This NHS content is written for people in England. Services, entitlements and contact routes may differ in other countries.
Symptoms of otosclerosis
Symptoms of otosclerosis include:
- gradual hearing loss in 1 or both ears, often over several years
- hearing ringing, buzzing or other noises in 1 or both ears (tinnitus)
- dizziness
- problems with your balance
Otosclerosis is a common cause of hearing loss in younger adults. Symptoms usually start between the ages of 30 to 50.
When and where to get medical help
If you have symptoms of otosclerosis, you should see a GP so they can find out what is causing them.
See a GP if:
- you think your hearing is gradually getting worse
- you have tinnitus regularly or constantly
- your tinnitus is getting worse
- your tinnitus is bothering you – for example, it's affecting your sleep or concentration, or is making you feel anxious or depressed
What happens at your GP appointment
If you have symptoms of otosclerosis, your GP will usually check inside your ears and may refer you to:
- an audiologist, for hearing tests
- an ear, nose and throat (ENT) specialist, who will look inside your ears and may arrange a CT scan
Treatment for otosclerosis
The 2 main treatment options for otosclerosis are hearing aids or surgery.
Hearing aids work by making the sounds around you louder. They can help you hear more easily, but they will not stop your hearing from getting worse.
You may also be offered surgery to remove 1 of the small bones (the stapes) in your affected ear or ears. If your stapes is removed, it will be replaced by a plastic or metal implant.
Surgery is usually very successful at improving hearing, but there are some risks that your surgeon will discuss with you.
You will usually be referred to an ear, nose and throat specialist (ENT) who will help you decide which treatment may be best for you.
Causes of otosclerosis
Otosclerosis happens when a tiny bone inside your ear, called the stapes, joins (fuses) with other parts of the ear and stops you being able to hear properly.
It's not known why otosclerosis happens, but it may be passed on in families. You are more likely to get otosclerosis if a close relative has it.
Otosclerosis
SymptomsOtosclerosis
Medical helpOtosclerosis
DiagnosisOtosclerosis
Medical treatmentsSymptoms of otosclerosis can affect 1 or both ears and include a gradual loss of hearing, ringing or noises in the ears (tinnitus), and dizziness.
It's important to see a GP if you have symptoms of otosclerosis, such as hearing loss or tinnitus that is getting worse or affecting your life.
Tests for otosclerosis include checking inside your ears and getting a hearing test. You may be referred to a specialist ear, nose and throat doctor.
Treatments for hearing loss caused by otosclerosis include getting a hearing aid, or having surgery to remove 1 of the small bones in the ear.
Content supplied by the NHS website, refreshed 16 September 2026. View the original NHS article ↗
Licensed under the Open Government Licence v3.0 ↗. MyPHU is independent and is not endorsed by the NHS.