(Disclaimer: This article is only for scientific purposes, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: The patient had a hearing loss in both ears without a clear cause one year ago, which was not taken seriously at that time, and the symptoms gradually worsened, and the patient came to our hospital after the treatment effect was unsatisfactory after visiting the local hospital. After examination, the patient was diagnosed with tympanosclerosis, and after active surgical treatment with medication, the patient’s hearing improved significantly, with no other postoperative discomforts, and the phenomenon of unresponsiveness disappeared. Basic information] Male, 46 years old [Disease type] Tympanosclerosis [Hospital] Peking Tongren Hospital, Capital Medical University [Consultation time] May 2020 [Treatment plan] Surgery (tympanoplasty) + oral medication (amoxicillin clavulanate potassium tablets) [Treatment cycle] Hospitalization for 7 days, with regular outpatient review [Treatment effect] Hearing improved after treatment, and unresponsiveness disappeared. I. Initial Consultation Mr. Hu, 46 years old, was anxious when he came to the clinic. He said that he had experienced hearing loss in both ears without a clear cause one year ago, which was obvious on the right side, and his reaction was a little slow in communicating with others in daily life, but he did not pay attention to it at that time. Half a year ago, the patient’s symptoms suddenly worsened, with a feeling of stuffiness in both ears, occasional paroxysmal rumbling during exertion, and progressive hearing loss, but sometimes in a noisy environment, the hearing is more sensitive. He was treated with drops for the external ear canal and anti-infection therapy in a local hospital, but his symptoms did not improve significantly, so he came to our hospital for further treatment. An otoscopy was performed and found that the tympanic membrane was thickened without perforation, and there were white calcium spots of varying sizes on the tympanic membrane. CT examination showed increased density and flaky high-density shadows within the tympanic membrane, and pure tone audiometry showed that the patient had conductive mixed deafness. Combined with the above clinical symptoms and the patient’s medical history, he was diagnosed with tympanosclerosis, which required surgical treatment. After the patient agreed to surgery, he was admitted to the hospital. After the patient was admitted to the hospital, preoperative preparation was actively carried out for the patient, including blood routine, urine routine, liver function tests, and contraindications to surgery were excluded. Then the tympanoplasty was performed for the patient under general anesthesia, and the operation time was about 1 hour, with less intraoperative bleeding, and the patient’s head was ensured to be braked for 48 hours after the operation. In addition, the patient was given amoxicillin clavulanate potassium tablets in time to prevent postoperative infection. After 7 days of hospitalization, the patient was examined for surgical wounds, with no oozing of blood and fluid, no signs of infection, and a good diet, and was allowed to be discharged from the hospital for recuperation. The patient was discharged from the hospital for recuperation. The patient was instructed to undergo regular outpatient review. The patient’s surgery progressed smoothly, and the tympanic membrane was intact after the surgery. On the 2nd day after the surgery, the patient reported that his hearing had improved, and his general condition was good, with no other abnormalities. On the second postoperative day, the patient reported that his hearing had improved and he was in good general condition with no other abnormalities. On the seventh postoperative day, the patient was discharged from the hospital and allowed to go home to recuperate. Two weeks after discharge, the patient came to the outpatient clinic for re-examination. This time, he underwent pure tone audiometry, which showed no abnormality, and otoscopy, which showed no abnormality of the tympanic membrane. We had a simple daily communication with the patient and did not find that the patient had a slow response, and the treatment effect was generally in line with expectations. Fourth, the precautions Seeing the patient’s hearing has been restored, and can communicate normally, I am also very happy. However, since the patient was not completely cured at this time and still needed to recuperate, I told the patient to pay attention to the ear after going home, and to avoid picking the ear with his hands or pulling out the ear with unclean instruments to prevent otitis media. In addition, if there is water flowing from the ear in daily life, patients should go to the hospital in time to avoid delaying their condition. In terms of diet, patients should try to avoid spicy stimulating diet, to light diet is good, the rest do not need special attention. V. Personal perception Drum chamber sclerosis is caused by calcified lesions in the lamina propria of the middle ear cavity during the healing process of chronic suppurative otitis media. The common symptom is hearing loss, before the onset of the ear will have water, discomfort in the ear and other symptoms, when such symptoms should be found in a timely manner for treatment, so as not to lead to tympanic sclerosis, if it is not treated in time, may lead to tinnitus, and even deafness and other conditions. The patient in this article was not treated in a timely manner because he had not taken his condition seriously, so his symptoms were already more severe when he came to the clinic. However, the patient’s overall prognosis was favorable due to the fact that surgery was chosen in a timely manner and went well.