Journal
CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY
Volume 18, Issue 5, Pages 357-362Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MOO.0b013e32833d11d9
Keywords
cochlear otosclerosis; conductive hearing loss; mixed-type hearing loss; otic capsule; sensorineural hearing loss
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Funding
- NIDCD [3U24DC008559-03S109]
- International Hearing Foundation
- Starkey Foundation
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Purpose of review The aim of this study is to summarize current advances in research and clinical aspects of cochlear otosclerosis. Recent findings Recent studies have revealed that otosclerosis is a process of bone remodeling that is unique to the otic capsule only. Even though no obvious bone remodeling is seen in the otic capsule under normal conditions, remodeling starts when some molecular factors trigger the capsule in certain patients who have genetic and/or environmental tendencies. Summary Cochlear otosclerosis is defined as otosclerosis located in the otic capsule involving the cochlear endosteum and causing sensorineural hearing loss or mixed-type hearing loss. It has been clearly shown that, when otosclerosis is sufficiently severe to involve the cochlear endosteum, it usually fixes the stapes as well.
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