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Hearing loss in Paget's dz. Tx?

User Cfeduke
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Final answer:

The treatment for Paget's disease-related hearing loss involves using bisphosphonates to treat the underlying bone condition and using hearing aids or cochlear implants to manage hearing loss, depending on its nature.

Step-by-step explanation:

The treatment for hearing loss related to Paget's disease involves addressing the underlying bone disorder and managing the symptoms. Bisphosphonates are a class of drugs commonly used to treat Paget's disease. These medications work by reducing the activity of osteoclasts, cells that break down bone tissue. Treatment with bisphosphonates aims to alleviate bone pain and prevent deformities and fractures, thus potentially reducing the risk of complications such as hearing loss when the disease involves the skull. For hearing loss specifically, treatment options depend on the nature of the loss.

If the hearing loss is conductive, involving issues with the middle ear, hearing aids that amplify sound can be useful. When the hearing loss is sensorineural, due to nerve damage within the cochlea, cochlear implants might be an option for some patients. These devices bypass damaged parts of the ear and directly stimulate the auditory nerve, allowing for the transmission of sound signals to the brain. However, whether a patient with Paget's disease-related hearing loss is a candidate for a cochlear implant would need to be determined by a medical professional on a case-by-case basis.

User Peter Ahlers
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