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What is Tympanoplasty

Tympanoplasty is a surgery to repair the eardrum. The eardrum is a thin layer of tissue that vibrates in response to sound. Repeated ear infections or trauma may cause damage to your eardrum that only surgery can rectify. Tympanoplasty is done to repair or replace the three tiny bones behind the eardrum.

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Types of eardrum repair procedures
  • Myringoplasty An otolaryngologist will perform a myringoplasty to repair a hole in the eardrum. The hole is repaired in this surgery by inserting a graft made of either a small piece of tissue somewhere else on the body or a gel-like substance. This procedure takes about 15 to 30 minutes and can be performed in the doctor's office under local anesthesia.
  • Ossiculoplasty The goal of an Ossiculoplasty surgery is to repair the faulty ossicular chain (three bones chain: Malleus, Incus, and Stapes) in the middle ear cavity. This procedure is also carried out while the patient is sedated with general anaesthesia. Bones from a donor can be used to replace the missing ones, or prosthetic devices can be used.
  • Tympanoplasty If you have a huge hole in your eardrum or a chronic ear infection that can't be cured with antibiotics, you'll need a tympanoplasty. For this procedure, you will be put under general anaesthesia and you will be rendered unconscious. The surgeon will begin by carefully removing any extra tissue or scared tissue that has built up in your middle ear with a laser. The hole will then be closed by grafting a small portion of your tissue from a vein or muscle sheath onto your eardrum. To repair your eardrum, the surgeon will either go through your ear canal or make a small incision behind your ear and access your eardrum that way. It usually takes two to three hours to complete this treatment.
Complications from Eardrum Repairs

Almost all surgeries come with their own set of dangers. Bleeding, infection at the operation site, allergic responses to the drugs, and anaesthesia used during the procedure are all possible risks.

Although eardrum repair surgery has a low risk of complications, they can occur and include:
  • Damage to the nerves that govern your sensation of taste or your facial nerve
  • Hearing loss is caused by damage to the bones in your middle ear
  • Dizziness
  • The hole in your eardrum hasn't healed completely
  • Hearing loss that is moderate or severe
  • Cholesteatoma is a type of abnormal skin growth that develops behind your eardrum
Preparing for an Eardrum Repair

Any medications or supplements you're taking should be disclosed to your doctor. You should also inform them if you have any allergies, to drugs, or anaesthesia. If you feel ill, make sure to tell your doctor. Your procedure may have to be postponed in this scenario.

The night before your surgery, you will most likely be urged to refrain from eating and drinking after midnight. If you must take medicine, drink only a modest amount of water while doing so.

After an Eardrum repair procedure

Your doctor will place cotton packing to cover your ear after surgery. After your surgery, this packing should be left on your ear for five to seven days. To protect your ear, a bandage is frequently wrapped around it. People who have their eardrums repaired are usually discharged from the hospital on the same day.

Ear drops are prescribed by the doctors after the surgery. During your rehabilitation, keep water out of your ear. When bathing use a shower hat to keep the water out and avoid swimming. Do not blow your nose or "pop" your ears. If you have to sneeze, do it with your mouth open to avoid building up pressure in your ears.

Following surgery, you may have shooting pain in your ear or the sensation that your ear is full of liquid. In your ear, you may also hear popping, clicking, or other sounds. These signs and symptoms are usually mild and go away after a few days.

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