Experts comment that the cause is due to genetic, hormonal and even viral factors
Presenter Adriane Galisteu said in an interview that she has lost around 60% of her hearing due to a disease called otosclerosis. According to Tanit Sanchez (CRM-SP 69992), otolaryngologist and professor at the Faculty of Medicine of the University of São Paulo (USP), this problem promotes abnormal bone growth in the ear, preventing the correct movement of a bone in the middle ear , the stapes, compromising the transmission of sound from the environment to the inner ear.
The main symptom is progressive hearing loss, which usually starts in one ear and then affects the other. The doctor points out that other common symptoms include tinnitus, difficulty hearing low sounds or whispers, dizziness or balance problems, the sensation that one’s voice sounds louder or different (paracusia). “These additional symptoms may develop gradually over months or years, but do not always occur in all patients,” he points out.
Tanit emphasizes that the diagnosis involves several steps:
- Detailed medical history, including family history of loss
- Physical examination of
- Hearing tests, such as tonal, speech and audiometry
- In some cases, computed tomography may be necessary.
The combination of these tests allows the otolaryngologist to make a more accurate diagnosis and evaluate the extent of the disease.
Treatment
As the specialist points out, the treatment of otosclerosis can vary depending on the severity and preferences of the patient. However, the most common options are:
- Observation and monitoring for mild cases or
- Hearing aids can help compensate for hearing loss and/or
- Surgery is a procedure that replaces the affected bracket with a prosthesis.
- In some cases, bisphosphonate supplementation can help slow the progression.
Women
According to Tanit, otosclerosis affects women more than men, with a proportion of approximately two women affected by the disease for every man, due to hormonal factors, especially estrogen.
Dr. Tanit Ganz Sanchez – Photographic advertising
Doctors note that the condition often occurs or worsens during pregnancy or menopause. Furthermore, there is a possible interaction between genetic predisposition and hormonal factors. “Female hormones may influence bone metabolism, potentially accelerating abnormal bone growth in otosclerosis,” he concludes.
Source: Terra
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