What is Middle Ear Calcification?

Middle ear calcification, known in medicine as otosclerosis, is a condition characterized by abnormal growth of bone tissue in the ear. This condition primarily restricts the mobility of the stapes bone, making it difficult for sound waves to be transmitted to the inner ear. As a result, individuals may experience hearing loss. Genetic factors, hormonal changes, and infections may play a role in the development of otosclerosis.

Hearing loss can significantly impact an individual’s quality of life, potentially leading to social isolation, decreased work performance, and even depression. However, with the right diagnosis and treatment, it is possible to overcome this condition.

Symptoms and Risk Factors of Middle Ear Calcification

The most common symptom of middle ear calcification is hearing loss. This loss typically progresses slowly and may affect both ears. Other symptoms include:

  • Tinnitus: A constant ringing or buzzing sensation in the ear.
  • Balance Issues: Dizziness may occur, especially during rapid movements or when standing up suddenly.
  • Difficulty Understanding Speech: It may become challenging to comprehend conversations in noisy environments.

Risk Factors:

  • Genetic Predisposition: Individuals with a family history of otosclerosis have a higher risk.
  • Being Female: Due to hormonal changes, women are at a greater risk.
  • Pregnancy: It has been observed that symptoms of otosclerosis may increase during pregnancy.

Decision-Making Process for Middle Ear Surgery

Deciding to undergo surgery can be a challenging process for an individual. However, a detailed examination by an ear, nose, and throat (ENT) specialist and hearing tests will help determine the most appropriate treatment method.

During this process, your doctor may ask you the following questions:

  • How does your hearing loss affect your daily life?
  • Have you previously used a hearing aid?
  • What are your expectations after surgery?

Middle Ear Surgery: Process and Preparations

Before the surgery, certain preparations may be necessary. Your doctor will inform you about the medications you need to take and important precautions to consider. The procedure is typically performed using a surgical method known as stapedectomy. During this procedure, the calcified stapes bone is removed and replaced with a prosthesis.

Surgery Process

  • General Anesthesia: The patient is fully asleep during the procedure.
  • Surgical Intervention: The surgery is performed by accessing the middle ear through the ear canal.
  • Placement of Prosthesis: After removing the calcified bone, an artificial prosthesis is placed.

Post-Surgery Recovery Process and Important Considerations

There are several important points to consider during the post-surgery period:

  • Protecting the Ear Area: It is crucial to prevent water from entering the ear for the first few weeks.
  • Taking Precautions Against Balance Issues: Since you may experience dizziness, you should avoid sudden movements.
  • Attending Follow-Up Appointments: Regular visits as determined by your doctor will expedite your recovery process.

Benefits and Risks of Middle Ear Calcification Surgery

While surgery offers significant hope for restoring hearing loss, it also comes with some risks.

Benefits:

  • Improvement in Hearing Quality: You may readjust to your social life.
  • Psychological Well-Being: The stress and feelings of isolation caused by hearing loss will diminish.

Risks:

  • Dizziness: Temporary balance issues may occur post-surgery.
  • Infection Risk: Surgical procedures always carry a risk of infection.

In Conclusion;

Middle ear calcification surgery offers a significant opportunity to regain your quality of life. Coping with hearing loss can be challenging, but with the right treatment, you can overcome these issues.

Prof. Dr. Gediz Murat Serin

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