Operative techniques and materials in ossiculoplasty

Successful ossiculoplasty aims to improve conductive hearing loss by restoring the mechanical transmission of energy from the tympanic membrane to the oval window. Ossiculoplasty is typically performed under general anesthesia with facial nerve monitoring as standard practice in our institution. Titanium implants have become the mainstay choice of prosthesis, due to its low density, high durability, and lower extrusion rate compared to other alloplastic implants. While microscopic techniques for ossiculoplasty have been the traditional approach, endoscopic ossiculoplasty has risen in popularity due to improved visualization of the middle ear.