Modern methods of conservative treatment of patients with otosclerosis

Hearing loss as a result of the otosclerotic process in the labyrinth capsule is diagnosed in 0.1 - 1% of the total population, thus being an important medical and social problem. To date, many methods have been developed for surgical correction of otosclerotic hearing loss and pathogenetic drug action on the otosclerotic focus in the labyrinth capsule [10]. Of the various hearing-improving interventions, stapedectomy and stapedoplasty are the most widespread. Less commonly, such methods of operations as monocrural transposition, stapediolysis, interposition technique, etc. are used. Due to the existing variety of methods, the otosurgeon has the opportunity to choose a surgical intervention that is rational for the patient, taking into account the individual options for the structure of the middle ear and visual assessment of the developmental features of the otosclerotic process. To date, the technique of hearing-improving surgery is approaching, it can be considered, to the ideal level and provides maximum functional efficiency and social rehabilitation of patients in 80 - 95% of cases [10 12].