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Dr. Ajay Doiphode explains what Otosclerosis is, the symptoms and its treatment options. Otosclerosis is caused by bony deposition around the Stapes middle ear bone that connects to the cochlea. This diminishes transmission of sound from the eardrum to the cochlea. This typically results in a Conductive Hearing Loss. Approximately 60% of cases are genetic. It occurs in females twice as often as in males. The onset of Otosclerosis is usually around ages 15-45. Otosclerosis is diagnosed by a hearing evaluation which indicates a conductive hearing loss, abnormal tympanometry, and often absent reflexes. Once referred to an ENT physician, a CT scan may be advised to confirm the diagnosis. There are two treatment options for these conditions, 1. Amplification of sound with hearing aids 2. Surgery. Depending on the severity, surgery may be recommended to correct the conductive hearing loss. The surgical procedure is Stapedotomy which involves removing the Stapes and drilling a hole into the Stapes footplate and replacing it with a prosthesis. So if you are on the younger side and your hearing has declined, make sure you find an audiologist to get your hearing tested. The sooner you identify the problem, the sooner you can fix it. Overall, Otosclerosis and Otospongiosis are very treatable.