ABSTRACT Ossiculoplasty (OP) refers to the reconstruction of middle ear ossicular defects. OP trials have been made since the beginning of the 1900s. After the first allografts were presented to the literature in the 1950s, the modern OP period began. Erosion of the middle ear ossicles is frequently seen in chronic otitis media. While the long process of the incus erodes most frequently, the ossicle most resistant to erosion is the mallei of the manubrium.