ABSTRACT
The spiral ligament of the stria vascularis is nearly always damaged by otosclerotic foci when the patient is nearly totally deaf because of otosclerosis. Vascular drugs are to be prescribed in such a case, besides the Sodium Fluoride treatment. The Sodium Fluoride is, according to us, the best treatment to arrest the progression of the otosclerotic disease. Sodium fluoride will destroy the proteolytic enzymes damaging the inner ear membranes and the hair of the Corti hair cells.
Subject(s)
Hearing Loss/therapy , Otosclerosis/therapy , Audiometry , Hearing Loss/surgery , Humans , Laser Therapy , Microsurgery , Otosclerosis/physiopathology , Otosclerosis/surgery , Stapes Surgery , Transplantation, Autologous , Tympanoplasty/methods , Veins/transplantationABSTRACT
Surgery for otosclerosis means that the sound protection due to the fixation of the footplate does not exist anymore. As the Corti hair cells have been fragilized by proteolytic enzymes, it is absolutely necessary to reconstruct the sound mechanism in order to maintain the vibration of the perilymph absolutely within acoustical physiologic limit of movement. The means to realize this reconstruction are presented in this paper, as well as the results.
