DOI: https://doi.org/10.36347/sjams.2025.v13i05.010

Pages: 1063-1068

Background: The surgical practice of ossiculoplasty rebuilds the ossicular chain for hearing improvement in sufferers with conductive hearing loss caused by ossicular damage. Objective: The purpose of this prospective comparative study is to study the performance outcomes between autologous cartilage grafts and artificial prostheses within ossiculoplasty surgery. Methodology: During the period from July 2014 through June 2016 at Sir Salimullah Medical College and Mitford Hospital in Dhaka the study selected 100 patients before dividing them into two equivalent groups. The patients in Group A received ossiculoplasty with autologous cartilage grafts yet Group B recipients received Teflon (PORP, TORP) artificial prostheses. Results: The assessed air-bone gap decreased substantially following surgery according to both pre- and post-operative audiometric tests among the study groups. The hearing improvement measured 13.8±2.1 dB for Group A and Group B reached 11.4±1.4 dB as their average hearing gain. Research confirmed that Group A achieved 84% success while Group B reached 76% success. These results included minimal discomfort as well as ear discharge in both groups. Conclusion: This research shows that autologous cartilages produce slightly superior hearing results than cavities made with artificial prostheses. The selection of surgical procedures requires evaluation of endurance patient choice and practitioner skill level. The research team should conduct additional studies involving bigger participant groups and extended observation periods.