Ossiculoplasty

Ossiculoplasty is a surgical procedure that aims to reconstruct or repair the sound conduction system between the tympanic membrane and the vestibule. It is commonly performed to treat ossicular chain defects resulting from prolonged inflammation in the middle ear. The primary goal of the procedure is to restore anatomical structure and improve hearing function. Successful ossiculoplasty depends on factors such as the type and extent of the defect, the surgeon’s experience, and the properties of the materials used. While autografts are considered the ideal reconstruction material due to their biocompatibility and low complication rates, synthetic materials are increasingly used for their ease of use and accessibility. Preoperative evaluation of the patient, appropriate material selection, and meticulous planning of reconstruction methods are essential for successful ossiculoplasty. Regular follow-up in the postoperative period is crucial to prevent complications and maintain long-term hearing outcomes. Potential complications during ossiculoplasty include facial nerve injury, perilymphatic fistula, and prosthesis extrusion. However, procedures performed by experienced surgeons, adhering to fundamental surgical principles, generally result in successful and durable hearing improvements.