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Introducing Tympanoplasty Surgery

Reviewed by: Dr. Ali Bazzai

What You’ll Read in This Article

Tympanoplasty also considered as an eardrum repair is a special surgery to recreate and reconnect the tiny bones of the inside of the ear to eardrum. Punching the tympanic membrane

Tympanoplasty also considered as an eardrum repair is a special surgery to recreate and reconnect the tiny bones of the inside of the ear to eardrum. Punching the tympanic membrane is our topic and we are going to provide different information about this surgery and its purpose. Keep on. There are two fundamental reasons for Eardrum perforation:

  • Chronic infection of ears
  • Trauma in ear
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Eardrum of the ear has a three-layer structure: The outer layer (which is cutaneous), the middle layer (which is fibrous), and an inner layer (which is mucous membrane). When the condition is unhealthy and inappropriate, the perforations occur in the middle layer. Small perforations can be cure spontaneously but the large ones need tympanoplasty. Also, chronic infection can be considered as a primary reason. However an object in the ear, a slap on the ear, or an explosion may also be other reasons.
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Tympanoplasty surgery is more common nowadays, but how successful is tympanoplasty in restoring normal hearing? This surgery has a success rate of 85-90% and completely depends upon the extent of the abnormality. Also in some cases, the necessary of tympanoplasty is to reach an acceptable range of hearing.
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Diagnosis/Preparation of tympanoplasty 

  • A microscopic exam
  • an audiogram of the hearing loss
  • A history of the hearing loss
  • Vertigo or facial weakness test
  • blood and urine studies

In some cases a fistula test can be considered if the patient is suffering from a marginal perforation of the eardrum. Different types of tympanoplasty need different preparation methods for surgery. A hearing test can identify any hearing deficiency. You do not sense any hurt during the procedure because a tympanoplasty is performed under general anesthesia or local anesthesia.

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Before and after of tympanoplasty surgery

In 2 to 3 hours after surgery, you can return to your home. You need to take some antibiotics. Make sure to keep water away from your ear. If there are allergies or a cold, ask your surgeon to prescribe antibiotics and a decongestant. The packing is removed under the operating microscope after 10 days and during these days you also need a mild pain reliever. Possible tympanplasty surgery risks include failure of the graft to heal causing recurrent eardrum perforation; narrowing (stenosis) of the ear canal; scarring or adhesions in the middle ear; perilymph fistula and hearing loss; erosion or extrusion of the prosthesis; dislocation of the prosthesis; and facial nerve injury.

Noise in hearing and tinnitus are common complications, however after improvement in hearing and closure of the eardrum, they will resolve and disappear. Some patients are concern that is noise in ear can be permanent? We have to mention it is rare and depends on your surgeon expertise. Immediately after the surgery it is common to experience imbalance and dizziness, so do not be afraid and this condition can also persist for about a week after surgery and after this period they completely disappear. The risk of complete hearing loss after tympanoplasty surgery is rare.

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