Otosclerosis is an abnormal bone growth in the middle ear that impairs sound transmission, often resulting in conductive or mixed hearing loss. Treatment options include the use of hearing aids to enhance sound perception or surgical procedures such as stapedectomy or stapedotomy to restore hearing. In advanced cases with significant sensorineural hearing loss (damage to the inner ear hair cells or nerve pathways), cochlear implantation may be considered. It is important to consult an otolaryngologist (ENT specialist) to determine the most appropriate treatment plan.

Difficulty being heard by others, along with hearing loss in one ear, may indicate an underlying ear or nerve-related problem, such as conductive hearing loss due to middle ear fluid, earwax blockage, or infection, or sensorineural hearing loss caused by damage to the inner ear or auditory nerve. In some cases, otosclerosis or sudden sensorineural hearing loss may also present with these symptoms. It is essential to consult an ENT specialist for a detailed ear examination and a hearing test (audiometry) to determine the exact cause. Treatment depends on the diagnosis and may include removal of earwax, medication for infection or inflammation, or hearing rehabilitation measures. Early evaluation is essential to prevent permanent hearing impairment, and self-treatment or the use of ear drops without medical advice should be avoided.

Otosclerosis causing this degree of hearing loss can be managed with hearing amplification using hearing aids or surgically through stapedectomy or stapedotomy to restore hearing. The appropriate treatment is determined by the doctor based on the severity of hearing loss, overall health, and patient preference. Regular audiological follow-up is recommended to monitor progression and treatment outcomes.