Reconstruction of the ossicular chain in children

Ossiculoplasty in pediatric patients presents several unique surgical challenges. A conservative approach includes establishing a safe, well-aerated middle ear with an intact tympanic membrane before attempting reconstruction of the ossicular chain. However, a more aggressive approach with immediate ossicular reconstruction may be indicated in certain clinical situations. Close monitoring during postoperative healing is important to achieve and maintain a good hearing result. However, successful ossicular reconstruction can be achieved in children. It may have a more important role in children given the importance of binaural hearing in speech and language development and success in education. In this article, the authors describe their operative approach to reconstruction of the ossicular chain in children.