You should operated a hole in the eardrum?

Written by: Dr. Luis Fernández Fernández-Vega
Published: | Updated: 17/11/2018
Edited by: Top Doctors®

The tympanoplasty is an operation that aims to repair problems affecting the tympanic membrane (drilling), the ossicles (hearing loss) or both.


Technique tympanoplasty

To repair the tympanic membrane, the otolaryngologist uses patient 's own tissue; It is placed as a patch to close holes or to strengthen weakened areas. Meanwhile, the ossicles that is affected is repaired with other small bones with cartilage, or prosthetic materials have shown good tolerance.

The intervention may be performed tympanoplasty inside the duct, without visible external incisions, or through an incision behind the ear. Sometimes even realizing it inside the duct, it can cause small incisions around it.

Typically, the incision is performed under local anesthesia and sedation, but in some cases it is preferable to use general anesthesia.

ear structure

On the other hand, sometimes the repair of the ossicles is done in another operation a few months later, once we got a healthy ear.


Consequences of Tympanoplasty

The repair of the tympanic membrane has a success rate between 80 and 90%. The recovery of hearing loss is very variable, depending on the level of hearing before the operation and status of the ossicles.

On the other hand, the scars of the intervention are very visible and are not usually unsightly. As ear noises, often they remain unchanged, although they may worsen or improve.


Risks Tympanoplasty

During the tympanoplasty may occur the following situations:

  • New perforated eardrum (10% chance).
  • Complete loss of hearing in the ear treated in a 0'5-1% of cases.
  • Facial paralysis (one out of 500 cases).
  • 1 in 20 patients may have short - term facial paralysis as a result of local anesthesia
  • Vertigo


Alternatives to Tympanoplasty

The only alternatives to Tympanoplasty there is abstention to the operation along with close monitoring. In the case of a dry drilling can not ooze adopatarse an expectant attitude, although pierced ear has more risk of infections and hearing loss that is not perforated; so the operation is advisable.

If chronic suppuration the risk of hearing loss and other rare complications (mastoiditis, facial paralysis, meningitis, thrombophlebitis, etc.) intervention becomes necessary. Moreover, in case of loss of hearing, the eardrum is intact, the alternative is the adaptation of a hearing aid.

*Translated with Google translator. We apologize for any imperfection

By Dr. Luis Fernández Fernández-Vega

Dr. Fernández Fernández-Vega is a leading expert otolaryngologist in middle ear surgery, nasal passages, sinuses, pharyngolaryngeal and cervical surgery. It has the necessary technology for optimal query: armchair exploration with different positions, microscope, scanning unit with vacuum cleaner, fiberscope with xenon light source, camera and monitor to display images and equipment audiometry.

*Translated with Google translator. We apologize for any imperfection

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