Ossiculoplasty rebuilds the chain of tiny bones (malleus, incus, stapes) that conduct sound through the middle ear. Done when one or more of these bones have been eroded by chronic infection or damaged by trauma, the procedure can restore meaningful hearing in a single sitting.
In-house surgical practice · Dr. Naseer's ENT
The three middle-ear bones — the malleus, incus, and stapes — work as a lever system, transmitting eardrum vibration into the inner ear. Chronic infections, cholesteatoma, or trauma can erode part of this chain, leaving the eardrum vibrating but no sound reaching the cochlea.
Ossiculoplasty re-establishes the connection using either the patient's own remodelled bone, cartilage from the same ear, or a small titanium prosthesis. It is often combined with tympanoplasty (eardrum repair) in the same operation.
Performed under general anaesthesia using an operating microscope. The middle ear is approached either through the ear canal or through a small incision behind the ear, depending on access needs.
We perform middle-ear reconstruction in-house with intra-operative audiometric assessment where appropriate, and discuss prosthesis options with you beforehand. Many of our reconstruction patients hear measurably better at their six-week review.