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Eardrum Repair Surgery

Eardrum repair is a surgical procedure essential in case of a perforated eardrum. Myringoplasty is the repair of the tear in pars tensa of the tympanic membrane. If ossicular reconstruction is required along with myringoplasty, it is known as Tympanoplasty.

A ruptured eardrum can affect the ability of hearing and may be caused by several reasons such as: 

Know More About Surgery

An eardrum repair surgery may be recommended in the following cases:

  • Severe ear infection (otitis media)
  • Injury or trauma to the eardrum
  • Perforated eardrum
  • Dysfunctional eustachian tube (a thin passage that connects the throat to the middle ear)
  • Cholesteatoma (a growth within or behind the eardrum)
  • Loud noise causing damage to the eardrum or the bones present behind the eardrum


Symptoms:
The following symptoms could indicate the need for eardrum repair surgery:

  1. Ear pain
  2. Bleeding from the ears
  3. Fluid leakage and discharge from the ears
  4. Tinnitus (ringing in the ears)
  5. Dizziness 
  6. Vertigo
  7. Nausea
  8. Vomiting
  1. Physical examination: The doctor will evaluate the physical health of the patient. The patient’s medical history and symptoms are noted.
  2. Laboratory tests: The discharge from the ear is examined under a microscope to check for the presence of bacterial infection or other types of infections.
  3. Tuning fork evaluation: This test is performed to check whether the middle or inner ear is damaged.
  4. Tympanometry: This test helps in detecting the response of the eardrum to changes in pressure and checks for abnormalities in the middle ear functions.
  5. Audiology exam: The amount of hearing loss can be assessed using this test.

 

Eardrum repair surgery can be performed in the following different ways:

Myringoplasty:

  1. In case of a small eardrum hole, the doctor will first try to patch the hole using a gel or a paper-thin tissue. 
  2. This procedure is performed under local anesthesia, that is, the treatment area is numbed using anesthesia.
  3. The gel or tissue-like material used will usually dissolve completely within 2 to 3 months.
  4. This procedure takes about 15 to 30 minutes to complete.

Tympanoplasty

  • This procedure is performed under general anesthesia, that is, the patient is put to sleep during the procedure.
  • If the patient has a large hole in the eardrum or a chronic ear infection that cannot be treated using antibiotics, this procedure is performed.
  • An incision is first made behind the outer ear or above the ear canal.
  • A laser or micro-hook is then used for removing any extra folds of tissue or scar tissue that may be present around the middle ear.
  • The doctor will then take a piece of tissue from the back of the ear or lobe of the skin to graft it onto the eardrum in proximity to the hole.
  • The incision is then closed using sutures.
  • The type of procedure takes about two to three hours to complete.

Ossiculoplasty: This procedure is sometimes done along with an eardrum repair surgery. This procedure is performed under the effect of general anesthesia. It is done when the ossicles (bones of the middle ear) are damaged due to ear infections or trauma. These bones will be replaced by artificial prosthesis or bones from a donor.

Eardrum repair surgery may be associated with the following complications:

  • Bleeding
  • Ear infection 
  • Allergic reaction to the anesthetic agent used 
  • Permanent hearing loss
  • Damage to the nerves
  • Loss of taste 
  • Failure of eardrum hole healing
  • Dizziness
  • Vomiting
  • Damage to the bones inside the ear
  1. It takes at least one or two weeks to recover after an eardrum repair surgery. Complete recovery will however take two to three months.
  2. You will be given ear packs to protect your ears.
  3. You need to change the cotton of the ear pack regularly.
  4. It is normal to have some ear pain and soreness for a few days after surgery. The doctor will prescribe painkillers to relieve this discomfort.
  5. You may have some bleeding and drainage from the ear for a few days after surgery.
  6. Sutures will be removed approximately one week after surgery.
  7. You can normally resume work one to two weeks after surgery.


Home remedies:

The following home remedies help in a rapid and smoother recovery following eardrum repair surgery:

  1. Keep the ear canal dry and clean.
  2. Avoid any water from entering the ear for at least three weeks after surgery. Avoid swimming and wear a shower cap while having a bath.
  3. Keep a cotton ball in your ear and change this cotton ball at periodic intervals.
  4. Avoid air travel or scuba diving unless your doctor permits the same.
  5. Avoid blowing your nose or popping your ears. If you feel like sneezing, do so while keeping your mouth open.

Cost of eardrum repair surgery in India- 

Top Doctors for Eardrum Repair Surgery in New Delhi

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Eardrum Repair Surgery

Eardrum repair is a surgical procedure essential in case of a perforated eardrum. Myringoplasty is the repair of the tear in pars tensa of the tympanic membrane. If ossicular reconstruction is required along with myringoplasty, it is known as Tympanoplasty.

A ruptured eardrum can affect the ability of hearing and may be caused by several reasons such as: 

  • Otitis Media- infection of the middle ear due to accumulation of fluids
  • Barotrauma- differences in air pressure in the middle ear and outside causing extreme stress on the ear drum
  • Blast or exposure to very loud sound
  • Puncture by a sharp object
  • Severe head injury 

Symptoms

An eardrum repair surgery may be recommended in the following cases:

  • Severe ear infection (otitis media)
  • Injury or trauma to the eardrum
  • Perforated eardrum
  • Dysfunctional eustachian tube (a thin passage that connects the throat to the middle ear)
  • Cholesteatoma (a growth within or behind the eardrum)
  • Loud noise causing damage to the eardrum or the bones present behind the eardrum


Symptoms:
The following symptoms could indicate the need for eardrum repair surgery:

  1. Ear pain
  2. Bleeding from the ears
  3. Fluid leakage and discharge from the ears
  4. Tinnitus (ringing in the ears)
  5. Dizziness 
  6. Vertigo
  7. Nausea
  8. Vomiting

Diagnosis

  1. Physical examination: The doctor will evaluate the physical health of the patient. The patient’s medical history and symptoms are noted.
  2. Laboratory tests: The discharge from the ear is examined under a microscope to check for the presence of bacterial infection or other types of infections.
  3. Tuning fork evaluation: This test is performed to check whether the middle or inner ear is damaged.
  4. Tympanometry: This test helps in detecting the response of the eardrum to changes in pressure and checks for abnormalities in the middle ear functions.
  5. Audiology exam: The amount of hearing loss can be assessed using this test.

 

Treatment

Eardrum repair surgery can be performed in the following different ways:

Myringoplasty:

  1. In case of a small eardrum hole, the doctor will first try to patch the hole using a gel or a paper-thin tissue. 
  2. This procedure is performed under local anesthesia, that is, the treatment area is numbed using anesthesia.
  3. The gel or tissue-like material used will usually dissolve completely within 2 to 3 months.
  4. This procedure takes about 15 to 30 minutes to complete.

Tympanoplasty

  • This procedure is performed under general anesthesia, that is, the patient is put to sleep during the procedure.
  • If the patient has a large hole in the eardrum or a chronic ear infection that cannot be treated using antibiotics, this procedure is performed.
  • An incision is first made behind the outer ear or above the ear canal.
  • A laser or micro-hook is then used for removing any extra folds of tissue or scar tissue that may be present around the middle ear.
  • The doctor will then take a piece of tissue from the back of the ear or lobe of the skin to graft it onto the eardrum in proximity to the hole.
  • The incision is then closed using sutures.
  • The type of procedure takes about two to three hours to complete.

Ossiculoplasty: This procedure is sometimes done along with an eardrum repair surgery. This procedure is performed under the effect of general anesthesia. It is done when the ossicles (bones of the middle ear) are damaged due to ear infections or trauma. These bones will be replaced by artificial prosthesis or bones from a donor.

Risks

Eardrum repair surgery may be associated with the following complications:

  • Bleeding
  • Ear infection 
  • Allergic reaction to the anesthetic agent used 
  • Permanent hearing loss
  • Damage to the nerves
  • Loss of taste 
  • Failure of eardrum hole healing
  • Dizziness
  • Vomiting
  • Damage to the bones inside the ear

After Procedure

  1. It takes at least one or two weeks to recover after an eardrum repair surgery. Complete recovery will however take two to three months.
  2. You will be given ear packs to protect your ears.
  3. You need to change the cotton of the ear pack regularly.
  4. It is normal to have some ear pain and soreness for a few days after surgery. The doctor will prescribe painkillers to relieve this discomfort.
  5. You may have some bleeding and drainage from the ear for a few days after surgery.
  6. Sutures will be removed approximately one week after surgery.
  7. You can normally resume work one to two weeks after surgery.


Home remedies:

The following home remedies help in a rapid and smoother recovery following eardrum repair surgery:

  1. Keep the ear canal dry and clean.
  2. Avoid any water from entering the ear for at least three weeks after surgery. Avoid swimming and wear a shower cap while having a bath.
  3. Keep a cotton ball in your ear and change this cotton ball at periodic intervals.
  4. Avoid air travel or scuba diving unless your doctor permits the same.
  5. Avoid blowing your nose or popping your ears. If you feel like sneezing, do so while keeping your mouth open.

Cost of eardrum repair surgery in India- 

FAQ Section

Q. What is eardrum repair surgery?

A. A surgical procedure performed to treat a damaged eardrum is known as eardrum repair surgery. This type of surgery helps in restoring normal ear function by repairing or replacing damaged ear tissue.

 

Q. Who performs an eardrum repair surgery?

A. Eardrum repair surgery is performed by an ENT surgeon.

Q. What is an eardrum?

A. An eardrum, also known as a tympanic membrane, is a thin membrane present between the middle ear and the inner ear. It is connected to three bones, namely the malleus, incus, and staples. The eardrum and the three bones help in the conduction of the sound waves up to the brain which eventually aids in hearing.

 

Q. When is an eardrum repair surgery needed?

A. An eardrum repair surgery may be recommended in the following cases:
Perforation or hole in the eardrum
Otitis media (ear infection)
Reduction or loss of hearing
Presence of symptoms like bleeding ears, persistent buzzing in the ears, and severe ear pain

Q. How soon after eardrum repair surgery will I get my hearing back?

A. Your hearing will start to come back approximately a week after eardrum repair surgery; however, complete recovery could take up to two to three months. Your ENT surgeon will perform a hearing assessment about 12 weeks after surgery to check the overall improvement in hearing after surgery.

 

Q. Can I still have hearing problems after an eardrum repair surgery?

A. Normally, hearing problems do not recur following an eardrum repair surgery. However, in certain rare cases, the patient could have some loss of hearing after eardrum repair surgery if they suffer from another trauma or injury, or if the graft does not heal properly. In such cases, you may need to undergo eardrum repair surgery again.

Q. What will happen if I do not treat an eardrum perforation?

A. Generally, very small tears in the eardrum tend to heal on their own, however, moderate to severe tears will not heal on their own. If not managed in a timely manner, you may become vulnerable to recurrent ear infections, permanent loss of hearing, and other war-related problems.

 

 

Q. Will I have pain after eardrum repair surgery?

A. You may have mild pain and soreness for the first two or three days after surgery, but usually, this pain can be managed by the use of pain-relieving medications. However, if the pain persists or becomes severe, contact your ENT surgeon immediately.