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Cartilage Tympanoplasty Treatment

Cartilage Tympanoplasty is an advanced technique that expert ENT doctors at Pristyn Care employ to treat specific middle ear pathologies like cholesteatoma, chronic otitis media or ossicular chain defects. The treatment involves reconstructing the tympanic membrane (TM) in the middle ear using autogenous cartilage. Timely treatment can prevent potential complications and improve your hearing significantly. Connect with our specialists at Pristyn Care for an in-depth understanding and expert handling of your condition. Book your appointment today.

Cartilage Tympanoplasty is an advanced technique that expert ENT doctors at Pristyn Care ... Read More

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    Dr. Richa Mina (1FJxOOyBQw)

    Dr. Richa Mina

    MBBS, DLO | Otorhinolaryngologist
    20 Yrs.Exp.

    4.5/5

    20 Years Experience

    location icon Pristyn Care La Midas, DLF Phase 3, Gurugram
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    080-6541-4451
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    Dr. Shilpa Varchasvi (TKDBlXDwCl)

    Dr. Shilpa Varchasvi

    MBBS, MS-ENT
    18 Yrs.Exp.

    4.5/5

    18 Years Experience

    location icon 76, 17th Cross Rd, Malleshwaram, Bengaluru, Karnataka 560055
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    080-6510-5116
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    Dr. Mayura Dighe (avzBmKE9RA)

    Dr. Mayura Dighe

    MBBS. DNB-ENT
    17 Yrs.Exp.

    4.5/5

    17 Years Experience

    location icon First Floor, B- 1-6 Dev Corpora, Eastern Express Hwy, Khopat, Thane West, Thane, Maharashtra 400601
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    Dr. Saloni Spandan Rajyaguru (4fb10gawZv)

    Dr. Saloni Spandan Rajya...

    MBBS, DLO, DNB
    17 Yrs.Exp.

    4.5/5

    17 Years Experience

    location icon Ekta Recidency near Hanuman Mandir, Chembur,Mumbai
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What is Cartilage Tympanoplasty Treatment?

Cartilage Tympanoplasty is a surgical technique used to reconstruct or reinforce the tympanic membrane (TM), a vital component of the middle ear. This procedure involves the use of autogenous cartilage as a graft material. When one suffers from middle ear pathologies like cholesteatoma, chronic otitis media, or ossicular chain defects, this treatment comes into play. The primary objective of Cartilage Tympanoplasty Treatment is to achieve satisfactory anatomical and audiologic results by reconstructing the TM while addressing the underlying pathologies. The procedure can be conducted by an ENT specialist and is usually safe with minimal risks involved. The operation usually doesn’t take much time and has been known to produce highly successful results.

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What are the Types of Cartilage Tympanoplasty Treatment?

There are several types of Cartilage Tympanoplasty methods, used depending on the exact condition and needs of the patient. Each type has its unique approach and utility in treating the condition:

  • Perichondrium/Cartilage Island Flap Tympanoplasty: This involves using a cartilage island flap with an attached perichondrium to reconstruct the TM.
  • Cartilage Shield Techniques: In these methods, cartilage is used to create a shield-like structure to strengthen the TM.
  • Palisade Technique: This involves using full-thickness broad cartilage palisades with attached perichondrium laterally to reconstruct the TM.
  • Inlay Butterfly Graft Technique: Here, a cartilage graft shaped like a butterfly is placed in the TM to reinforce it.
  • Endoscopic Cartilage Tympanoplasty: This method involves endoscopy to place cartilage grafts in the TM, useful for both full-thickness and partial-thickness tragal cartilage grafts.
  • Composite Cartilage–Perichondrial Island Grafts: This method uses a combination of cartilage and perichondrium to reconstruct the TM.

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Diagnosis Before Cartilage Tympanoplasty Treatment

Before going ahead with a Cartilage Tympanoplasty, the ENT doctor needs to identify the exact condition of the patient’s ear. This involves a series of thorough and careful examinations. Here’s how it’s usually done:

  • Otoscopic examination: This is a simple procedure where the doctor checks your ear with a device called an otoscope. This helps them see if there are any problems with your tympanic membrane (TM), such as perforations or retractions, or a condition called cholesteatoma.
  • Audiometry: This test helps assess your level of hearing loss and what type of conductive hearing impairment you might be experiencing.
  • High-resolution CT Imaging: A CT scan of your ear provides more detailed images and helps evaluate how far the disease has spread and if the ossicular chain is involved.
  • Intraoperative findings: During surgery, doctors confirm their diagnosis and determine the need for cartilage reconstruction.

What is the Procedure for Cartilage Tympanoplasty Treatment?

Cartilage Tympanoplasty is a surgical technique that focuses on reconstructing parts of the middle ear, particularly the tympanic membrane (TM). It involves several steps:

  • Anaesthesia: The surgery is usually performed under general anaesthesia to offer the surgeon more control during the operation.
  • Harvesting the cartilage graft: The cartilage needed is usually taken from the conchal perichondrium or tragus of your own ear. The extracted cartilage is then shaped and prepared for placement in the TM.
  • Placement of the cartilage graft: Once ready, the graft is placed under TM remnants to cover any defects.
  • Using additional techniques: Depending on your condition, additional techniques like the palisade technique or composite cartilage-perichondrial island grafts can be used for added stability.
  • Closure and postoperative care: The surgical site is closed, and the patient is monitored for postoperative complications. Follow-up appointments are scheduled to ensure proper healing and address any concerns.

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Who is the Right Candidate for Cartilage Tympanoplasty Treatment?

Doctors usually recommend Cartilage Tympanoplasty for patients with specific conditions affecting the middle ear. However, not everyone is a suitable candidate for this procedure. Here are the primary criteria that make you eligible:

  • You have chronic otitis media, a long-lasting ear infection that won’t go away with medication.
  • You have cholesteatoma; this condition involves a skin growth that occurs in the middle ear behind the eardrum.
  • You have a defect in your ossicular chain, the tiny bones in your middle ear that help conduct sound.
  • Non-surgical treatments have not worked for you.
  • Your quality of life is significantly affected due to hearing loss or pain.

Remember, only a thorough examination by an experienced ENT specialist can confirm if Cartilage Tympanoplasty is the right treatment for you. Always consult with such an expert if you’re experiencing any ear-related issues.

What are the Benefits of Cartilage Tympanoplasty Treatment?

Cartilage Tympanoplasty is a remarkable advancement in the field of otology, providing several benefits. Here are some of the key benefits of this treatment:

  • Prevention of retraction pockets: Cartilage Tympanoplasty helps to prevent retraction pockets at the site of grafting.
  • Structural stability: Cartilage offers robust structural support during times of negative middle ear pressure, resisting Eustachian tube dysfunction.
  • Superior graft take and hearing results: When adequately prepared and placed, Cartilage Tympanoplasty offers better graft take and hearing results.
  • Low metabolic rate: Due to its low metabolic rate, cartilage is ideal for problematic conditions such as subtotal perforations and adhesive otitis.
  • Resistance to deformation: Cartilage resists deformation from pressure variations, rendering it a stable graft material.
  • Good postoperative hearing outcomes: Cartilage palisade tympanoplasty offers excellent functional results for perforations of various sizes.
  • Low recurrence and infection rates: Cartilage Tympanoplasty has reported benefits of long-term graft survival, low recurrence and infection rates.

How to Prepare for Cartilage Tympanoplasty Treatment?

Proper preparation is key to ensuring a successful surgical procedure. Here’s how you can prepare for your Cartilage Tympanoplasty:

  • Familiarise yourself with the procedure.
  • Avoid alcohol or tobacco at least a few days before surgery.
  • Follow your surgeon’s pre-operative instructions meticulously.
  • Plan to take some time off from work post-operation.
  • Make sure you have everything needed for a comfortable recovery after surgery.
  • Arrange for someone to accompany you to the operation theatre (OT).
  • Continue your healthy lifestyle habits to boost your overall health.

What are the Recovery Tips and Precautions to follow after Cartilage Tympanoplasty Treatment?

Post-operation, here are some essential tips to aid your recovery:

  • Pain management: Follow your doctor’s instructions for pain management, this may include using painkillers and antibiotics.
  • Ear protection: Use earplugs to protect the operated ear from foreign particles during the healing process.
  • Rest & relaxation: Ensure ample rest to help your body recover from the surgery.
  • Follow-up appointments: Attend all follow-up appointments with your family physician.
  • Avoid heavy exercise: Avoid heavy exercise or physical activities that can cause strain on the operated ear and delay healing.
  • Monitor for complications: Monitor for signs of complications such as increased pain, swelling, or discharge, and report them to your surgeon immediately.
  • Maintain good hygiene: Practice good hygiene by washing your hands regularly and avoiding contact with people who have colds or other infections.
  • Follow dietary instructions: Follow your surgeon’s dietary instructions, which may include avoiding certain foods or supplements that can interfere with healing.
  • Avoid submersion: Avoid submerging the operated ear in water, such as during swimming, bathing, or showering, until the surgeon advises it is safe to do so.
  • Ear cleaning: Avoid cleaning the operated ear with cotton swabs or other objects that can cause complications.

By following these recovery tips and precautions, you can help ensure a smooth and successful recovery from cartilage tympanoplasty.

Potential Risks or Complications Associated with Cartilage Tympanoplasty Treatment

Like any surgical procedure, Cartilage Tympanoplasty carries potential risks. It’s crucial to understand these before undergoing the procedure:

  • Bleeding: Proper surgical technique can manage bleeding post-surgery.
  • Infection: Antibiotics and other treatments can manage the risk of infection.
  • Failure of the graft: If the graft doesn’t take properly, it could lead to complications.
  • Recurrence of perforation: If the graft doesn’t fully close the perforation, recurrence may occur.
  • Worsening hearing loss or deafness: This could happen if the graft doesn’t fully close the perforation.
  • Facial nerve damage: A rare but significant complication if the graft isn’t properly placed.
  • Cholesteatoma formation: This could occur if the graft doesn’t fully close the perforation.

These complications highlight the importance of proper surgical technique, postoperative care, and follow-up to ensure optimal outcomes for patients undergoing cartilage tympanoplasty.

What is the Cost of Cartilage Tympanoplasty Treatment in India?

Cartilage Tympanoplasty, a widely recognised procedure in India, is performed to restore or improve hearing impaired due to perforated eardrums. Though the costs can vary, they generally fall within a range of slightly expensive to highly expensive in most hospitals. Factors that influence the cost of Cartilage Tympanoplasty:

  • Type of surgery: Costs can waver based on the specific procedure needed, such as myringoplasty (also known as tympanic membrane repair), tympanomastoidectomy (a combination surgery), or revision tympanoplasty (repeat surgery).
  • Graft materials: The materials used for grafts can significantly impact cost. Cartilage grafts may be pricier due to their complex procedure and the specialised expertise required.
  • Hospital facilities: The level of care and the availability of advanced equipment and specialised staff at the chosen hospital can also lead to cost variations.
  • Patient-specific factors: The patient’s age, existing health conditions, and complexity of the procedure play a role. For instance, older patients or those with comorbid conditions may face higher costs.
  • Surgeon’s fees: More experienced and renowned surgeons may charge higher fees.
  • Post-operative care: The extent of follow-up care required post-surgery, including addressing potential complications, can add to the overall expenditure.
  • Location: Costs can vary depending on the location. Procedures conducted in major cities or specialised centres usually hold higher price tags than those performed in smaller towns or general hospitals.

Is Cartilage Tympanoplasty Treatment Covered Under Insurance?

Yes, Cartilage Tympanoplasty is generally covered under health insurance in India. This is because it is categorised as a medically necessary procedure aimed at restoring or improving hearing.

Insurance inclusions for Cartilage Tympanoplasty:

  • In-patient hospitalisation: This includes all costs incurred during the hospital stay like surgical fees, consultation and follow-up charges, and nursing fees, among others.
  • Pre-hospitalization expenses: Insurance often covers the costs of consultations, medications, and diagnostic tests required before the surgery.
  • Post-hospitalisation expenses: Similar to pre-hospitalisation costs, post-surgery care and medication are usually covered.
  • Ambulance charges: If required, these are usually covered by your insurance.
  • Day-care treatments: Procedures requiring less than 24 hours of hospital stay are also normally covered.

Insurance exclusions for Cartilage Tympanoplasty:

  • Pre-existing conditions: Conditions that existed prior to the purchase of the policy may not be covered.
  • Cholesteatoma: This is a potential complication that might require further treatment, which may not be included in the coverage.
  • Revision surgery: If the initial procedure was not successful or if there are further complications requiring additional surgeries, they might not be fully covered by insurance.
  • Cosmetic procedures: Procedures such as reconstructing the ear canal are considered elective and not medically necessary. Hence, they may not be covered.
  • Experimental or unproven treatments: These are generally not covered by the insurance policy.

It is always crucial to thoroughly review your insurance policy to understand specific inclusions and exclusions regarding your Cartilage Tympanoplasty procedure.

FAQs

Can tinnitus be cured with Cartilage Tympanoplasty treatment?

While Cartilage Tympanoplasty is primarily aimed at repairing the tympanic membrane and improving hearing, it may well address tinnitus if it is being caused by the underlying ear condition that necessitates the surgery.

What does the term "Cartilage Graft Tympanoplasty" mean?

This refers to a specific type of Cartilage Tympanoplasty where the surgeon uses a piece of ‘your’ cartilage, typically taken from your tragus (a small pointed eminence of the external ear), to repair your tympanic membrane.

What kind of doctor performs Cartilage Tympanoplasty treatment?

An ENT (Ear-Nose-Throat) specialist, also known as an Otorhinolaryngologist, usually performs this procedure. Always ensure that you choose a doctor with considerable experience in conducting these operations.

How long is the recovery after Cartilage Tympanoplasty?

The recovery process may vary for each individual. Typically, patients might need two to three weeks for a complete recovery following this procedure. However, full restoration of hearing might take a little longer- up to three months in some cases.

What are the success rates of Cartilage Tympanoplasty treatment?

The success rate of this treatment is high, with most studies reporting a success rate of about 90%. This means that nine out of ten people experience significant improvement in their hearing following this procedure.

Can Cartilage Tympanoplasty cure chronic ear issues?

While this operation can’t “cure” conditions such as chronic otitis media or Eustachian tube dysfunction, it can significantly improve symptoms and enhance the quality of life in many patients.

Are there different types of Cartilage Tympanoplasty?

Yes, based on the technique used, Cartilage Tympanoplasty can be classified into three types: underlay, overlay, and combined underlay-overlay. Your doctor will determine the appropriate procedure for you based on your specific needs and the extent of the damage to your tympanic membrane.

Who are the best doctors for Cartilage Tympanoplasty in India?

India is home to several expert ENT surgeons who specialize in procedures like Cartilage Tympanoplasty. It is recommended to choose a doctor who has a lot of experience and a high success rate in performing this procedure. You can consult with some of the best ENT surgeons at Pristyn Care.

Can I continue with my routine activities after undergoing Cartilage Tympanoplasty?

Generally, after a few days of rest post-surgery, one can resume their routine activities. However, strenuous activities like weightlifting or any activity that causes an increase in ear pressure should be avoided until your doctor approves.

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Medically Reviewed By
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Dr. Richa Mina
20 Years Experience Overall
Last Updated : September 25, 2025

What Our Patients Say

  • ST

    Shyam Tiwari, 34 Yrs

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    I had hearing loss due to eardrum issue. Got tympanoplasty done at Sheetla. The hearing is improving. Thank you Dr. Manish. They doctor manish treated my ear was amazing. I had felt very negligible pain through out the journery. It was like I never had any hearing issue now.

    City : Gurgaon
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    Om Sharma, 31 Yrs

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    Om sharma ear Surgery very nice now we are better filling that

    City : Delhi
    Treated by : Dr. Shikhar Gupta
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    Abdul Majid, 32 Yrs

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    I met doctor first time post surgery & it was a detailed observation of my ear condition. I felt satisfied with consultation & precaution briefing. I'm truly thankful to doctor for suggesting & performing the surgery in appropriate manner. I'll recommend the doctor to others whenever needed.

    City : Mumbai
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    Bina Rathod

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    Honestly, my experience with Pristyn Care was exceptionally superb. I don't have enough words to describe it. Top-notch in every area. There were no false commitments, it was delivered as promised. Complete visibility, committed timelines, ease of reach, clear communications, expertise in the area. In short, everything was pitch perfect. Pristyn Care is customer-centric organization focusing on the medical industry and the well-being of patients. I would like to thank Dr. Poorva Kale, Pawan Thakur and the Pristyn Care team.

    City : Pune
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    Harshita Rode

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    My experience with Pristyn Care for tympanoplasty surgery was truly remarkable. The doctors were highly skilled and caring, making me feel comfortable and confident about the procedure. They thoroughly explained the surgical process and patiently addressed all my concerns. Pristyn Care's team provided exceptional post-operative care, ensuring my comfort and closely monitoring my recovery. They were attentive and available for any questions or support I needed. Thanks to Pristyn Care, my tympanoplasty was successful, and I am grateful for their expertise and compassionate care during this journey. I highly recommend Pristyn Care for their excellent medical services and patient-centric approach.

    City : Mysore
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    Rajashri, 46 Yrs

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    Great Experience overall ..Thanks Dr.Nishigandha

    City : Mumbai