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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Medical Management of Otosclerosis
Norma de Oliveira Penido1, Andy de Oliveira Vicente2
1Department of Otorhinolaryngology-Head and Neck Surgery, Universidade Federal de São Paulo, Escola Paulista de Medicina, Rua Mário Whateley 109/72, São Paulo, São Paulo 05083140, Brazil.
Abstract:
Otosclerosis/otospongiosis is a primary osteodystrophy of the otic capsule that affects genetically predisposed individuals and leads to progressive hearing loss. Diagnosis is usually clinical, based on the findings of anamnesis, physical examination, and audiometric evaluation. However, high-resolution computed tomography scan and MRI have played an important role in the diagnosis and therapeutic approach of otosclerosis and in assisting in the differential diagnosis. The therapeutic approach is aimed at preventing, or at least minimizing, disease progression while attempting to restore hearing. The use of sodium fluoride and bisphosphonates can be an important adjunct, perhaps even primary treatment, in managing active lesions.
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