Currently, there is no known medication that can completely cure otosclerosis. While some physicians prescribe Otoflour (sodium fluoride) to potentially slow the disease progression by stabilizing abnormal bone metabolism in the ear, its effectiveness remains debated, and it is not a cure. Similar agents, such as bisphosphonates, are sometimes considered under specialist supervision. For significant hearing loss, hearing aids or stapedectomy surgery remain the most effective treatment options.

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.

Neither juvenile nasopharyngeal angiofibroma (JNA) nor otosclerosis is primarily treated with medications. JNA is a benign but highly vascular tumour that requires surgical removal, often after a procedure called embolization to reduce bleeding during surgery. Otosclerosis, which causes hearing loss due to abnormal bone growth in the middle ear, is mainly managed with surgical treatment such as stapedectomy or stapedotomy or with hearing aids. While certain medications may sometimes be prescribed to slow disease progression in otosclerosis, they are not curative. It is important to consult an ENT specialist for individualised treatment planning and to avoid self-medication, as these conditions require specialised care.

There is currently no complete cure for otosclerosis. The only treatment that reliably restores hearing is stapedectomy surgery, which replaces the fixed stapes bone with a prosthesis. Medications like sodium fluoride may slow disease progression, but cannot reverse hearing loss. Homoeopathic remedies, including those from Dr Reckeweg, are not scientifically proven to treat or cure otosclerosis and may only help with symptoms such as tinnitus. For those who cannot undergo surgery, hearing aids are a viable alternative, and consultation with an ENT specialist is essential for proper management.