One of the most intriguing topics in middle ear surgeries is the reconstruction of the conductive mechanism. Continuous research has lead to the gradual improvement in our understanding of design and material used for ossicular implants. But the ideal ossicular implant i.e. one that is biocompatible to enable osseointegration and biostable as well as having appropriate rigidity and weight, still remains elusive. The optimal results in ossicular reconstruction depend not only on the qualities of the prosthesis, but on the environment in which it is placed and the surgical techniques used. The...