Tympanoplasty in India

Total cost estimate for Tympanoplasty

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Total Cost US $2,690
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Treatment/Surgery Cost
$2,250
174,331 INR

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Travel and Visa Cost
$0
0 INR

Travel and visa includes return airfare
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Duration of Stay in India

  • 2 Days
    in Hospital
  • 5 Days
    Outside
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Hotel, Food and Conveyance
$195
15,109 INR

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Additional Expenses
10% Extra

* Medicines, Nurse
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Total Treatment Cost
$2,690
208,383 INR

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Procedure Details

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 

The symptoms of a perforated ear drum include- 

  • Pain in the ear
  • Blood through the ears
  • Leakage of fluid and discharge from the ears
  • Ringing in the ears
  • Vertigo
  • Nausea and Vomiting

Infections in the ear can be diagnosed by laboratory tests in which the discharge from the ear can be examined under the microscope to detect bacteria or other organisms. A tuning fork evaluation is essential to find out which part of the ear is damaged – inner ear or middle ear. Tympanometry is a test to observe the response of the eardrum to changes in pressure and hence can detect abnormalities in the functioning of the middle ear. Audiology exams are also conducted to assess the loss in hearing.

Using laser or micro hooks, the scar tissue and extra folds of tissue surrounding the ossicles are removed in order to get full access to the tear in the eardrum. A graft is taken from the back of the ear or from some lobe of skin of the ear and is inserted under the remaining eardrum. It is then folded together to complete the hole and its proper functioning is assured. The incision made in the ear is then closed with stitches. Ossiculoplasty may also be carried out with Ear drum repair surgery in which the bones are re-structured in order to bridge the gap between ossicles that have lost contact. 

There are several risks involved in the surgeries for repair of the eardrum such as- 

  • Ear infections
  • Permanent loss of hearing
  • Damage to nerves close to the ear
  • Hole does not heal
  • Damage to ear ossicles

The patient may require up till one week for recovery. The doctor may give an ear pack to the patient. The cotton of the ear pack should be changed regularly to maintain hygienic conditions. Swimming should strictly be avoided. Water should be prevented from entering the ears and hence, it is recommended that shower caps are worn during showering. Any sorts of changes in pressure such as scuba diving, going to high altitudes or travelling in a flight should be avoided until complete recovery. 

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FAQ Section

1) What is an eardrum perforation?

Eardrum perforation is a hole in the eardrum which is a thin membrane deep in the ear canal and which vibrates when sound waves enter the ear and transfers sound energy into the inner ear.

2) Do eardrum perforations cause hearing loss?

Temporary hearing loss from perforation is a rare occurrence.  The effect a perforation has on hearing depends on where the hole is located and the size of the hole. Most perforations are relatively small. They are in areas that don't much affect hearing. Even so, large perforations and even some smaller ones can cause a temporary hearing loss, however, they do not cause complete deafness.

 

3) What are the symptoms of perforated eardrum?

  • Clear, pus-filled or bloody drainage from your ear
  • Ear pain that may subside quickly
  • Hearing loss
  • Nausea or vomiting that can result from vertigo
  • Ringing in your ear (tinnitus)
  • Spinning sensation (vertigo)

4) Do eardrum perforations really need fixing?

In most cases, perforations do not require any special treatment. But if perforation has been present for more than 3 months without infection or drainage, the chances of it closing by itself are very low. The decision to surgically close the hole in the eardrum is sometimes a difficult one to make and depends on a variety of factors, such as the patient's age, problems with the other ear, history of infections, and the degree of hearing loss if any.

5) What is tympanoplasty?

Tympanoplasty a common procedure used to fix perforation in the eardrum. The hole, in tympanoplasty, is patched using material that replaces the absent eardrum portion. Sometimes the patching material is cartilage taken from the outer part of the ear. 

6) How is tympanoplasty performed?

During tympanoplasty, the eardrum is lifted up like a trap door. The surgeon then slips the repair material behind the eardrum. Then the eardrum is put back and patched from behind. The packing material that supports the graft dissolves over the next 2 to 3 months. During this period, the eardrum heals over the graft and returns to its normal appearance and when the packing is dissolved, hearing of the patient is restored to normal.

7) How long does it take to perform tympanoplasty?

A typical tympanoplasty surgery may last for 1 to 2 hours.

8) Who should consider undergoing the procedure?

Individuals who experience earaches should be examined by ear-nose-throat consultants. Sometimes holes in the eardrum are discovered. In some cases, the eardrum holes heal themselves but in other cases, this does not happen. If the hole is left open, the risk of getting more ear infections every time water gets in the ear is high. In such cases, the surgery is needed. 

9) Who should consider undergoing the procedure?

Individuals who experience earaches should be examined by ear-nose-throat consultants. Sometimes holes in the eardrum are discovered. In some cases, the eardrum holes heal themselves but in other cases, this does not happen. If the hole is left open, the risk of getting more ear infections every time water gets in the ear is high. In such cases, the surgery is needed. 

10) Is scar from tympanoplasty visible?

No, it is not. Sometimes a physician can perform a tympanoplasty entirely through the ear canal without making a large incision in the back of the ear. However, many kids have small ear canals that are challenging to work through. Or, sometimes the perforation is very large and cannot be completely seen through the ear canal. In these cases, a larger incision is made behind the ear to increase the working space. Although a larger incision involves more healing and recovery, it considerably increases the operation's success in these more complex cases and when completely healed, the scar is hard to see and is well hidden from view by the outer ear.

11) What are the common complications?

There is a small risk that the patient's ear may bleed. A continuous discharge from the ear is also a significant indication of an infection that will need immediate medical attention. A rare development is a damage during the procedure of a small nerve that runs behind the eardrum. If this happens, the patient will experience some loss of taste and numbness on the side of the tongue.  Overall the success rate of this operation is about ninety. If the eardrum is badly scarred from previous infections this will lower the success rate of the operation.

 

12) What is the cost of tympanoplasty?

The cost of tympanoplasty treatment in India varies across different cities and hospitals.

Cost of Tympanoplasty Treatment in India
CITY COST
Cost of Tympanoplasty Treatment in Mumbai        INR 20000- INR 25000
Cost of Tympanoplasty Treatment in Bangalore INR 19000- INR 24000
Cost of Tympanoplasty Treatment in Delhi INR 19000- INR 24000
Cost of Tympanoplasty Treatment in Chennai     INR 18000- INR 23000