Ossiculoplasty is the procedure to correct the movement of the ear ossicles present in the middle ear. Infections such as otitis media and head injuries can cause damage to the bones, making them less mobile. Hence, an Ossiculoplasty is required to re-structure the bones or replace the bones with man-made ones in order to restore their proper functioning and to improve hearing.
Ossiculoplasty is performed in the following cases:
The several signs / symptoms that appear which indicate the requirement of an Ossiculoplasty are -
Ossiculoplasty may be performed under local anesthesia, which involves numbing the area of treatment, or general anesthesia, which involves putting the patient to sleep before the procedure.
The surgeon will first gain access to the middle ear using any one of the following methods:
1. Transcanal approach: This procedure involves the elevation of the tympanometry flap by making two incisions or cuts of about 8 mm each.
The incisions are joined together by making an additional incision in order to make a U-shaped flap.
The middle ear that contains the ossicle can be reached by the surgeon using instruments via the U-shaped flap.
2. Post auricular approach:
The surgeon reaches the middle ear in this technique by making an incision behind the ears.
After reaching the middle ear, the ossicles will be evaluated by the surgeon to check for the presence of any defects.
The surgeon will then decide whether to opt for an autologous transplant (graft obtained from the patient’s own body, usually from the auricular cartilage present in the outermost part of the ear) or artificial reconstruction (synthetic graft), based on the condition of the patient.
The prosthesis used may include total ossicular replacement prosthesis (TORP) or partial ossicular replacement prosthesis (PORP), along with incus replacement or incus interposition prosthesis.
The prosthesis chosen is trimmed to a length such that it matches the thickness of the cartilage cap or shield that lies on the prosthesis platform.
A gelatin-soaked sponge is then placed around the reconstructed ear to provide more prosthesis stability.
After the completion of the procedure, the ear is covered using a waterproof dressing.
The procedure takes about one to two hours to complete.
Ossiculoplasty may lead to the following complications:
The following remedies following an ossiculoplasty can aid in a quicker and smoother recovery:
The various advantages of ossiculoplasty are:
The cost of ossiculoplasty in Mumbai is between INR 85,000 to INR 1,75,000.
The cost of ossiculoplasty in Delhi is between INR 75,000 to INR 1,50,000.
The cost of ossiculoplasty in Bangalore is between INR 75,000 to INR 1,50,000.
The cost of ossiculoplasty in Chennai is between INR 70,000 to INR 1,40,000.
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Ossiculoplasty is the procedure to correct the movement of the ear ossicles present in the middle ear. Infections such as otitis media and head injuries can cause damage to the bones, making them less mobile. Hence, an Ossiculoplasty is required to re-structure the bones or replace the bones with man-made ones in order to restore their proper functioning and to improve hearing.
Ossiculoplasty is performed in the following cases:
The several signs / symptoms that appear which indicate the requirement of an Ossiculoplasty are -
Ossiculoplasty may be performed under local anesthesia, which involves numbing the area of treatment, or general anesthesia, which involves putting the patient to sleep before the procedure.
The surgeon will first gain access to the middle ear using any one of the following methods:
1. Transcanal approach: This procedure involves the elevation of the tympanometry flap by making two incisions or cuts of about 8 mm each.
The incisions are joined together by making an additional incision in order to make a U-shaped flap.
The middle ear that contains the ossicle can be reached by the surgeon using instruments via the U-shaped flap.
2. Post auricular approach:
The surgeon reaches the middle ear in this technique by making an incision behind the ears.
After reaching the middle ear, the ossicles will be evaluated by the surgeon to check for the presence of any defects.
The surgeon will then decide whether to opt for an autologous transplant (graft obtained from the patient’s own body, usually from the auricular cartilage present in the outermost part of the ear) or artificial reconstruction (synthetic graft), based on the condition of the patient.
The prosthesis used may include total ossicular replacement prosthesis (TORP) or partial ossicular replacement prosthesis (PORP), along with incus replacement or incus interposition prosthesis.
The prosthesis chosen is trimmed to a length such that it matches the thickness of the cartilage cap or shield that lies on the prosthesis platform.
A gelatin-soaked sponge is then placed around the reconstructed ear to provide more prosthesis stability.
After the completion of the procedure, the ear is covered using a waterproof dressing.
The procedure takes about one to two hours to complete.
Ossiculoplasty may lead to the following complications:
The following remedies following an ossiculoplasty can aid in a quicker and smoother recovery:
The various advantages of ossiculoplasty are:
The cost of ossiculoplasty in Mumbai is between INR 85,000 to INR 1,75,000.
The cost of ossiculoplasty in Delhi is between INR 75,000 to INR 1,50,000.
The cost of ossiculoplasty in Bangalore is between INR 75,000 to INR 1,50,000.
The cost of ossiculoplasty in Chennai is between INR 70,000 to INR 1,40,000.
Ossiculoplasty is done to repair or reconstruct the three bones in the middle ear between the inner ear and eardrum. These bones together are called the Ossicular Chain. Ossiculoplasty is the process that builds and repairs the movement of the tiny ear bones of hearing of the middle ear which may have weakened due to disease or infection such as otitis media or trauma of the head injury. The purpose of Ossiculoplasty is to improve the patient's ability to hear as normally as possible, and the operation involves either reshaping the bones already there so that they work better or using prosthetics.
Ossiculoplasty engages the use of prostheses or reshaping of the bones so as to make them work better. The incision is made either in the ear canal or behind the ear under the general anesthesia. The broken ear bones are then extracted and cleaned. These broken ear bones are then substituted with the artificial bones. It is also plausible to rebuild the damaged bone by the conduction method in order to avoid the usage of artificial bones.
The main symptom of ossicles is hearing loss. The loss is generally to the joint between the stapes and the incus that needs fixing. Infection can also lead to injury of the malleus bone and the deafness can also be caused by sclerosis in the bones.
In order to prevent damage to the ear ossicles, it is essential to treat the middle ear infections as soon as possible. Anyone experiencing conductive hearing loss can opt for Ossiculoplasty.
As with any surgical procedure, there is a small chance of side-effects or complications in ossiculoplasty, such as:
The operation will be carried out under general anaesthetic, which means the patient will be asleep throughout the surgery. It is also possible for this operation to be carried out using a local anesthetic, but this is
quite unusual and is not routinely done in the hospital.
The patient should not lock himself or herself in the bathroom or toilet or make themselves inaccessible to the person looking after them. The patient shouldn't operate any domestic appliances or machinery and shouldn't drink alcohol. He or she shouldn't be responsible for looking after small children and must avoid watching too much television, read too much or use a computer as these kinds of stuff can cause blurred vision.
The cost of Ossiculoplasty in India varies across different cities and hospitals-
| CITY | COST |
| Cost of Ossiculoplasty in Mumbai | INR 150000- INR 180000 |
| Cost of Ossiculoplasty in Bangalore | INR 140000- INR 170000 |
| Cost of Ossiculoplasty in Delhi | INR 140000- INR 170000 |
| Cost of Ossiculoplasty in Chennai | INR 135000- INR 165000 |
A. Generally, ossiculoplasty takes about one to two hours to complete, depending on the age of the patient, the medical condition of the patient, and the severity of the condition present.
A. Most patients can go home on the same day after ossiculoplasty. However, some patients are discharged after an overnight stay in the hospital.
A. The success rate of ossiculoplasty generally ranges from 55% to 75%.
Most patients will experience improved hearing within six to eight weeks of ossiculoplasty.
Since the procedure of ossiculoplasty is done under anesthesia, the patient will not have any pain during the procedure. It is normal to have some pain after the surgery, however, the doctor will prescribe pain-relieving medications to take care of this pain.
A. Yes, it is normal to have d thick, bloody ear drainage for up to one week after ossiculoplasty. The doctor will give the patient instructions on how to clean the drainage carefully.
A. The use of earphones or headphones should be avoided after ossiculoplasty for at least one month after surgery as it can lead to infection and pain in the operated ear.
A. It is normal to have some dull, throbbing pain in the ear following ossiculoplasty surgery. The doctor will prescribe some pain-relieving medications to relieve this pain. The patient could also hear a popping or squelching sound after surgery, especially when yawning or chewing.
A. Ossiculoplasty is performed by an ENT surgeon (otolaryngologist).
A. Complete recovery following an ossiculoplasty may take about four to six weeks. However, most patients can resume their work one or two weeks after surgery.
A. An ossiculoplasty is performed in the following way:
Ossiculoplasty may be performed under local anesthesia, which involves numbing the area of treatment, or general anesthesia, which involves putting the patient to sleep before the procedure.
The surgeon will first gain access to the middle ear using any one of the following methods:
Transcanal approach: This procedure involves the elevation of the tympanometry flap by making two incisions or cuts of about 8 mm each.
The incisions are joined together by making an additional incision in order to make a U-shaped flap.
The middle ear that contains the ossicle can be reached by the surgeon using instruments via the U-shaped flap.
Post auricular approach:
The surgeon reaches the middle ear in this technique by making an incision behind the ears.
After reaching the middle ear, the ossicles will be evaluated by the surgeon to check for the presence of any defects.
The surgeon will then decide whether to opt for an autologous transplant (graft obtained from the patient’s own body, usually from the auricular cartilage present in the outermost part of the ear) or artificial reconstruction (synthetic graft), based on the condition of the patient.
The prosthesis used may include total ossicular replacement prosthesis (TORP) or partial ossicular replacement prosthesis (PORP), along with incus replacement or incus interposition prosthesis.
The prosthesis chosen is trimmed to a length such that it matches the thickness of the cartilage cap or shield that lies on the prosthesis platform.
A gelatin-soaked sponge is then placed around the reconstructed ear to provide more prosthesis stability.
After the completion of the procedure, the ear is covered using a waterproof dressing.
A. Ossiculoplasty may be associated with the following complications:
A. A delay in the ossiculoplasty may lead to the following problems: