Background:The present study was conducted to determine ossiculoplasty using auto-graft malleus and incus.Materials & Methods: The present study was conducted on 64 patients selected for ossiculoplasty of both genders. Based on ossicular defects, the type of ossiculoplasty was planned. Results: Age group 0-20 years had 4 males and 3 females, 20-40 years had 8 males and 5 females, 40-60 years had 10 males and 8 females and >60 years had 14 males and 12 females. Pre- operatively mean ABG in age group 0-20 years was 34.50 and post- operatively was 12.94 and ABG gain was 21.56, in age group 20-40 years was 35.72, 12.24 and 23.48 pre- operatively, post- operatively and ABG gain respectively. In age group 40-60 years was 34.65, 13.26 and 21.39 pre- operatively, post- operatively and ABG gain respectively. Incus and stapes were involved in 16 cases, pre- operative ABG (dB) was 38.52 and post- operative ABG (dB) was 17.24, only incus in 34, pre- operative ABG (dB) was 33.60 and post- operative ABG (dB) was 11.58, all involved in 5 cases, pre- operative ABG (dB) was 41.20 and post- operative ABG (dB) was 20.24 and incus and malleus were involved in 9 cases, pre- operative ABG (dB) was 29.62 and post- operative ABG (dB) was 12.06. Conclusion:Authors found that maximum gain was achieved with only incus followed by incus and stapes, all involved and incus and malleus
