Your Health - Tympanoplasty

Tympanoplasty

(Middle Ear Repair)

Pronounced: tim-PAN-oh-plas-tee

Definition

Tympanoplasty is a surgery done to repair the eardrum and middle ear bones. The eardrum and bones are necessary to hear.

The Middle Ear

Types of tympanoplasty include:

Myringoplasty—repair of a tear in the eardrum
Tympanoplasty with ossiculoplasty—repair of a tear in the eardrum and correction of a defect in the bones of the middle ear
Tympanoplasty with mastoidectomy—repair of a tear in the eardrum and eradication of bony infection in the area behind the ear

Reasons for Procedure

The procedure can also help to:

Restore hearing and treat certain types of deafness
Prevent infection of the middle ear

Possible Complications

Complications are rare, but no procedure is completely free of risk. If you are planning to have a tympanoplasty, your doctor will review a list of possible complications, which may include:

Infection
Failure to restore hearing
Damage to structures in or near the middle ear:
- Nerves—resulting in loss or distortion of taste, paralysis of the face
- Middle ear bones—resulting in loss of hearing that may be permanent or require further surgery
- Inner ear structures—resulting in dizziness

What to Expect

Prior to Procedure

Before surgery, your doctor will check to be sure that you do not have an ear infection.

You will have several tests, including an ear exam and a hearing test. In certain cases, a CT scan is also done.

Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:

Aspirin or other anti-inflammatory drugs
Blood thinners, such as clopidogrel (Plavix) or warfarin (Coumadin)

Anesthesia

The procedure often only requires local anesthesia. Your ear and the area around it will be numb.

Description of the Procedure

A small incision will be made behind the ear. Some tissue will be extracted from this area. This tissue will then be attached to the eardrum to cover the hole. Other materials may be added to hold the graft in place. If the bones of the middle ear need to be repaired, this is done as well.

A small pack may be left in position in the ear canal. The incision behind the ear will be closed with stitches.

How Long Will It Take?

1-2 hours

Will It Hurt?

Anesthesia prevents pain during the procedure.

Post-procedure Care

To insure proper healing, avoid the following:

Blowing your nose hard
Sneezing
Exposing your ear to water—Ask your doctor how to wash your hair and shower for the first few weeks after surgery.
Flying
Swimming or diving
Heavy weight lifting and straining

It will take several weeks after surgery to determine if the tympanoplasty was a success. Complete recovery takes about four weeks. Be sure to follow your doctor's instructions.

Call Your Doctor

After arriving home, contact your doctor if any of the following occurs:

Signs of infection, including fever and chills
Increasing fluid or foul-smelling fluid draining from the ear
Redness, swelling, increased pain, bleeding, or discharge from the incision site
Dizziness
Pain that you cannot control with the medicines you have been given
Cough, shortness of breath, or chest pain
Any new symptoms

In case of an emergency, CALL 911.

RESOURCES:

American Academy of Otolaryngology
http://www.entnet.org/

National Institute on Deafness and Other Communication Disorders
http://www.nidcd.nih.gov/

CANADIAN RESOURCES:

Canadian Society of Otolaryngology
http://www.entcanada.org/default.asp

Health Canada
http://www.hc-sc.gc.ca/index_e.html

References:

American Academy of Otolaryngology website. Available at: http://www.entnet.org..

Last reviewed November 2009 by Elie Edmond Rebiez, MD, FACS

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.