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Tympanoplasty is the treatment of eardrum perforation by repairing the hole in eardrum using a graft or prosthesis. Generally, eardrum perforation happens as a result of trauma to the eardrum. In some cases, in addition to the tympanic membrane, other parts of the ear canal, like the middle ear bones, can be injured as well. During tympanoplasty surgery, the injured parts of the ear canal are removed and replaced using a graft or prosthesis.
Based on the complexity of the surgery, a tympanoplasty can be of different types; however, the most common procedure is myringoplasty. During this procedure, the surgeon removes the perforated eardrum and replaces it with a membranous tissue graft from the back of the ear.
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The surgeon’s experience and expertise are essential factors that determine the success of a tympanoplasty. In addition to them, an advanced state-of-the-art surgical center is also necessary. Therefore, to ensure a successful surgical outcome for the patient with a seamless surgical experience, Pristyn Care is associated with the best ENT hospitals in India. Pristyn Care also has advanced ENT clinics where patients can avail expert consultation and treatment.
All surgical procedures performed at Pristyn Care are USFDA approved and provide patients effective long-term relief from their hearing issues. In addition to advanced treatment, we provide auxiliary services such as insurance assistance, free pre and post-surgical consultations, cab and meal facilities, etc., to all our patients.
Tympanoplasty diagnosis is conducted through a physical examination and hearing tests. During the physical examination, the ENT doctor will collect your medical history to find out the nature and cause of the hearing loss. Once that is done, he will insert an otoscope in the ear canal to get a clearer view of the eardrum. After that, he will perform diagnostic tests such as:
Once you have been diagnosed, your surgeon will help you prepare for your surgery. Ear surgery can be performed endoscopically or openly. Generally, endoscopic surgery is preferred because it leaves a small and barely noticeable scar in front of and behind the ear.
The surgery is performed outpatient under local anesthesia. In case only a tissue graft is required to repair the eardrum, it is extracted from the back of the ear due to its similarity to the eardrum and closeness to the surgical site. Once you are anesthetized, the surgeon will either cut behind your ear to reach the ear canal or work through your ear canal directly. After lifting your eardrum, he will fill the hole in the eardrum using a graft of your own cartilage, a connective tissue graft, or a synthetic material graft. Finally, he will close the incision with bio-absorbable incisions and place packing in the ear canal to keep the graft in its place. After the surgery, you will be moved to a recovery ward for post-surgical observation.
In case the middle ear bones are also damaged, a prosthetic implant will be placed in the place of the damaged bones during the same procedure.
Tympanoplasty is an invasive procedure so you need to prepare for it accordingly. You should provide your healthcare provider access to your entire medical history and let him know about any medicines or supplements you are regularly taking. You should also provide information regarding any allergies you have.
Often, children can feel scared during the surgery and afterward due to the sudden changes in their hearing. Depending on your child’s age, you should talk with them to prepare them for the surgery. For kids who are too young, you can talk to a pediatrician or a pediatric therapist to help you prepare accordingly.
You should wear loose, comfortable, and easy-to-remove clothing for the surgery as you may have to wear a hospital gown during the procedure. Remove all your jewelry before coming to the hospital, and do not wear any makeup, deodorant, or nail polish on the day of your surgery.
If you smoke habitually, then you need to quit at least 2-3 weeks before the surgery so that it wouldn’t impact your recovery negatively. You should also ask your surgeon about any dietary precautions you need to take before the surgery.
After the surgery, you may be able to go home on the same day, or, in some cases, you may be hospitalized for overnight observation to ensure there are no postoperative complications. You should get someone to drive you home as you won’t be able to drive due to anesthesia-related after-effects.
It’s critical that you follow your ENT surgeon’s instructions implicitly during your recovery period, especially if your child is the one who underwent the surgery. There will be some bleeding and drainage from the surgical area for 3-5 days after the surgery.
You need to visit an ENT surgeon for regular post-operative check ups. It may take a little while to see any noticeable improvement in hearing after the surgery, so you need to be very patient. You will be able to return to work/school in 1-2 weeks, but full recovery may take at least 2-3 months. After the 12-week mark, your surgeon will conduct a hearing test to analyze the overall improvement in your hearing.
Tympanoplasty is usually required for the treatment of eardrum perforation and middle ear bone trauma in the following cases:
Generally, eardrum perforations do not close on their own and can even lead to irreversible complications if not treated on time. Tympanoplasty helps repair the membrane separating the inner and middle parts of the ear canal from the atmosphere. Thus, it helps prevent severe middle and inner ear infections.
The tympanic membrane collects the sound vibrations and transmits them to the middle ear for amplification and hearing. In case of a perforation, that isn’t possible, and the patient is not able to hear properly. Thus, tympanoplasty helps reverse the patient’s hearing loss.
Elevate your sleeping for the first few days to help alleviate postoperative swelling in the surgical area. Do not insert anything in your ears without consulting a doctor first. Take your medicines as prescribed. Apply an antibiotic ointment to the surgical site to prevent infections.
Avoid any form of strenuous activities such as weight lifting, running, exercises, etc. are to be avoided for at least 2 weeks. Keep the surgical area dry. Do not shower or wash your hair for at least a week after the surgery. You should also receive approval from your surgeon before flying in an airplane or swimming.
You may have mild pain and discomfort for the first 24 hours after the surgery, but generally, they are manageable through over-the-counter medicines, such as painkillers, anti-inflammatories, etc. However, in case the pain is too severe, you can contact your ENT surgeon for a check-up.
Your hearing will start coming back about a week after the surgery, but complete recovery will take 2-3 months. Your surgeon will conduct a hearing assessment at the 12-week mark to evaluate the overall improvement in your hearing after the surgery.
Generally, hearing problems do not recur after a tympanoplasty. However, in rare cases, the patient may experience some loss of hearing if they suffer from another trauma or if the graft does not heal properly. In these cases, you may need to get tympanoplasty surgery again.
Yes, since tympanoplasty is medically necessary to restore hearing after eardrum perforation and injury, it is usually covered by most major health insurance providers. You can check the terms of your policy to find out the extent of your coverage.
Normally, very small tears in the eardrum heal on their own but moderate to severe tears do not heal on their own. Therefore, if they are not adequately managed in time, the patient becomes vulnerable to recurrent ear infections, permanent hearing loss, and other related issues.
The average cost of tympanoplasty surgery ranges from Rs. 35,000 to Rs. 60,000. However, this cost range is variable and depends on a variety of factors like the cause of the ear injury, the middle ear tissues injured, etc.
Some other factors that affect the cost of tympanoplasty are:
Consult with the best ENT surgeons at Pristyn Care and get the estimated cost of tympanoplasty surgery.
Shubham is an office worker in his late 20s. He had frequent bouts of sharp and throbbing pain in his ear with discharge for about 1-2 months. As time went by and his pain increased, his hearing ability started getting impaired. At this point, he got very worried and started looking for treatment options online.
His online search led him to a Pristyn Care treatment clinic, where he underwent thorough consultation and diagnosis with our ENT specialist. Initially, he was prescribed medical treatment, but when there was no improvement, the doctor suggested surgery. Shubham was very apprehensive when he first heard about the surgery, but our doctor clearly explained the entire procedure to him and made sure he was comfortable during the treatment process.
His surgery was scheduled and performed seamlessly. We handled the entire documentation and insurance for his surgery. Additionally, we provided free consultations after the surgery to help with his recovery. He was able to go back to his office within 3 days and had a noticeable improvement in his hearing in the following week. He is very thankful for his entire surgical experience at Pristyn Care.
Rajashri recommended our service
Great Experience overall ..Thanks Dr.Nishigandha
Vaibhav Rana recommended our service
I had an accident recently, and my eardrum was punctured, but my ENT doctor reassured me and performed my surgery flawlessly to restore my hearing without any pain or discomfort.
Adhik Garg recommended our service
I had a very heartwarming experience at Pristyn Care ENT clinics in Bangalore. They repaired my eardrum and restored my hearing without any issues.
Divya Malhotra recommended our service
I am a grateful patient from Pristyn Care, and I would recommend Pristyn Care for ENT surgeries to everyone in Chandigarh. They have advanced hospitals and great doctors.
Shreyansh Prakhar recommended our service
My son had a lot of ear infections but could not get any relief. When I consulted Pristyn Care ENT doctors in Lucknow, they recommended we get ear tubes for him. Since then, he’s stopped complaining of pain, and his hearing has improved as well.
Atya Shetty recommended our service
Pristyn Care was a godsend for me. I almost lost my hearing completely, but my Pristyn Care ENT doctors in Chandigarh reassured me and performed a simple tympanoplasty.
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