Defect of the ossicular chain

The ossicular chain is made up of three three tiny bones in the middle ear: the hammer, anvil and stirrup. This ossicular chain transmits sound from the eardrum to the inner ear. Damage to one or more of these bones can lead to hearing loss. In such cases, an ossiculoplasty may be performed.

When is an ossiculoplasty needed?

An ossiculoplasty is an ear operation in which the ossicles (hammer, anvil and stirrup) are repaired or replaced in order to improve hearing. Surgery may be necessary in case of:

  • Damage to the ossicles due to chronic ear infection
  • A previous ear operation where the ossicular chain was disrupted
  • Congenital abnormalities
  • Ear trauma

Preparation

The operation is carried out under general anaesthetic. The doctor will discuss in advance what you can expect and what preparations are required.

How is the procedure performed? 

During surgery, the doctor makes a small incision behind or above the ear to gain access to the middle ear. The damaged ossicles are repaired or replaced with a prosthesis (made of plastic or metal).

Recovery and aftercare

You can usually go home the same day. Hearing typically improves gradually, over the course of several weeks to months. You should avoid putting pressure on the ear by straining, lifting or blowing your nose.