Damaged ossicles
Serious infections and head injuries can damage the ossicles (tiny bones) in the inner ear that pass sound waves from the eardrum to the inner ear, causing hearing loss. Occasionally, babies are born with misshapen ossicles.
Treatment
Damaged ossicles can be repaired or replaced with artificial bone. How much your hearing will improve after surgery depends on how severe the damage has been to the ossicles and middle ear, and what type of artificial bone is needed to repair the damage.