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What is Tympanoplasty Operation

Hello dr,

My name is Neethu, I am 20 yrs old, and Iam suffering with severe discharge of pus from my right ear, with hearing loss since one year and I consulted an ENT surgeon , he examined me and said that my ear drum was ruptured. And the doctor advised me to undergo tympanoplasty surgery, but I am scared of surgery….so I am taking antibiotics presently now…but still ear pus discharge is not stopped..

Please tell me about how the tympanoplasty surgery can be performed. And what is the Cost of Tympanoplasty…for total surgery plus accomodation….plz reply.

*Neethu-for pictures of Tympanoplasty plz see the gallery

http://www.drpaulose.com/about/gallery



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

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

The procedure can also help to: Restore hearing and treat certain types of deafness and also prevent infection of the middle ear

Pre op Check up

Before surgery, your ENT surgeon will check to be sure that you do not have an ear infection. Operating in a wet ear will fail.

You will have an Audiogram-hearing test. In certain cases, a CT scan is also done and the routine blood ECG and X-ray tests.

Operation

The procedure often done under General anesthesia

A small incision will be made behind the ear. Some tissue-Temporalis fascia- 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. The operation will take 1-2 hours

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 4-6 weeks after surgery to determine if the Tympanoplasty was a success.

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

• Infection

• Failure to restore hearing

• Damage to structures in or near the middle ear:

o Nerves—resulting in loss or distortion of taste, paralysis of the face

o Middle ear bones—resulting in loss of hearing that may be permanent or require further surgery

o Inner ear structures—resulting in dizziness

For the Cost of Operation and Accommodation, please contact the Hospital-

For Appointment- call 04712334564, 6452020,407822 Fax-0471-2330925

Email: jubileehospital@hotmail.com

Web: http://www.jubileehospital.org/

Dr Paulose is an ENT Consultant Plastic and Laser Surgeon with over 35 years of experience covering in Ear, Nose and Throat procedures, specializing in Laser Surgery and conventional medicine across India, U.K. and Middle East. He is currently engaged with the Jubilee Hospital, in Kerala, India.

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