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12th street, LA
Reach out to our ENT specialists for expert care in hearing, breathing, and voice-related concerns.
When chronic ear infections, cholesteatoma, or trauma damage the malleus, incus, or stapes — the three tiny bones that carry sound to your inner ear — hearing can drop noticeably even if the eardrum itself looks fine. Ossiculoplasty rebuilds this ossicular chain using biocompatible prosthetics, restoring the sound pathway. At Dr Rohit’s Centre for ENT & Cochlear Implant in Jayanagar, patients from JP Nagar, Banashankari, and across South Bangalore come to us after other treatments haven’t improved their hearing. We assess whether a partial (PORP) or total (TORP) reconstruction is appropriate using microscopic evaluation, so the surgical plan matches your actual ear anatomy, not a generic protocol.
Ossiculoplasty is a specialized ear surgery performed to repair or reconstruct the small bones of the middle ear, known as the ossicles. These bones—the malleus, incus, and stapes—are responsible for transmitting sound vibrations from the ear drum to the inner ear. When they are damaged or malformed due to infection, trauma, or congenital defects, hearing loss occurs. Ossiculoplasty restores the continuity of the ossicular chain, improving sound conduction and helping patients regain better hearing ability.
Damage to the ossicles may occur due to:
Chronic ear infections (chronic otitis media).
Cholesteatoma (abnormal skin growth in the middle ear).
Trauma or injury to the ear.
Congenital abnormalities present from birth.
Otosclerosis, where abnormal bone growth affects the stapes.
Previous unsuccessful ear surgeries.
The procedure is performed under a microscope to allow precision on the delicate ear structures. During surgery, the damaged ossicles are either repaired or replaced with prosthetic implants made of biocompatible materials such as titanium or hydroxyapatite. There are two types of ossicular reconstruction:
Partial Ossicular Replacement Prosthesis (PORP): Used when part of the ossicular chain is intact.
Total Ossicular Replacement Prosthesis (TORP): Used when all three bones need reconstruction.
The new connection allows sound waves to travel effectively from the ear drum to the inner ear, restoring hearing function.
This surgery is recommended for individuals who:
Experience conductive hearing loss due to damaged or missing ossicles.
Suffer from chronic ear disease that has weakened the ossicular chain.
Have had previous ear surgeries without improvement in hearing.
Require reconstruction following cholesteatoma removal.
Want a long-term solution for ear-related hearing loss.
Improved Hearing: Restores sound conduction for clearer hearing.
Permanent Solution: Provides lasting correction for ossicular damage.
High Success Rate: Modern prosthetics ensure effective and safe outcomes.
Enhanced Quality of Life: Improves communication and daily interactions.
Safe Procedure: Minimally invasive with precise microsurgical techniques.
Ossiculoplasty is typically performed under general anesthesia and may take 1–2 hours. The surgeon accesses the middle ear through the ear canal or behind the ear, repairs or replaces the ossicles, and ensures proper alignment. Patients usually go home the same day. Recovery takes a few weeks, during which care must be taken to avoid water entry, heavy lifting, or sudden pressure changes. Hearing improvement is assessed after healing, often showing gradual but significant progress.
Ossiculoplasty offers a highly effective surgical option for patients suffering from conductive hearing loss due to ossicular damage. By using advanced prosthetics and microsurgical precision, ENT specialists can restore hearing ability and prevent long-term complications. With its proven success rate and durable outcomes, ossiculoplasty helps patients regain confidence, improve communication, and enjoy a better quality of life.
Ossiculoplasty in Jayanagar , Bangalore at Dr Rohit’s Centre For ENT & Cochlear Implant offers advanced surgical solutions to restore hearing by repairing or replacing the tiny bones of the middle ear. Our expert ENT specialists use modern techniques and precision care to improve hearing outcomes and ear health in a comfortable, patient-focused environment.
If your hearing loss persists after an eardrum perforation has healed, or a CT scan or surgical exploration shows damage to the malleus, incus, or stapes, ossiculoplasty is usually required in addition to or instead of eardrum repair alone. Your ENT surgeon confirms this through examination and hearing tests.
PORP (Partial Ossicular Replacement Prosthesis) is used when part of the ossicular chain, usually the stapes, remains intact. TORP (Total Ossicular Replacement Prosthesis) is used when all three middle ear bones require reconstruction. Your surgeon decides which prosthesis is appropriate during surgery based on the extent of damage.
Yes. Ossiculoplasty is commonly performed together with tympanoplasty (eardrum repair) or mastoidectomy (infection clearance), as ossicular damage often occurs alongside these conditions rather than in isolation.
Success depends on the extent of damage and whether other ear structures are affected. Modern prosthetic materials and microsurgical techniques help most patients achieve meaningful hearing improvement. Your surgeon can provide an individualized expectation based on your condition.
Ossiculoplasty repairs or replaces the three tiny middle ear bones—the malleus, incus, and stapes—when they are damaged by chronic infection, cholesteatoma, trauma, or previous surgery. The procedure restores sound transmission from the eardrum to the inner ear to improve hearing.
Ossiculoplasty is generally a same-day procedure performed under general anesthesia through the ear canal or behind the ear, usually taking one to two hours. It is considered a specialized microsurgical procedure rather than major open surgery, and most patients return home the same day.
Dr. Rohit's Centre for ENT & Cochlear Implant in Jayanagar 7th Block offers ossiculoplasty using modern PORP and TORP prostheses for patients across Bangalore. The clinic is conveniently located near RV Road and Jayanagar Metro Station, with appointments available online or by phone.
Ear bones may need to be replaced when chronic infections, cholesteatoma, trauma, or previous surgery have damaged or disconnected them, causing conductive hearing loss. Replacing them with a prosthesis helps restore the mechanical pathway that carries sound to the inner ear.