Ossiculoplasty Atlas
Ossiculoplasty
An interactive teaching atlas of ossiculoplasty and middle ear reconstruction — the anatomy and acoustics of the ossicular chain, the classification of ossicular defects, preoperative evaluation, surgical principles, grafts and prostheses, reconstruction techniques and outcomes, built chapter by chapter. All 9 chapters are live.
Chapters
How the middle ear, ossicular chain, and its blood supply set the stage for hearing reconstruction.
The transformer mechanism, impedance matching, and the grading systems that organize reconstruction.
Clinical exam, audiometry, imaging, and risk stratification that decide who is reconstructed and how.
Anaesthesia, positioning, surgical corridors, and tympanic membrane elevation for safe ossicular access.
Cartilage, autograft ossicles, cortical bone, homografts, and bone cement for ossicular and TM repair.
PORP and TORP designs, materials science, biomechanical stability, and evidence-based prosthesis choice.
Tailoring incus interposition, PORP, and TORP reconstruction to each malleus and stapes defect pattern.
Air-bone gap reporting, prognostic scores, extrusion and SNHL, and evidence-based long-term results.
Endoscopic ossiculoplasty, 3D-printed and bioactive prostheses, regenerative tissue engineering, and AI planning.
Audience levels
Every section is tagged for an audience level. Foundation (F) is for medical students and foundation trainees; Trainee (T) is for ENT, otology, and neurotology trainees; Clinician (C) is for qualified clinicians. Modules teach all three levels in sequence so a learner can stop at the depth that suits them.