Ossicular Chain Reconstruction: Three Bones
Ossicular chain reconstruction (also called middle ear bone surgery) can improve conductive hearing. In some cases, all 3 middle ear bones are replaced. During surgery, you will be given local anesthesia with sedation. Or you may receive general anesthesia. Middle ear bone surgery takes about 1 hour to 3 hours. It is often done along with a tympanoplasty or a mastoidectomy.
Damaged Malleus, Incus, and Stapes Bones
All 3 middle ear bones may be damaged. Your surgeon reaches the bones by going through the ear canal or making an incision behind the ear. Then an incision is made around the eardrum. The eardrum is held to 1 side. All or part of the damaged bones are removed.
Replacing All Three Bones
All 3 bones may be replaced with a manmade part. This part is called a prosthesis. Your surgeon places 1 end of the prosthesis against the eardrum. The other end may touch the bone over the inner ear or be laid against a tissue graft. Then the eardrum is put back in place.