Our Experience in Managing A Rare Case of Sporadic Bilateral Juvenile Otosclerosis

Abstract

Otosclerosis constitutes a focus of localized new spongy bone formation in the labyrinthine capsule. This progressive conductive type hearing loss is a disease of young and middle aged adults. Studies have shown that the disease is twice as common in women as compared to men. The onset of hearing impairment usually appears after puberty and progresses till adulthood although the histological lesion may actually begins in early childhood or in the preadolescent years. The management modality includes surgery as well as hearing aid trial. The surgery in cases of juvenile otosclerosis however is delayed, because of the surgeon’s hesitancy in acknowledging the existence of otosclerosis in such a younger age group. With the developing surgical expertise, sophisticated diagnostic techniques and knowledge about the disease process, diagnosis and treatment can be made reliably in the younger age group. We are hereby sharing our surgical experience in managing a case of bilateral juvenile otosclerosis that presented to our outpatient department with the chief complaints of bilateral impaired hearing since six years.

Keywords

• Exploratory tympanotomy
• Juvenile otosclerosis
• Laser stapedotomy
• Stapedectomy