ABSTRACT Pathologies like trauma, surgical manupulation or cholesteatoma can impair ossicular chain continuity in middle ear. Besides fixation in ossicules also effects sound transmission. If sound couldn’t transmit to the inner ear by ossicules, conductive hearing loss occurs. The aim of ossicular chain reconstruction is to eliminate conductive hearing loss by providing ossicular chain continuity and mobility. Otografts or allografts can be preferred for the aim of ossicular continuity. This choice may change according to surgeon experience and conditions of the institution. It is important to prevent complications during intraoperative and postoperative period.