All About

Ossciculoplasty Ear Surgery

Symptoms

It seems as though people are constantly mumblingYou ask others to repeat themselves on a regular basisConversations become muddled or indecipherable in noisy environmentsOthers complain that the TV volume is too loudIt’s difficult to hear certain voices, particularly those of women or childrenYou no longer hear noises like rustling leaves, footsteps, or whispersMusic sounds less rich or full-bodied than it used to

Causes

Damaged malleus or incus bones

Injury or infection can damage the malleus or incus bones. Your surgeon reaches these 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 one side. All or part of the damaged bone is removed.

Replacing one or both bones

The damaged malleus or incus bone-or both-may be rebuilt with synthetic material. Or it may be replaced with a manmade part. This part is called a prosthesis. Your surgeon attaches the prosthesis where needed. Then the eardrum is put back in place.

More about Treatment

Ossiculoplasty is the reconstruction of the middle ear ossicular chain which has been disrupted or destroyed, by the use of some interpositioned devices which helps in regaining the original mechanics of the ossicular chain to transfer the sound energy to the inner ear. Ossicular abnormalities can range from loss of ossicular continuity due to trauma, surgical manipulation or middle ear pathology such as cholesteatoma or fixation of the ossicles in cases of otosclerosis and myringostapediopexy or it can be combination of both.

Diagnosing Middle Ear Problems

To diagnose a middle ear problem takes several steps. You may be asked questions about your child's health history. Your child's eardrums will be examined. Tests may be done to check the health of the middle ear. Other tests may be done to check for hearing loss. Below is more information about the exam and tests.

Physical exam

A physical exam helps figure out the type of ear problem your child may have. The exam will also help identify respiratory illnesses. These can include bronchitis, pneumonia, or strep throat. They can affect middle ear health and hearing. The exam involves listening to your child's heart and lungs. The doctor will look in your child's ears, nose, and throat.

Viewing the eardrum

A test called pneumatic otoscopy may be done. It takes a few minutes and rarely causes discomfort. A special device (otoscope) is used to look down the ear canal. This lets the healthcare provider see the eardrum and any fluid behind it. The device can also be used to change the air pressure in the ear canal. This lets the healthcare provider see how flexible the eardrum is. Reduced eardrum flexibility is often linked with fluid buildup.

Checking the middle ear

Your child's eardrum and middle ear may be tested. Tympanometry and acoustic reflex testing may be done. Both use a probe to send air and sound through the outer ear. Tympanometry measures the sound passed into the middle ear. Acoustic reflex testing checks the flexibility of the eardrum and how it responds to loud sounds.

Identifying hearing loss

Older children may be given an audiometric test. This measures any possible hearing loss. Test results are used to identify the types of sounds that can and can't be heard. If your child is young, the healthcare provider or a hearing specialist may talk or play with them. The child's response helps identify hearing loss.

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