We show that every two-generated torsion-free one-ended word-hyperbolic gro
up has virtually cyclic outer automorphism group. This is done by computing
the JSJ-decomposition for two-generator hyperbolic groups. We further prov
e that two-generated torsion-free word-hyperbolic groups are strongly acces
sible. This means that they can be constructed from groups with no nontrivi
al cyclic splittings by applying finitely many free products with amalgamat
ion and HNN-extensions over cyclic subgroups.