Zusammenfassung
Die Otosklerose ist eine für den HNO-Arzt/Ärztin wichtige, oft in (Differenzial-)Diagnostik
und Therapie anspruchsvolle Erkrankung. Wenngleich bis heute eine
kausale Therapieoption nicht besteht, kann bei richtiger Diagnosestellung eine operative
oder apparative Hörrehabilitation mit sehr hohen Erfolgschancen in
Aussicht gestellt werden.
Abstract
Otosclerosis is an important condition for the otorhinolaryngologist, and often in
(differential) diagnosis and therapy challenging disease. Although a causal
therapy option does not exist until today, if the diagnosis is correct, an operative
or apparative hearing rehabilitation with very high chances of success can
be promised. In addition to hearing aids surgical treatment with passive implants
as a standard therapy, and in special cases also the implantation of active
middle ear implants or cochlear implants, in advanced otosclerosis with significant
involvement of the inner ear, are of importance. Knowledge of the
definition, pathogenesis, diagnostics and in particular of the differential diagnosis
as well as the current conservative and operative therapeutic limits are
indispensable for the indication and selection of the optimal treatment path.
In a two-part presentation, the current specialist medical knowledge of the disease
in diagnosis and therapy is summarized. In addition to modern diagnostic
procedures, aspects of therapy and prognosis are considered in a second article. This
article therefore primarily refers to continuing education for residents
in training and for young specialists.
Schlüsselwörter Hals-Nasen-Ohren-Heilkunde - Otosklerose - Ohr - Schwerhörigkeit - Hörverlust
Key words otosclerosis - ear - hearing loss - deafness
