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Juvenile otosclerosis: a case presentation and review of the literature

Konstantinos Markou1, Marios Stavrakas2, Petros Karkos3

  • 1Aristotle University Thessaloniki, Thessaloniki, Greece.

BMJ Case Reports
|April 17, 2016
PubMed

Insights

Juvenile otosclerosis, a rare cause of hearing loss in children, can be challenging to diagnose when combined with secretory otitis media. Early stapes surgery in children can effectively restore hearing.

Area of Science:

  • Otolaryngology
  • Pediatric Audiology

Background:

  • Juvenile otosclerosis is a rare condition causing conductive hearing loss in children and adolescents.
  • Early diagnosis and intervention are crucial for managing hearing impairment in young patients.

Observation:

  • A 9-year-old boy presented with progressive moderate hearing loss.
  • Initial diagnosis revealed bilateral secretory otitis media, treated with grommet insertion.
  • Persistent hearing loss led to exploratory tympanotomy, confirming stapedial fixation consistent with juvenile otosclerosis.

Findings:

  • Successful stapedotomy was performed on the right ear.
  • One-year follow-up demonstrated significant hearing improvement, with air-bone gap closure to 10 dB.

Implications:

  • Coexistence of juvenile otosclerosis and secretory otitis media can delay diagnosis.
  • Stapes surgery is a viable and effective treatment for juvenile otosclerosis in children aged 9 and above, with parental consent.
  • Highlights the importance of considering otosclerosis in pediatric hearing loss cases, even with concurrent middle ear conditions.

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