Otosclerosis Overview and Diagnosis

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Questions and Answers

What is the most common cause of hearing loss in young adults?

  • Ménière's disease
  • Otosclerosis (correct)
  • Presbycusis
  • Noise-induced hearing loss

Which of the following is NOT a characteristic of otosclerosis?

  • Reddish blush of the TM (Schwartz sign)
  • Sensorineural hearing loss (correct)
  • Bilateral involvement
  • Conductive hearing loss

What is the typical difference in decibels between air and bone conduction levels of hearing in a patient with otosclerosis?

  • 20-25 dB (correct)
  • 15-20 dB
  • 30-35 dB
  • 5-10 dB

What is the mechanism by which otosclerosis causes hearing loss?

<p>Impaired movement of the stapes (C)</p> Signup and view all the answers

What is the genetic inheritance pattern of otosclerosis?

<p>Autosomal dominant (A)</p> Signup and view all the answers

Flashcards

Otosclerosis

A hereditary condition causing hearing loss due to abnormal bone growth in the middle ear.

Conductive hearing loss

Hearing loss due to problems transmitting sound to the inner ear; common with otosclerosis.

Schwartz sign

A reddish blush of the tympanic membrane seen in otosclerosis, indicating vascular changes.

Air-bone gap

A difference in hearing levels between air conduction and bone conduction; significant in otosclerosis diagnosis.

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Tuning fork tests

Tests like Rinne help assess hearing loss types by comparing air and bone conduction.

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Study Notes

Otosclerosis Overview

  • Otosclerosis is a hereditary autosomal dominant disease.
  • It's the most common cause of hearing loss in young adults.
  • Spongy bone growth within the bony labyrinth affects the stapes footplate.
  • This prevents vibration transmission to inner ear fluids.
  • This results in conductive hearing loss.
  • Otosclerosis is typically bilateral, but one ear may progress faster.
  • Patients are often unaware of the issue until the hearing loss significantly impacts communication.

Diagnostic Features

  • Otoscopic Examination: May reveal a reddish blush on the tympanic membrane (Schwartz sign).
  • Cause of Schwartz Sign: Vascular and bony changes in the middle ear.
  • Tuning Fork Tests (e.g., Rinne): Reveal good bone conduction and poor air conduction (air-bone gap).
  • Audiogram: Shows a significant difference (at least 20-25 dB) between air and bone conduction hearing levels (air-bone gap).

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