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Middle Ear Prosthesis Surgery

Advanced techniques in ossiculoplasty and stapedectomy

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our KBB (Kulak Burun Boğaz) department. Book Appointment →

What is Middle Ear Prosthesis Surgery?

Ossiculoplasty refers to surgical reconstruction of the auditory ossicles damaged by chronic otitis media, cholesteatoma, or trauma. Partial (PORP) and total (TORP) ossicular replacement prostheses are used; biocompatible materials include titanium, hydroxyapatite, and autologous incus.

In otosclerosis, stapedectomy/stapedotomy is performed; the stapes footplate is opened with a laser and a titanium or Teflon piston is placed between the incus and oval window. Laser stapedotomy is an atraumatic technique with high closure rates of the air-bone gap.

Success depends on patient selection, surgical experience, and middle ear anatomy. Outcomes have improved markedly with refined microsurgical and laser techniques, with hearing closure rates frequently exceeding 70-80% in experienced centers.

Symptoms

Conductive hearing loss
Recurrent otorrhea
Otosclerosis presentation
Tympanic membrane perforation
Chronic otitis sequelae
Post-traumatic hearing loss

Risk Factors

Chronic middle ear infection
Family history of otosclerosis
Head trauma
History of cholesteatoma
Previous failed ear surgery
Tympanic membrane retraction

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If conductive hearing loss is present
  • If chronic ear discharge persists
  • If hearing aids are not suitable
  • If otosclerosis has been diagnosed
  • If middle ear hypomobility is detected

Treatment Methods

01
Audiometry and tympanometry
02
High-resolution CT temporal bone
03
Suspension microscope-assisted surgery
04
Laser-assisted stapedotomy
05
PORP/TORP placement
06
Postoperative audiologic testing

Which Department to Visit?

You can visit our KBB (Kulak Burun Boğaz) department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About KBB (Kulak Burun Boğaz) Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.