• Otolaryngol. Clin. North Am. · Apr 2018

    Review

    Controversies in the Evaluation and Management of Otosclerosis.

    • John T McElveen and J Walter Kutz.
    • Carolina Ear & Hearing Clinic, PC, Carolina Ear Research Institute, 5900 Six Forks Road, Suite #200, Raleigh, NC 27609, USA. Electronic address: mcelveencehc@aol.com.
    • Otolaryngol. Clin. North Am. 2018 Apr 1; 51 (2): 487-499.

    AbstractControversies have been associated with the etiology, diagnosis, evaluation, and management of otosclerosis since Valsalva first described stapes fixation as a cause of hearing loss. Although the exact mechanism of the bone remodeling associated with otosclerosis remains uncertain, stapedotomy has been accepted as the surgical treatment of most patients with stapedial otosclerosis. There remains a disparity of opinion, however, regarding the role of preoperative imaging, surgical technique, implant selection, and medical therapy for cochlear otosclerosis. In addition, opinions vary regarding the optimal postoperative care of patients undergoing stapedotomy and a patient's ability to participate in activities that may result in barotrauma.Copyright © 2017 Elsevier Inc. All rights reserved.

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