Chronic infection and tumor can cause damage to the middle ear bones. In that case, the surgeon can either recommend a hearing aid or reconstruction of the ear bones. Hearing aids work well, but may need maintenance and battery changes. Reconstruction surgery of the ear bones can be very favorable and lead to maintenance-free improved hearing for the patient.
In performing an ossicular bone reconstruction, the surgeon usually works through the ear canal. A microscope is used to help with the surgery. The microscopically-small bones are palpated and checked. If they are seen to be deficient, they can often be re-worked with micro-drills and replaced into the ear. Sometimes prosthetic devices are used to substitute for the bones. Once the ear bone reconstruction reconnects the eardrum with the inner ear, then hearing is again possible. The surgery is usually done as an outpatient procedure. Heavy ____________ activity should be avoided for 10 to 14 days after the surgery procedure.