Abstract：
Diagnosis and treatment of advanced otosclerosis can be controversial. In 1961, House and Sheehy defined advanced otosclerosis as hearing loss in air conduction threshold by 85 dB with nonmeasurable bone conduction. Recently, the definition of advanced otosclerosis is mostly based on the decrease of speech recognition. There are some treatment modalities: stapes surgery and hearing aids, cochlear implantation, or direct acoustic cochlear implant. The authors propose a new algorithm for treatment. If the patient is treated with cochlear implantation, the surgeon should be cautious for facial nerve stimulation after surgery because it is the most prevalent complication.
摘要：
晚期耳硬化症的诊断和治疗可能存在争议。1961年，House和Sheehy将晚期耳硬化症定义为空气传导阈值为85dB的听力损失，并且无法测量骨传导。最近,晚期耳硬化症的定义主要是基于语音识别的减少。有一些治疗方式：stapes骨手术和助听器，人工耳蜗植入,或直接声学人工耳蜗植入。作者提出了一种新的治疗算法。如果患者接受人工耳蜗植入治疗，手术后面神经刺激应谨慎，因为它是最常见的并发症。
