Otosclerosis is a hereditary disorder that causes progressive hearing loss in the adult population. Owing to its progressive nature, a multimodal treatment approach is often required. Management options were offered to patients following comprehensive audiological and radiological evaluation, incorporating the Merkus algorithm in clinical decision-making....
Clinicians managing bilateral advanced otosclerosis should consider the multimodal treatment landscape (stapedectomy, hearing aids, cochlear implants); this review may inform patient counselling but does not yet shift established guidelines.
Advanced bilateral otosclerosis is a challenging clinical scenario where surgery, amplification, and implantation all have roles; a systematic outcomes review supports evidence-based shared decision-making.
- 01Study reviewed management strategies for bilateral advanced otosclerosis, a hereditary progressive hearing loss.
- 02Multiple treatment modalities are considered, including surgical and non-surgical options.
- 03Outcomes data are synthesised to guide clinician and patient decision-making.
- 04Advanced otosclerosis may require cochlear implantation when stapedectomy is insufficient.
- 05Published in the International Archives of Otorhinolaryngology (doi: 10.65717/iao.2026.252271).
Bilateral advanced otosclerosis requires multimodal treatment approaches.
studypartially supported- PMID
- 42345416
- DOI
- 10.65717/iao.2026.252271.
- Journal
- International Archives of Otorhinolaryngology
- Publication type
- review
- Evidence level
- 4
- Population
- Patients with bilateral advanced otosclerosis
- Intervention
- Various management options (surgical and non-surgical) for bilateral advanced otosclerosis
Primary outcomes
Hearing outcomes across management modalities; Comparative effectiveness of treatment approaches