Keller Title I Information. Referrals from physicians are welcome. One may also consider other options such as a temporal bone implant BAHA or Ponto. MyChart Username Forgot MyChart Username? I have never experienced a nicer, more professional, and truly sincere staff than with Dr.
Experience Makes the Difference. Premier Otology Providers in the Region. Contact Us Download Otosclerosis Brochure Otosclerosis is a disease of the middle ear bones and sometimes the inner ear. Otosclerosis is a common cause of hearing impairment and is rarely hereditary. The ear is divided into three parts; the external ear, the middle ear, and the inner ear. The external ear collects sound, the middle ear mechanism transforms the sound and the medical weight loss royal oak mi ear receives and transmits the sound.
Sound vibrations enter the ear canal and cause the eardrum to vibrate. Movements of the eardrum are transmitted across the middle ear to the inner ear fluids by three small ear bones. These middle ear bones hammer or maleus, anvil or incus and stirrup or stapes act as a transformer changing sound vibrations in air into fluid waves in the inner ear. The fluid medical weight loss royal oak mi stimulate delicate nerve endings in the hearing canals.
Electrical impulses are transmitted on the nerve to the brain where they are interpreted as understandable sound. The external ear and the middle ear conduct sound; the inner ear receives it. Fat burner czy thermo speed there is some difficulty in the external or middle ear, a conductive hearing impairment occurs.
If the trouble lies in the inner ear, a sensorineural or nerve hearing impairment is the result. When there is difficulty in both the middle and the inner ear a mixed or combined impairment exists. Mixed impairments are common in otosclerosis. If we had been able to examine your middle ear under the microscope before a hearing impairment developed we could have seen minute areas of both softening and hardening wight the bone.
This process may spread to the stapes, the inner ear, or to both sides. When otosclerosis spreads to the inner ear a sensorineural hearing impairment may result due to interference with the nerve eoyal. This nerve impairment is called cochlear otosclerosis and one medical weight loss royal oak mi develops it may be permanent. On occasion the otosclerosis may spread to the balance canals and may mesical episodes of unsteadiness.
Usually otosclerosis spreads to the stapes or stirrup none, the final link mefical the middle ear transformer chain. The stapes rests in the small groove, the oval window, in intimate contact with the inner ear fluids. Anything that interferes with its motion results in a conductive hearing impairment. This type of impairment is called stapedial otosclerosis mmedical is usually correctable by surgery.
The amount of hearing loss due to involvement of the stapes and the degree of nerve impairment present can be determined only by audiometric examination hearing tests. There is no local treatment to the ear itself or any medical weight loss royal oak mi that will improve the hearing in persons with otosclerosis. In some cases a nutritional supplement containing fluoride may be prescribed to slow or stop the loss of hearing. The supplement should not be taken by young weigbt or pregnant women.
For patients who are not surgical candidates or do not wish to have surgery, a hearing aid or hearing aids may be an alternative. One may also consider other options such as a temporal bone implant BAHA or Ponto. The stapes operation stapedectomy is recommended for patients with otosclerosis who are candidates for surgery. This operation is usually performed under local anesthesia and requires but a short period of hospitalization and convalescence.
Over 90 percent of these operations are successful in medical weight loss royal oak mi the hearing permanently. Stapedectomy or stapedotomy is performed though the ear canal under local or general anesthesia. A samll incision may be made behind the ear to remove muscle or fat tissue for use in the operation. With the use of the operating microscope the eardrum is elevated and turned forward. The hearing bones are palpated and the diagnosis of otosclerosis of the stapes is confirmed.
The laser is routinely used to vaporize parts of the stapes and the remainder of the stapes is removed with an instrument. A small opening is made in the footplate of the stapes. A stainless steel, titanium, or platinum piston prosthesis or implant is then weigjt into this opening and connected to the second hearing bone, or the incus.
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