There are two main types of hearing loss: conductive and sensorineural. Conductive hearing loss is caused by problems in the middle ear and outer ear, while sensorineural hearing loss is the result of inner ear problems. The latter type is sometimes referred to as nerve deafness and is usually treatable only with hearing aids. Conductive hearing loss, on the other hand, can often be corrected surgically.
Stapedectomy
One of the most common types of surgical procedures for hearing is for the treatment of otosclerosis, abnormal growth of bone on or around the stapes, the “stirrup bone” of the middle ear. This bony buildup prevents the stapes from vibrating as it normally would when stimulated by sound waves, causing hearing loss. The procedure, called a stapedectomy, involves removal of the stapes and replacement with an artificial prosthesis. Surgery is usually completed in 90 minutes or less, and often the patient is able to go home the same day. It may take a month or so for results to appear, as there will be swelling and bruising that can impede hearing initially.
Ossicular Reconstruction
Ossicular reconstruction is similar to a stapedectomy but involves replacing multiple bones of the middle ear (the ossicles) with prosthetic bones.
Implantable Hearing Devices
Implantable hearing devices are another common surgical procedure to assist with hearing. These involve implanting a small device, such as a cochlear implant or bone-anchored hearing aid, to allow patients with nerve deafness a communication alternative.
