Ossicular Chain Reconstruction

Ossicular chain reconstruction is a surgical procedure that repairs or replaces the tiny middle-ear bones, the malleus, incus, and stapes, to restore sound transmission when disease or injury causes conductive hearing loss. During the operation, an otologic surgeon re-establishes a mechanical link between the tympanic membrane and inner ear, using reshaped native ossicles or a prosthesis designed to transfer vibrations to the stapes or oval window. The technique may follow chronic otitis media, cholesteatoma removal, trauma, or previous ear surgery. Successful reconstruction can improve hearing, although outcomes depend on middle-ear ventilation, tissue healing, infection control, and prosthesis stability.

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JoVE Core - Biology

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