Otosclerosis - course and prognosis

Course and prognosis in otosclerosis

The difficulty in treating otosclerosis is deciding whether and when surgery is performed. The sooner the procedure is performed, the easier it is to succeed and the higher the success rates (improvement of the hearing in more than 90 percent, in many also the disappearance of tinnitus). However, as with any operation, complications may occur, making the decision to have surgery at a time when hearing is not overly impaired, of course, difficult.

Complications of stapes plastic

Possible early and late complications of stapes plastic include:

  • Dizziness (which usually passes by)
  • volatile taste disorders
  • Damage to the inner ear to deafness
  • tinnitus
  • Paralysis of the facial nerve (which runs near the surgical site)
  • Adhesions (which may require a renewed procedure)
  • inflammation
  • Fistula formation in the semicircular canals of the inner ear

What should the sick person pay attention to after surgery?

The earliest days after surgery, the ear canal is stuffed with a sponge or gauze strip soaked in antibiotic ointment. The patient has to stay in the clinic for about half to one week, he is usually sick for 2-3 weeks. In the first two weeks, no water should reach the ears; Therefore, even when showering a bathing cap, earmuffs or the like should be worn.

Approximately 6 weeks pass until complete healing. During this time, the person concerned should not undertake any air travel or diving, as the pressure fluctuations can damage the ear. Some experts even advise against doing so for 3 months. In the case of a cold, decongesting nose drops should be taken for the same reason.

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