Ossiculoplasty for Tympanosclerosis

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Purpose of Review

The utility of surgery for tympanosclerosis has been a controversial topic among otologic surgeons for many decades. Knowing the variations in tympanosclerotic involvement, different aspects of surgical technique, and audiologic outcomes data can help inform the discussion of optimal management between surgeon and patient.

Recent Findings

Tympanosclerosis can involve all structures in the middle ear, and the distribution of that involvement determines the likelihood of surgical success in hearing improvement. Most recent studies indicate that having a mobile stapes is a key prognostic factor and increases the chance of meaningful hearing improvement following surgery. Stapes surgery for tympanosclerosis can also be successful, but results are more variable.


Tympanosclerosis is a challenging condition to treat, and the decision regarding surgical management should be thoughtful and carefully weighed against benefits obtained from amplification alone.

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    This article does not contain any studies with human or animal subjects performed by any of the authors.

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    Correspondence to Matthew M. Dedmon.

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    Matthew M. Dedmon and Brendan P. O’Connell declare that they have no conflict of interest.

    Alejandro Rivas reports being a consultant for Grace Medical, Stryker, Cook Medical, Cochlear Corp., Advanced Bionics, and Med-el.

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    This article is part of the Topical Collection on Ossicular Chain Reconstruction

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    Dedmon, M.M., O’Connell, B.P. & Rivas, A. Ossiculoplasty for Tympanosclerosis. Curr Otorhinolaryngol Rep (2020) doi:10.1007/s40136-020-00261-2

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    • Tympanosclerosis
    • Ossiculoplasty
    • Ossicular chain reconstruction
    • Stapedectomy
    • Conductive hearing loss