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Updated: Aug 12, 2026
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Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
Published on: January 25, 2016
Otosclerosis in the 1960s, 1970s, 1980s, and 1990s
W H Lippy1, L P Berenholz, J M Burkey
1Warren Otologic Group, Ohio 44484, USA.
The Laryngoscope
|August 12, 1999
Summary
Otosclerosis presentation patterns have evolved over 37 years, with fewer drillouts and less severe hearing loss at diagnosis. This trend impacts stapes surgery strategies for otosclerosis patients.
Area of Science:
- Otolaryngology
- Audiology
- Otopathology
Background:
- Otosclerosis, a common cause of conductive hearing loss, is characterized by abnormal bone growth in the middle ear.
- Historically, otosclerosis presentation has varied, influencing surgical approaches.
Purpose of the Study:
- To analyze the changing patterns of otosclerosis presentation over 37 years.
- To provide insights for stapes surgeons regarding evolving disease characteristics.
Main Methods:
- Retrospective chart review of 400 patients undergoing stapedectomy from a private otology practice.
- Data collected included cochlear involvement, bilaterality, disease duration, hearing loss severity, and pathological findings.
Main Results:
- A decrease in the incidence of footplates requiring drillouts during stapedectomy was observed.
- Audiometric patterns at presentation show reduced pure-tone average hearing thresholds and smaller air-bone gaps over time.
Conclusions:
- Otosclerosis presentation patterns have significantly changed over the past 37 years.
- These evolving patterns necessitate adjustments in surgical planning and technique for stapes surgery.
