Nassif P S, Shelton C, House H P
House Ear Clinic, Los Angeles, Ca 90057.
Postgrad Med. 1992 Jun;91(8):279-82, 287-90, 295. doi: 10.1080/00325481.1992.11701379.
When a patient presents with bilateral progressive hearing loss and has a family history of hearing loss, otosclerosis should be placed high on the list of possible causes. Primary care physicians should determined whether the hearing loss is conductive or sensorineural with otologic examination and tuning-fork evaluation. Unless there is an obvious reversible cause for the progressive hearing loss, the patient should be referred to an otolaryngologist for more intensive otologic and audiologic examination. The patient's principal concern is the ability to hear and comprehend the spoken word in normal circumstances. Fortunately, most patients can be rehabilitated with surgery or a hearing aid. Fluoride treatment may have a significant role in preventing further hearing loss from otosclerosis.
当患者出现双侧进行性听力损失且有听力损失家族史时，耳硬化症应列为可能的病因之一。初级保健医生应通过耳科检查和音叉评估来确定听力损失是传导性还是感音神经性的。除非进行性听力损失有明显的可逆转病因，否则应将患者转诊给耳鼻喉科医生进行更全面的耳科和听力学检查。患者主要关心的是在正常情况下听和理解口语的能力。幸运的是，大多数患者可通过手术或助听器得到康复。氟化物治疗在预防耳硬化症导致的进一步听力损失方面可能发挥重要作用。
