Prof. Dr.

Tympanoplasty (Eardrum Repair)

Tympanoplasty operations, which are preferred for the treatment of perforations in the eardrum and chronic middle ear problems, aim to eliminate hearing loss in the middle ear and to clear the inflammation in the ear bone.

Depending on the condition of the disease, surgical interventions such as repairing the tympanic membrane hole (myringoplasty), repairing the ossicular system in the middle ear responsible for sound transmission (tympanoplasty), clearing the advanced inflammations (mastoidectomy) or performing the related operations in a compact form (tympanomastoidectomy) may also be possible.

Why is Tympanoplasty Surgery Performed?

The primary aim of tympanoplasty surgery is to eliminate the patient’s hearing problem and to increase the quality of life. It can be applied to patients who have a hole in the eardrum but do not have a serious hearing loss, and who do not encounter a discharge problem as long as the water does not get into their ears, for prospective precaution. Surgery recommended by the doctor to patients at this level is preferred or not depending on the initiative of the patient.

Tympanoplasty surgery can be performed in recurrent ear discharges (especially although there is no inflammation focus that can cause ear discharge) in order to protect the patient’s ear from water and to prevent future inflammation. For such patients, the hole in the membrane is closed and the problems in the middle ear ossicles are eliminated

The group that prioritizes surgery is the patients who have detected inflamed tissue due to lysis in the mastoid bone called cholesteatoma and in the middle ear. The aim of Tympanoplasty surgery for these patients is to prevent possible loss of hearing system as well as to prevent conditions such as facial paralysis, brain abscess, and meningitis in the early process.

Which Techniques are used in Tympanoplasty Surgery?

The technique to be preferred in surgery varies depending on where the hole is located on the membrane, the general health status of the patient, whether it is possible to intervene in the mastoid bone. Generally, different techniques can be applied to the mastoid bone and middle ear. Surgery can be performed with an incision behind the ear, in front of the ear or through the ear canal, or in cases where an incision is not needed to repair small holes. The surgical techniques differ according to the surgeon’s preference.

What Should Be Considered After Tympanoplasty Surgery?

Full recovery usually occurs within 3-4 weeks. However, just in case, the ear should be protected from blows and upper respiratory tract infections, and travel by plane should be avoided. Recovery takes longer and control examinations are performed at more frequent intervals in patients with interventions for the mastoid bone.