(Middle Ear Repair)
Tympanoplasty is surgery to repair the eardrum and middle ear bones.
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There are three types of surgery:
- Myringoplasty—repairs a tear in the eardrum
- Tympanoplasty with ossiculoplasty—repairs a tear in the eardrum and corrects a defect in the bones of the middle ear
- Tympanoplasty with mastoidectomy—repairs a tear in the eardrum and removes infected tissue in the bony area behind the ear
Reasons for Procedure
This procedure is done to:
- Restore hearing and treat certain types of deafness
- Lower the risk of middle ear infections
Problems from the procedure are rare, but all procedures have some risk. The doctor will go over some problems that could happen, such as:
- Excess bleeding
- Problems from anesthesia, such as wheezing or sore throat
- Hearing loss that does not improve
- Damage to structures in the ear
What to Expect
Problems to Look Out For
Call the doctor if you are not getting better or you have:
- Signs of infection, such as fever and chills
- Redness, swelling, excess bleeding, or discharge from the cut
- Pain that you cannot control with medicine
- Hearing loss
- Lasting nausea or vomiting
- Discharge from the ear that has a bad odor
- New or worsening symptoms
If you think you have an emergency, call for medical help right away.
Prior to Procedure
The surgical team may meet with you to talk about:
- Anesthesia options
- Any allergies you may have
- Current medicines, herbs, and supplements that you take and whether you need to stop taking them before surgery
- Fasting before surgery, such as avoiding food or drink after midnight the night before
- Arranging for a ride to and from surgery
The doctor may give:
- A sedative—you will feel relaxed
- Local anesthesia—the area will be numbed
- General anesthesia—you will be asleep
Description of the Procedure
A small cut will be made behind the ear. Some tissue will be removed from this area and attached to the eardrum to cover the hole. Other materials may be added to hold it in place. Any bones of the middle ear can be repaired at this time. A small pack may be left in the ear canal. The cut behind the ear will be closed with stitches. A bandage will be put over the area.
How Long Will It Take?
1 to 2 hours
Will It Hurt?
Anesthesia will prevent pain during surgery. There will be pain and discomfort after surgery. Medicine and home care can help.
At the Hospital
After the procedure, the staff may give you pain medicine.
During your stay, the hospital staff will take steps to lower your risk of infection, such as:
- Washing their hands
- Wearing gloves or masks
- Keeping your wound covered
There are also steps you can take to lower your risk of infection, such as:
- Washing your hands often and reminding visitors and staff to do the same
- Reminding staff to wear gloves or masks
- Not letting others touch your wound
There may be discomfort for about a day. Full healing will take about 4 weeks. Some physical activities may be limited, such as swimming.
- Evaluation and management of middle ear trauma. EBSCO DynaMed website. Available at: https://www.dynamed.com/management/evaluation-and-management-of-middle-ear-trauma. Accessed April 21, 2022.
- Tympanoplasty/paper patch myringoplasty. Children's Hospital of Pittsburgh website. Available at: https://www.chp.edu/our-services/ent/patient-procedures/tympanoplasty. Accessed April 21, 2022.
- Mark S. Itzkowitz, MD, JD
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