How long does ossicular chain reconstruction last?

This procedure is performed by making small incisions inside the ear canal as well as an incision behind the ear. The eardrum is reconstructed using a graft from under the skin. Surgery takes approximately 2 hours, with most patients ready to leave 3 to 4 hours after arrival.

Can ossicles be replaced?

Ossicular chain reconstruction (also called middle ear bone surgery) can improve conductive hearing. It can be done to replace a damaged malleus or incus bone. During surgery, you will be given local anesthesia with sedation.

How effective is ossicular reconstruction in closing ABGS and restoring hearing?

In a study conducted by Mahanty [13], hearing results were measured by PTA-air–bone–gap (PTA-ABG). Thus they concluded 60% success rate (< 20 db ABG), for ossiculoplasty using cartilage and 56.25% for PORP.

What is tympanoplasty with ossicular chain reconstruction?

Tympanoplasty with ossicular chain reconstruction is a procedure to reestablish the connection between the eardrum and the inner ear through a prosthesis or reconstructed hearing bones. The main goal of this is to improve conductive hearing loss.

How successful is ossicular chain reconstruction?

Surgical reconstruction of the ossicular chain is a well-established procedure for repair of ossicular defects, but is still plagued by high failure rates, with success rates in closing the air-bone gap to less than 20 dB ranging generally from 55%–75% [1,2,3,4,5,6,7,8].

What happens if your ossicles are damaged?

Serious infections and head injuries can damage the ossicles (tiny bones) in the inner ear that pass sound waves from the eardrum to the inner ear, causing hearing loss. Occasionally, babies are born with misshapen ossicles.

How long does it take to recover from a tympanoplasty?

Most people are able to go back to work or their normal routine in about 1 to 2 weeks. But if your job requires strenuous activity or heavy lifting, you may need to take 2 to 4 weeks off.

How long does Ossiculoplasty surgery take?

The procedure for ossiculoplasty takes place under general anesthesia and takes approximately one to two hours. This is done either by itself or in conjunction with other procedures including mastoidectomy and ossicular chain reconstruction. An incision is made behind the ear to access the ear canal.

How is ossicular chain reconstruction done?

In most cases, an implant can reconnect the bones and improve hearing (ossicular chain reconstruction). The eardrum is usually reconstructed at the same time (tympanoplasty). The procedure is performed by making small incisions in the ear canal or just behind the ear. It leaves no visible scars.

What is ossicular chain discontinuity?

Ossicular chain dislocation is a separation of the middle ear bones. It results in a hearing loss due to sound not being transmitted properly (conductive hearing loss). Ossicular chain dislocation is also called ossicular chain discontinuity.

Can tympanoplasty be repeated?

The recurrence rate after tympanoplasty is variable between 0% and 50%. The causes of failure may be different and frequently interrelated, making the surgical choice difficult and the prognosis not always favourable.