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Otosclerosis -
It is a condition where the moveable joints between the…
Otosclerosis -
It is a condition where the moveable joints between the ossicles in the middle ear are fixed, or their mobility is reduced significantly
-it is an inherited disorder that causes hearing loss due to inability to ampify sound
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CAUSES
The cause of otosclerosis is unkown however it may be passed down through families (genetically))
-people who have otosclerosis have an abnormal extention of sponge-like bone growing in the middle ear ear cavity this growth prevent ear bone from vibrating in response to sound waves
PATHOPHYSIOLOGY
There is a progressive loss of stapes movement due to the formation of sclerotic bone, which fixes the stapes foot plate onto the oval window.
The stapes becomes immobile causing a conductive hearing loss.
NURSING MANAGEMENT
- Communicating with a patient where there may also be significant speech and language problems.
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The patient should be referred for audiometric testing in order to get an appropriate hearing aid and to be assisted with speech management
TREATMENT
Medication such as flouride, calcium, or vitamin D may help slow the hearing loss
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Surgery - the affected stapes is surgicallyremoved and replaced with a prosthesis or artifial stapes( stapedectomy)
Stapedectomy- the affected stapes is removed and replaced with a prosthetsis or artificial stapes, a successful operation may correct or improve the conductive hearing loss of otosclerosis
Nursing Care plan
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speak slowly and clearly, but do not over emphasise or distot your lip movement as this can make it hard for people to read your lips
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clinical manifestation
Clinical manifestations. On palpation there is swelling and tenderness over the mastoid process. The swelling results in the pinna being pushed out and it protrudes from the side of the head. Pain in the ear is severe and purulent ear discharge may be profuse.
Acute mastoiditis was once a life-threatening condition, but it is now rare due to antibiotic therapy. Mastoiditis and cholesteatoma lead to other problems, such as brain abscesses, vertigo, and facial paralysis.
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