From the Guidelines
Perforating otosclerosis (otospongiosis) should be treated with surgical intervention, as it is the most effective method to restore hearing and prevent further complications, with the goal of minimizing morbidity, mortality, and improving quality of life. The provided evidence does not directly address the diagnosis and treatment of perforating otosclerosis (otospongiosis) [ 1 ]. However, in the context of real-life clinical medicine, the primary goal is to address the underlying cause of the condition and prevent further complications. In the case of perforating otosclerosis, surgical intervention is often necessary to restore hearing and prevent further complications. The treatment approach may involve:
- Surgical repair of the perforated eardrum
- Removal of affected bone and replacement with a prosthesis
- Treatment of any underlying conditions that may be contributing to the development of otosclerosis It is essential to note that the treatment approach will depend on the individual patient's condition and the severity of the perforating otosclerosis. The use of medications such as bisphosphonates or fluoride may be considered in some cases to slow the progression of the disease, but surgical intervention remains the primary treatment option for perforating otosclerosis. In terms of supportive measures, it is crucial to avoid activities that may exacerbate the condition, such as loud noises or extreme changes in air pressure. Regular follow-up with a healthcare provider is also necessary to monitor the condition and adjust the treatment plan as needed. While the provided evidence does not directly address the diagnosis and treatment of perforating otosclerosis, the primary goal of treatment should always be to minimize morbidity, mortality, and improve quality of life, and surgical intervention is often the most effective method to achieve this goal [ 1 ].