Ossiculoplasty: revisited.

Conductive hearing loss from ossicular chain abnormalities may result from either discontinuity or fixation of the ossicular chain. The ideal prosthesis for ossicular reconstruction should be biocompatible, stable, safe, readily available, and capable of yielding optimal sound transmission. At present ossiculoplasty techniques using alloplast materials are becoming popular but the fate of these synthetic materials in human middle ear requires further study. Autologous ossicle or cortical bone grafts maintain their morphologic contour, size, shape, and physical integrity for long periods of time, over 25 years making them still the choice at present. The choice of technique will still depend on the causative pathology, availability of graft, surgical experience.