
- strong stress.
This inflammation can have a different character.
In half of the cases the otosclerosis notice at the beginning of the ear canal. In 35 percent of cases the inflammation is located in the cochlea, and in 15% of situations — in the semicircular tubules.
Symptoms of inflammation
In most cases, at the beginning of the inflammation, otosclerosis has no symptoms. In some cases, there are lightning-fast development of the disease. In such a situation, the patient is characterized by sensorineural hearing loss.
The first symptoms usually arise at the age of thirty years. But the disease manifests itself only a few years. In medical practice there are cases of serious complications of the disease, even thirty years after its founding!
The main symptoms of ear otosclerosis the following:
- Loss of hearing acuity low frequencies. However, there is an increase in the sensitivity of the sounds of high decibels. This symptom is distributed at the beginning of the disease. In the course of time the audibility of all tones is reduced.
- A significant loss of audible sound during eating or conversation. There are cases of falling of the hearing when driving or playing sports.
- Hearing loss.
- The problem of separation of the sounds. Commonly this manifests itself in conversation or listening to the radio;
- The constant noise and crackling in my ears.
- Pain in the ears, different frequency.
- Not severe dizziness.
- In rare cases, there is nausea and vomiting, and imbalance.
- The loss of efficiency, decrease of the activity.
There are cases when the disease is located on an inactive area of the ear. In this case, the disease is not progressing and does not interfere with human life.
In other cases, however, ignoring the disease, there are all the stages of hearing loss. In the first stage, the disease is only for one ear, but eventually becomes bilateral.
Diagnosis of the disease
First otosclerosis causes hearing loss.
Therefore, patients address to the doctor-otolaryngologist with complaints of hearing loss.
In this case, it is important to identify the disorder and not to confuse its symptoms with many other including, adhesive otitis media or cholesteatoma. The same symptoms happen when cerumen, tumors in the ear and others.
For the diagnosis of the disease must be otoscopy and audiometry.
You should know that this disease tympanic membrane does not change, it does not show any perforation.
After examination and audiometry, specialist gets the full picture and all the abnormalities in the structure of the organ of hearing. Further, it is necessary to appoint complex treatment.
Treatment of otosclerosis the ear
Upon detection of these symptoms and signs of the disease must be urgently directed to the doctor. Ignoring the signs can lead to hearing loss permanently. There are two types of treatment:
It is known that the first type of treatment can not completely cure the patient but helps to slow the inflammation process.
To apply to this method of treatment may be in the form of cochlear pathology. In this case, drug therapy can help improve hearing and reduce symptoms.
Besides conservative treatment is necessary in preparation for surgery. It includes:
- The use of vitamins.
- The use of drugs, which help to create favorable conditions in the capsule. These include sodium fluoride.
- The iodation.
- The consumption of large amounts of calcium and phosphorus.
- Injections of magnesium sulfate.
- The use of drugs «Fosamax» and «Ksidifon».
Commonly the medicine is about one month and again three times during the year.
If the treatment has not brought results, the patient prescribed hearing AIDS.
At the time, the inactive stages of otosclerosis ear surgery is inevitable. Familiarize yourself with the indications for surgical intervention:
- rapid hearing loss;
- the constant noise and crackling in the ears;
- a significant difference between bone and air conduction;
- lose the ears on both sides.
There are two types of surgical intervention:
In the first case refers to the replacement of generated cells in the ear on. In the second case the operation is aimed at removing the source of the disease.
After one week the hearing is restored.
You should know that surgical intervention does not bring a perfect result, and do not always provide protection for the whole life. There are cases where hearing loss comes back ten years later.
Doctors do not recommend alternative medicine in the case of otosclerosis. However, the use of traditional medicine possible to relieve the symptoms of inflammation.
One of the effective methods is the tincture of calendula, eucalyptus and propolis.
Brew one teaspoon of listed plants in a glass of water. Then put in a dark place for one hour.
Eat inside in fifty milliliters of one month.
If you have a personal intolerance overpowered the above components, try another recipe.
Purchase the herb Melissa and fill it with 350 milliliters of vodka. The broth should infuse for several days in absolute darkness. Then dilute with a glass of water.
Buy at the pharmacy turundy or make them yourself. Moisten turundas in the resulting liquid and enter in the affected ear overnight. Repeat this operation within one week.
This disease is not fully understood and because there is no exact reason to appoint a prevention is quite difficult. However, there are General rules.
It is important to treat all colds, including runny nose harmless. Try to eat vegetables and fruits. It is important to maintain immune health and try to avoid drafts.