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Case 7: Otosclerosis - ManagementDiagnosis:%u2022 OtosclerosisManagement:%u2022 Hearing aids: Often the first-line treatment%u2022 Surgical options:%u2022 Stapedectomy: Removal of stapes and replacement with prosthesis%u2022 Stapedotomy: Creating a small hole in stapes footplate and inserting a piston prosthesis%u2022 Medical therapy:%u2022 Sodium fluoride to slow progression (controversial)%u2022 Patient counseling:%u2022 Discuss pros and cons of surgery vs. hearing aids%u2022 Genetic counseling if planning pregnancy%u2022 Regular audiometric follow-up

