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Does Otosclerosis Laser Surgery Sustain Life Long?

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Posted on Mon, 3 Oct 2016
Question: My sister is otoesclorosis patient and has been operated in 18 july 2016. Operation was successful and she is doing fine.
I have few queries on otoesclorosis laser surgery.
1.Do this surgery sustain for life long if not then what is the durability of this surgery.
2. After successful surgery do it require to get hear aid in later life or it is permanently restore hearing.
3. Is she can travel by air in the month of October?
doctor
Answered by Dr. Sumit Bhatti (2 hours later)
Brief Answer:
Details as discussed below:

Detailed Answer:
Hi,

Thank you for your query.

1. No, this surgery does not sustain life long. Once the otosclerosis process involves the inner ear, the patient has to use hearing aids.

2. Even after successful surgery, the patient eventually needs hearing aids. This usually happens after a 15-20 years. Hence there is no immediate cause for worry.

3. Yes, she can travel by air in October.

I hope that I have answered your query. If you have any further questions, I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumit Bhatti (12 minutes later)
After successful surgery why a patient need a hearing aid after 15 to 20 years .
and it is said that surgery restore the permanent hearing.
is there any measure which can prevent the use of hearing aid?
doctor
Answered by Dr. Sumit Bhatti (45 minutes later)
Brief Answer:
Details as discussed below:

Detailed Answer:
Hi,

Thank you for writing back.

1. This is because successful surgery bypasses the otosclerotic fixation of the stapes bone. It does not stop the disease process.

2. This natural history of the disease is explained to each patient before surgery.

3. There is no known treatment to prevent further damage to the hearing which is expected in future. For active otosclerosis, sodium fluoride tablets are given to slow the progress of the abnormal new bone formation (otospongiosis).

I hope that I have answered your query. If you have any further questions, I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumit Bhatti (5 hours later)
Does this happend to all the otoesclorosis patients or lt effect only one patient in total 100 patient and if patient start taking fluride tablet then further inner ear damage can be arrested or not.
My above queries was after reading below points and is this correct.


http://www.tinnitus.org.uk/otosclerosis

What happens later in life?

There are a small number of patients (less than 1%) who have undergone a successful stapedectomy and then experience sudden hearing loss many years after the operation. However, these are very much a minority. There are many people who had stapes operations 35 years ago or more and the vast majority still have useful hearing. It does seem that in some respects the operation halts the course of otosclerosis.

A certain degree of "old age hearing loss" affects everyone eventually and patients with otosclerosis are no different from the rest of the population in this respect. It is usually possible to correct this later loss of hearing with low powered h
doctor
Answered by Dr. Sumit Bhatti (2 days later)
Brief Answer:
Details as discussed below:

Detailed Answer:
Hi,

Thank you for writing back.

1. This deterioration happens in all patients later in life.

2. The percentage mentioned is of complications in addition to this.

3. The article mentions this in different words, but the meaning is the same.

4. Fluoride supplementation is considered to be useful in early otosclerosis (though the exact mechanism is not known). Once the disease is advanced, this does not help.

I hope that I have answered your query. If you have any further questions, I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumit Bhatti (5 hours later)
Thankyou so much sir for clearing my doubt... it has been very nice discussing with you.. Thankyou so much.
doctor
Answered by Dr. Sumit Bhatti (6 hours later)
Brief Answer:
Thank you.

Detailed Answer:
Hi,

Thank you for writing back.

Wishing you all good health,

Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2685 Questions

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Does Otosclerosis Laser Surgery Sustain Life Long?

Brief Answer: Details as discussed below: Detailed Answer: Hi, Thank you for your query. 1. No, this surgery does not sustain life long. Once the otosclerosis process involves the inner ear, the patient has to use hearing aids. 2. Even after successful surgery, the patient eventually needs hearing aids. This usually happens after a 15-20 years. Hence there is no immediate cause for worry. 3. Yes, she can travel by air in October. I hope that I have answered your query. If you have any further questions, I will be available to answer them. Regards.