- is the result of the bony overgrowth of the stapes
- common cause of hearing impairments among adults
- fixation of the stapes occur gradually many years
Etiology
- Underlying cause unknown
- Most common in women
- Most clients have a family history of the diseases which indicates a possible hereditary relationship
Signs and Symptoms
- Loss of hearing
- Ringing or buzzing in the ears
- Presence of spongy bone in the labyrinth
- Bone conduction better than air conduction
Diagnostic Evaluation
- Audiometric tests – reveal the type of hearing loss
- CT scan – demonstrates the extent and location of excessive bone growth
Therapeutic intervention
- Hearing aids – to amplify sounds
- Stapedectomy – removal of the portion of the stapes and replacement with a prosthetic implant and to conduct vibrations from the middle ear to the inner ear
Nursing Management
- Position post of according to physician’s preference:
- Lying on the operated side facilitates drainage
- Lying on the non-operative side helps prevent displacement of graft
- Instruct the client to alter position gradually to prevent vertigo
- Instruct client to avoid sneezing, blowing nose and coughing
No comments:
Post a Comment