Otosclerosis is caused by sclerotic fixation of the stapes and is the most common cause of CHL in the adult population with no previous history of trauma or infection. It is autosomal dominant in inheritance and more common in women than in men. Otosclerosis is usually bilateral and progressive. Treatment options include no treatment, amplification (hearing aid), fluoride treatment (stabilizes but does not improve hearing), and surgery (stapedectomy). Stapedec-tomy involves removing and replacing the stapes with a tiny prosthesis. This procedure has a success rate of greater than 95%. Risks of surgery, although rare, include worsened hearing, tympanic membrane perforation, changes in taste, and disequilibrium.

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