Ear Drum Repair /Tympanoplasty

SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
info@britishfaceclinic.com

British Face clinic

SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
info@britishfaceclinic.com

British face clinic

SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
info@britishfaceclinic.com

British Face Clinic

SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
info@britishfaceclinic.com

British Face Clinic

SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
info@britishfaceclinic.com

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Ear Drum Repair /Tympanoplasty

  • The ear consists of the outer, middle and inner ear. Sound travels through the outer ear and reaches the eardrum, causing it to vibrate. The vibration is then transmitted through three tiny bones (ossicles) in the middle ear. The vibration then enters the inner ear where the nerve cells are. The nerve cells within the inner ear are stimulated to produce nerve signals. These nerve signals are carried to the brain, where they are interpreted as sound.

  • A hole in the eardrum is known as a “perforation”. It can be caused by infection or injury to the eardrum.

    Quite often a hole in the eardrum may heal itself. Sometimes it does not cause any problem. However, a hole in the eardrum may cause a discharge from the ear or hearing loss. If the hole in the eardrum is large, then the hearing may be reduced.

  • The hole in the eardrum can be identified using a special medical instrument called ‘auriscope’. It consists of a magnifying lens and light. Examination with the auriscope is pain free.

    Frequently, I may need to use a microscope to clear out wax or debris from your ear canal to get a good view of your ear drum and inspect the perforation.

    The amount of hearing loss can be determined only by careful hearing tests done by an audiologist.

    A severe hearing loss usually means that the ossicles are not working properly, or the inner ear is damaged.

  • If the hole in the eardrum has only just occurred, no treatment may be required. The eardrum may simply heal itself. If an infection is present you may need antibiotics, usually as an ear drop. You should avoid getting water in the ear until the eardrum heals.

    If the hole in the eardrum is causing discharge or deafness, or if you wish to swim, it may be sensible to have the hole repaired. The operation is called a “myringoplasty”.

  • The benefits of closing a perforation include prevention of water entering the middle ear while showering, bathing or swimming (which could cause ear infection).

    Repairing the eardrum may also improve hearing.

  • Your surgery will be done under general anaesthetic, usually through a small hidden cut made above the ear opening. Occasionally I may make the cut behind the ear. In most patients, I use the cartilage from your ear (after shaping and thinning) to repair the perforation. Dressings are placed in the ear canal and the skin closed with absorbable stitches.
    Occasionally, I may need to widen the ear canal with a drill to get to the perforation.

  • The operation can successfully close a small hole nine times out of ten. The success rate is not quite so good if the hole is large or if there is major dysfunction of your Eustachian tubes.
    Possible complications
    There are some risks that you must be aware of before giving consent to this treatment. These potential complications are rare.
    Taste disturbance: The taste nerve runs close to the eardrum and may occasionally be damaged. This can cause an abnormal taste on one side of the tongue. This is usually temporary but occasionally it can be permanent.
    Dizziness: Dizziness is common for a few hours following surgery. On rare occasions, dizziness can last for months or even years if the inner ear is damaged during surgery.
    Hearing loss: In a very small number of patients, severe deafness can happen if the inner ear is damaged.
    Tinnitus: Some patient may notice noise in the ear, if the hearing loss worsens.
    Facial Paralysis: The nerve for the muscle of the face runs through the ear. Therefore, there is a slight chance of a facial paralysis, however it is extremely rare. The facial paralysis affects the movement of the facial muscles for closing of the eye, making a smile and raising the forehead. The paralysis could be partial or complete. It may occur immediately after surgery or have a delayed onset. Recovery can be complete or partial.
    Allergic reaction to the ear dressings: Some patients may develop a skin reaction to the ear dressings. If your ear becomes itchy or swollen, you should contact my secretary.

  • The ear may ache a little but this can be controlled with paracetamol or Brufen.
    You will usually go home the same day.
    There may be a small amount of discharge from the ear canal. This usually comes from the antiseptic solutions in the ear dressings.
    Some of the ear dressings may fall out. If this occurs there is no cause for concern. It is sensible to trim the loose end of the ear dressings with scissors and leave the rest in place.
    I will remove the dressings in the ear canal after two or three weeks at the hospital.
    You should keep the ear dry and avoid blowing your nose too vigorously.
    Plug the ear with a cotton wool ball coated with Vaseline when you are having a shower or washing your hair. If the ear becomes more painful or is swollen, then you should contact my secretary.

  • The exact time needed off work varies between patients, but as a guide you may need to take two weeks off work.

    Acknowledgement


    The information has been taken from ENT UK www.entuk.org with some modifications to reflect my practice.