Tympanoplasty:

Tympanoplasty is a surgical procedure that involves the implantation of a graft, either medial or lateral to the tympanic membrane annulus, to repair a defect in the tympanic membrane. The purpose of this surgical technique is to enhance hearing as well as seal the hole. The capacity to eliminate illness from the middle ear is critical to the operation's success (eg, inflamed granulation tissue and cholesteatoma). A variety of grafting procedures have been created and perfected, as well as a variety of grafting materials. The procedures for lateral and medial grafting are described in full below.

Tympanoplasty is a simple, safe, and successful outpatient treatment for treating middle ear illness and restoring hearing and middle ear function.

Disease Overview:

Hole in the eardrum

A hole or tear in the thin tissue that separates the ear canal from the middle ear is known as a ruptured eardrum (tympanic membrane perforation). Hearing loss can be caused by a ruptured eardrum. It might also expose the middle ear to infections.

Signs and Symptoms:

A ruptured eardrum can cause the following signs and symptoms:

• Pain in the ear that may go away fast.
• Ear discharge that is mucusy, pus-filled, or bloody.
• Hearing loss is a common problem.
• In the ear, there is a ringing sensation (tinnitus)
• The sensation of spinning (vertigo)
• Nausea or vomiting can be caused by vertigo.

Disease Cause:

An ear infection, or a damage to the eardrum, such as a blow to the ear or poking an object into your ear with a cotton bud. Pressure shifts, such as those experienced during flying or scuba diving. an unexpectedly loud sound, such as an explosion

Diagnosis:

ENT specialist can often determine if you have a ruptured (perforated) eardrum with a visual inspection using a lighted instrument (otoscope or microscope).

Laboratory tests. If there's discharge from the ear, your provider may order a laboratory test or culture to detect a bacterial infection of the middle ear.

Tuning fork evaluation. Tuning forks are two-pronged, metal instruments that produce sounds when struck. Simple tests with tuning forks can help your provider detect hearing loss.

Tympanometry. A tympanometer uses a device inserted into the ear canal that measures the response of the eardrum to slight changes in air pressure. Certain patterns of response can indicate a perforated eardrum.

Audiology exam. This is a series of tests that measure how well you hear sounds at different volumes and pitches. The tests are conducted in a soundproof booth.

Disease Treatment:

Most ruptured (perforated) eardrums heal without treatment within a few weeks. Your provider may prescribe antibiotic drops if there's evidence of infection. If the tear or hole in the eardrum doesn't heal by itself, treatment will likely involve procedures to close the tear or hole. These may include:

Eardrum patch. If the tear or hole in the eardrum doesn't close on its own, an ENT specialist may seal it with a paper patch (or a patch made of other material).

Surgery: The most common surgical procedure is called tympanoplasty. Your surgeon grafts a patch of your own tissue to close the hole in the eardrum. This procedure is done on an outpatient basis. In an outpatient procedure, you can usually go home the same day unless medical anesthesia conditions require a longer hospital stay.