Everand Logo

Welcome to Everand!

  • Discover millions of ebooks, audiobooks, and so much more with a free trial

    Only $11.99/month after trial. Cancel anytime.

    Otosclerosis, (Thickened Ear Bones) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Otosclerosis, (Thickened Ear Bones) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Otosclerosis, (Thickened Ear Bones) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook96 pages58 minutes

    Otosclerosis, (Thickened Ear Bones) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

    ()

    Read preview

    About this ebook

    This book describes Otosclerosis, Diagnosis and Treatment and Related Diseases
    Otosclerosis is an abnormal bone growth in the middle ear that produces hearing loss.
    There is abnormal bone metabolism affecting the stapes, oval window and the otic capsule.
    It leads to the progressive fusion of the stapes footplate and ultimately sclerosis of the cochlea in advanced cases.
    Otosclerosis (OTSC) is the single most frequent cause of hearing impairment.
    It is a genetically controlled metabolic dysplasia, involving the bony tissue of the otic capsule (the skeletal elements enclosing the inner ear mechanism) and the auditory ossicles.
    The otic capsular bone is unusual in that, after early development, it does not undergo extensive re-modeling.
    In OTSC there is a pathological higher bony change leading to sclerosis and malfunction of sound conduction mechanism from ankylosis of the stapes footplate in the fenestra ovalis (oval window)of the cochlea.
    This produces a slowly progressive conductive hearing impairment.
    In some cases, the disease process may also extend from bony tissue to the cochlea itself, causing a mixed conductive and sensorineural hearing loss.
    Incidence
    Otosclerosis is the most frequent source of middle ear hearing loss in young adults.
    It normally starts in early to mid-adulthood.
    It is more frequent in women than in men.
    Certain races such as Caucasians and Indians are more prone to have otosclerosis.
    Causes

    The exact cause of otosclerosis is not known.
    It may be inherited through families.
    OTSC is inherited in an autosomal dominant fashion with inconsistent penetrance
    The interplay of genes with environmental factors is believed to be vital in the phenotypic activation of genetic susceptibility
    Environmental factors implicated in the cause of otosclerosis are:
    1. Estrogens,
    2. Fluoride and
    3. Viral infections such as measles.
    People who have otosclerosis have an atypical sponge-like bone growing in the middle ear.
    This growth stops the ear bones from vibrating in reaction to sound waves.
    These vibrations are needed in order for the patient to hear.
    The disorder may involve one or both ears.
    The abnormal deposition and the hardening of the bone in the region results in the fixation of the stapes footplate, with concomitant conductive hearing loss.
    The active bone remodeling may involve and injure the cochlea through the release of proteolytic enzymes or direct damage to the cochlea and spinal ligament.
    Symptoms
    1. Hearing loss 70%
    2. Ringing in the ears (tinnitus)
    3. Vertigo or dizziness
    These symptoms are also found in Meniere’s Disease.
    The start of hearing loss normally begins between the age of 15 and 45 years and then slowly progresses.
    Signs:
    Schwartz sign which is a faint reddish hue seen over the cochlear promontory through the ear drum
    Rinne’s tuning fork test would be negative
    Weber’s test will move to the affected side
    Diagnosis
    A hearing test (audiometry) determine the seriousness of hearing loss.
    Temporal-bone CT scanning may be done to determine other causes of hearing loss.
    Treatment
    No treatment is needed until the patient has serious hearing problems.
    Hearing loss can be improved with correct use of bilateral hearing aids.
    Surgery can cure or improve conductive hearing loss.
    Either all or part of one of the small middle ear bones behind the eardrum is excised (stapedectomy) and replaced with prosthesis.
    This surgery has now been mostly replaced by stapedotomy
    The stapes are removed except for the footplate
    A small hole using a laser is made in the footplate
    The stapes piston is then inserted into the vestibule
    Surgical therapy has improved significantly with new stapes pistons
    The success rate is close to 90%

    TABLE OF CONTENT
    Introduction
    Chapter 1 Otosclerosis
    Chapter 2

    LanguageEnglish
    PublisherKenneth Kee
    Release dateAug 6, 2018
    ISBN9780463594483
    Otosclerosis, (Thickened Ear Bones) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

    Read more from Kenneth Kee

    Related to Otosclerosis, (Thickened Ear Bones) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    Related ebooks

    Medical For You

    View More
    View More

    Related podcast episodes

    Related articles

    • Article

      Coping with... HEARING LOSS

      Feb 10, 2021

      Hearing loss is usually gradual and may initially not be noticeable, but can have many different causes. Sudden unilateral hearing loss may be due to earwax, infection, a perforated eardrum or Ménières disease; in both ears, it may result from loud n

      2 min read

    • Article

      Health Care: An Earful Of Trouble?

      Aug 21, 2018

      Q: For about a year, I had been having problems with blurred vision and a slight balance issue. My doctor diagnosed it as an inner ear problem. The issue turned out to be water: I had been using a spray nozzle to rinse my hair, and I would occasional

      3 min read

    • Article

      Sound Of Silence

      Jan 31, 2022

      Sound Of Silence
      4 min read

    • Article

      COPING WITH... Hearing Loss

      Dec 24, 2020

      COPING WITH... Hearing Loss
      1 min read

    • Article

      Can She Hear You?

      Apr 6, 2021

      Can She Hear You?
      5 min read

    • Article

      Why Staying Well Is Important For Your Hearing

      Sep 13, 2022

      WOMAN’S GP DR PHILIPPA KAYE ON HER TOPIC OF THE WEEK If the eyes are the windows to your soul, your ears are the windows to hearing, balance and – for many – communication and social interaction. Unfortunately, hearing loss is common, particularly

      2 min read

    • Article

      The Explainer

      Jul 6, 2022

      The Explainer
      3 min read

    • Article

      Are You Secretly Struggling To Hear?

      Apr 12, 2022

      Struggle to follow conversation in a noisy room? Think everyone is mumbling? Or maybe other family members have been complaining that you keep turning the TV up and up until it’s blaring? If so, then perhaps you might have a degree of hearing loss. S

      2 min read

    • Article

      Can Hearing Loss Be Reversed?

      Apr 18, 2023

      Can Hearing Loss Be Reversed?
      7 min read

    • Article

      Listen Up!

      Mar 5, 2021

      Listen Up!
      5 min read

    • Article

      Searching For Silence

      Sep 26, 2021

      Searching For Silence
      11 min read

    • Article

      Hear Today…

      Aug 27, 2021

      Hear Today…
      4 min read

    • Article

      I Can’t Hear You

      Oct 11, 2017

      Words CARROL BAKER Hearing loss is on the rise in Australia, with the current figure of around one in six predicted to increase to one in four by 2050 with our ageing population. But crunch the numbers and it’s not just baby boomers who are suffering

      7 min read

    • Article

      Your Wellbeing

      Apr 5, 2023

      1 INCREASED DEMENTIA RISK Untreated hearing loss can raise your risk of dementia by up to five times, according to research by The Royal National Institute for Deaf People (RNID). 2 HEADACHES Plus fatigue and irritability. These are common side effec

      2 min read

    • Article

      Listen up

      Jul 5, 2023

      Listen up
      2 min read

    • Article

      Your Health

      Sep 17, 2020

      With Duncan Collet-Fenson, Senior Audiologist from Aston Hearing (astonhearing.co.uk) Q I think my husband’s hearing is deteriorating but he refuses to get it checked. Is it only going to get worse? Natalie, Suffolk A Our hearing starts to slowly cha

      2 min read

    • Article

      Listen UP!

      Dec 29, 2022

      Listen UP!
      4 min read

    • Article

      Hear Me Now

      Aug 1, 2022

      Hear Me Now
      2 min read

    • Article

      Live Well For Longer

      Jul 1, 2020

      Live Well For Longer
      5 min read

    • Article

      SEIZURES Not Always Epileptic!

      Jul 30, 2020

      SEIZURES Not Always Epileptic!
      13 min read

    • Article

      You Can Say THAT AGAIN!

      Feb 26, 2023

      Hearing Awareness Month shines a spotlight on hearing health and raises awareness of the experiences of New Zealanders who are deaf or hard of hearing. According to the National Foundation for Deaf and Hard of Hearing, more than 880,000 New Zealander

      3 min read

    • Article

      You Can Say THAT AGAIN!

      Feb 26, 2023

      Hearing Awareness Month shines a spotlight on hearing health and raises awareness of the experiences of New Zealanders who are deaf or hard of hearing. According to the National Foundation for Deaf and Hard of Hearing, more than 880,000 New Zealander

      3 min read

    • Article

      Could You Repeat That Please?

      May 13, 2020

      Could You Repeat That Please?
      3 min read

    • Article

      Speaking Up!

      Feb 16, 2024

      Speaking Up!
      2 min read

    • Article

      Q&A

      Jan 20, 2022

      Q&A
      6 min read

    • Article

      Your HEALTH

      May 31, 2023

      Best known for her role on C4’s Embarrassing Bodies, Dr Pixie is a practising GP in central London Q I’m 58 and think I’m going deaf. It’s annoying my family and frustrating me, as it’s difficult to hear in a crowded room. Any clues as to why this m

      4 min read

    • Article

      Ask The Expert

      Feb 23, 2023

      AYes. Because HRT doesn’t provide contraception and can even induce ovulation, it’s important to continue contraception for perimenopausal women or those whose menopausal status is uncertain. The combined contraceptive pill may alleviate menopausal s

      3 min read

    Related categories

    Reviews for Otosclerosis, (Thickened Ear Bones) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    0 ratings

    0 ratings0 reviews

    What did you think?

    Tap to rate

    Review must be at least 10 words

      Book preview

      Otosclerosis, (Thickened Ear Bones) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Otosclerosis,

      (Thickened Ear Bones)

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2018 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Otosclerosis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What The patient Need to Treat Otosclerosis)

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog: http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Otosclerosis

      What is Otosclerosis?

      Otosclerosis is an abnormal bone growth in the middle ear that produces hearing loss.

      There is abnormal bone metabolism affecting the stapes, oval window and the otic capsule.

      It leads to the progressive fusion of the stapes footplate and ultimately sclerosis of the cochlea in advanced cases.

      Otosclerosis (OTSC) is the single most frequent cause of hearing impairment.

      It is a genetically controlled metabolic dysplasia, involving the bony tissue of the otic capsule (the skeletal elements enclosing the inner ear mechanism) and the auditory ossicles.

      The otic capsular bone is unusual in that, after early development, it does not undergo extensive re-modeling.

      In OTSC there is a pathological higher bony change leading to sclerosis and malfunction of sound conduction mechanism from ankylosis of the stapes footplate in the fenestra ovalis (oval window)of the cochlea.

      This produces a slowly progressive conductive hearing impairment.

      In some cases, the disease process may also extend from bony tissue to the cochlea itself, causing a mixed conductive and sensorineural hearing loss.

      Incidence

      Otosclerosis is the most frequent source of middle ear hearing loss in young adults.

      It normally starts in early to mid-adulthood.

      It is more frequent in women than in men.

      Certain races such as Caucasians and Indians

      Enjoying the preview?
      Page 1 of 1