Tympanoplasty

What is Tympanoplasty?

Tympanoplasty is a surgical procedure that is performed to repair a hole in the eardrum. The tympanic membrane, commonly known as the eardrum, or the small bones of hearing found in the middle ear (malleus, incus, stapes) may need reconstruction after chronic ear infections or trauma to the eardrum.

 

How does the procedure work?

There are a variety of different types of surgery that can be done and the nature of your medical problem will determine which procedure your doctor recommends.  A microscope or endoscope (specialised camera) will be used to enlarge the surgeon’s view of the eardrum and internal structures. A graft, either taken from behind the ear or the ear lobe, is then used to repair the hole.

 

Why is it performed?

Chronic infections in the middle ear, trauma or previous grommets may lead to a perforation  (hole) in the tympanic membrane. These perforations usually heal spontaneously, but if the perforations are too large or if the blood supply to the area is poor, spontaneous healing may not occur.  A tympanic perforation may predispose you to chronic discharge and/or hearing loss. Tymanoplasty is used to repair the perforation in the eardrum as well as reconstructing the the middle ear bones, if necessary.

 

How should I prepare for the procedure?

Tympanoplsty is always performed under general anaesthetic in a hospital. You will be given specific instructions before your date of surgery instructing you when to stop eating/drinking and specific medication that may be needed before or after surgery. 

 

What can I expect after the surgery?

This surgery has a 90+% success rate and relieves infection and improves hearing in most patients. A dissoveable dressing is placed in the ear to help with healing. We pay very careful attention to managing your pain after the procedure. It is recommended that your ear is kept away from water.