ENT

Ossiculoplasty

Description

An ossiculoplasty is a surgical procedure to repair and reconstruct the ossicular chain and enhance the movement of the bones of hearing located in the middle ear. This procedure is used to treat damaged or less mobile ossicular chain that may have caused due to long lasting infection, disease, or a severe head injury. The ossicles are responsible to transmit and amplify the outer sound into the inner ear, and damage to this part of the ear can affect your hearings.

People having any sort of hearing disorders in one or both the ears due to infection, cancerous growth or trauma can benefit from this surgery, as it will help them reshape and restructure the bones of hearing allowing better transmission of sound from external to the inner ear.


During the procedure

During the surgery, you will be placed under general anesthesia. The doctor will then make a small incision in front or behind your ear, depending on the severity of the issue, to get a clear access to the ear canal. The tympanic membrane or the eardrum will be lifted carefully to reach and examine the ossicles. Once the abnormal growth or damage is found, the surgeon removes the growth and reshape the structure or simply replace the ossicles with artificial ones (prosthesis) if it is way beyond repair. In some cases, lateral graft is used to reconstruct the entire eardrum. Once the reshaping is done, the tympanic membrane is placed to its normal place and the incision is closed with surgery stitches.

Risks and complications

There are many complications associated with ossiculoplasty, which may vary from patient to patient. These could be:

  • Hearing loss
  • Reduced hearing
  • Infection
  • Bleeding
  • Facial nerve damage
  • Altered taste
  • Discharge
  • Dizziness and discomfort
  • Perforated eardrum

Post operative care

It is possible to experience mild pain after the surgery, for which you may be given pain relievers. You will need to place a piece of gauze over the ear if you feel any discharge, drainage or blood from the ear. Consult to the doctor if the discharge don’t stop after 10 days or if swelling and foul smell occur.

You will be instructed on how to take a shower to avoid the water from entering into the ear and affect the healing process.

Avoid blowing your nose and performing strenuous activities. Sneeze with your mouth open to relieve the pressure from your ear.

Avoid air travel and eat healthy diet. Quit smoking for faster recovery.