Primary disease of bony labyrinth.

  • In this disease spongy bone replaces part of dense enchondral layer of bony otic capsule.
  • Most commonly involves stapes (ear bone) and causes its fixation. Exact etiology not known, but commonly having positive family history in 50% patient.
  • More commonly occurs in female than males, mode of transmission autosomal dominant. Age of onset 30 year onwards.

There are three types of otosclerosis:-

Stapedial-most common.


  • Decreased hearing.
  • Otosclerotic person hearing better in noisy than quieter surrounding, Tinnitus
  • Vertigo
  • Monotonous, well modulated soft speech
  • Carhartz notch:- In pure tone audiogram bone conduction is normal but there is in bone conduction curve which is maximum at 2000 Hz, Called Carhartz notch and dip instead of deep.


  • Medical:- Sodium fluoride used to hasten the maturity of active focus and arrest further cochlear loss.
  • Surgical:- Stapedotomy with prosthesis replacement is the treatment of choice.
  • Prosthesis used are Teflon, stainless steel, platinum Teflon, titanium Teflon.