Otosclerosis is a relatively common ear condition that affects approximately one person in every 200 at some stage of their life. Inside the middle ear are three tiny bones that vibrate to transmit sounds from the ear drum to the hearing mechanism in the inner ear. Otosclerosis is best described as a form of arthritis in these tiny bones and the bone that makes up the inner ear. The bones become soft and enlarged, which reduces their ability to transmit vibration and thus sounds. It is more common in women, and usually starts in the late teens or twenties. Its onset may be triggered by pregnancy. There is a significant tendency for it to pass from one generation to the next. The main symptoms of otosclerosis are steadily worsening deafness and a constant ringing noise in the ears.

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