In the early stages of otosclerosis, observation may be preferred over active treatment to closely monitor the disease's progression. During this follow-up period, it is essential to carefully evaluate the patient's hearing status with regular audiometry tests. Since otosclerosis is a progressive condition, treatment approaches should be carefully determined and individualized.

The main treatment methods for otosclerosis are as follows:

1. Hearing Aids: Hearing aids do not directly treat otosclerosis; however, they can improve the patient's quality of life by managing the symptoms of hearing loss caused by the condition.
2. Surgical Intervention (Stapedectomy/Stapedotomy): In cases of advanced hearing loss and disease progression, surgical options may be considered. In this procedure, the affected ossicle (stapes) is partially or completely removed and replaced with a prosthesis (implant) to restore hearing.
3. Fluoride Treatment: Fluoride supplementation may be considered for some patients. This treatment is generally used temporarily, either as preparation before surgical intervention or to slow down the progression of the disease.