Medical Treatment for Otosclerosis

There are no medicines that can correct or prevent the conductive type hearing loss of Otosclerosis. However, treatment with a fluoride medication may be used for a patient who is developing progressive nerve-type hearing loss related to Otosclerosis. Fluoride in moderate doses has been shown in some studies to inactivate the chemicals of the abnormal, otosclerotic bone that are toxic to the hearing nerves. It does not recover any nerve-related hearing loss or improve any tinnitus that has already occurred but in some cases it can prevent worsening. However, it must be taken in moderate doses for at least one to two years until the progression of nerve-related hearing loss has stopped, and thereafter in smaller doses indefinitely. This medicine should not be used in any individuals of child-bearing age and has several other potential risks. A hearing aid can be effective in treating the hearing loss related to otosclerosis in many patients whether the hearing loss is nerve or conductive related. Whether or not a hearing aid is the best option for you is an individual decision between you and your doctor.
Anatomy of the Ear