tympanoplasty
}August 26, 2021
jDr.. Muhannad Al-Khatib

tympanoplasty - tympanoplasty surgery

Tympanoplasty in Turkey is one of the most common surgical procedures, tympanoplasty is closing a hole in the tympanic membrane also called tympanoplasty. The tympanic membrane, which is the membrane that separates the outer and middle ear, and any rupture in it as a result of trauma or trauma affects the quality of hearing and the patient may have to perform a tympanoplasty. What is tympanoplasty, who is it performed, details of the procedure in Turkey, and how to care for the ear before and after tympanoplasty.
}August 26, 2021
jDr.. Muhannad Al-Khatib

tympanoplasty - tympanoplasty surgery

Tympanoplasty in Turkey is one of the most common surgical procedures, tympanoplasty is closing a hole in the tympanic membrane also called tympanoplasty. The tympanic membrane, which is the membrane that separates the outer and middle ear, and any rupture in it as a result of trauma or trauma affects the quality of hearing and the patient may have to perform a tympanoplasty. What is tympanoplasty, who is it performed, details of the procedure in Turkey, and how to care for the ear before and after tympanoplasty.

Table of Contents

    Tympanoplasty in Turkey is one of the most common surgical procedures, tympanoplasty is closing a hole in the tympanic membrane also called tympanoplasty. The tympanic membrane, which is the membrane that separates the outer and middle ear, and any rupture in it as a result of trauma or trauma affects the quality of hearing and the patient may have to perform a tympanoplasty.

    What is tympanoplasty, who is it performed, details of the procedure in Turkey, and how to care for the ear before and after tympanoplasty.

    What is tympanoplasty?

    Otoplasty is surgery to repair the eardrum. The eardrum (tympanic membrane) is a membrane or thin layer of tissue separating the outer and middle ear that vibrates in response to sound.

    Its movement reduces the vibration of the small auditory bones (hammer, anvil and stirrup), which contributes to the transmission of sound vibrations to the inner ear and improves the quality of hearing.

    Why is tympanoplasty performed?

    Doctors do tympanoplasty when the eardrum (or tympanic membrane) ruptures and a hole forms in it that doesn't close on its own. tympanoplasty is performed to improve hearing And prevent the entry of water into the middle ear.

    A hole in the eardrum forms for several reasons, including:

    • Infections in the middle ear that cause a ruptured eardrum.
    • An ear vent tube (part of treatment for otitis media) that has fallen out or been removed.
    • Trauma, such as puncturing the eardrum while cleaning the ear with a cleaning stick.
    • Cholesteatoma, a tumor inside or behind the eardrum.

    Most of the time, the eardrum can repair itself. So in the beginning, doctors closely monitor a child's eardrum perforation rather than fixing it right away. They may wait years to repair a perforated eardrum in a young child. This allows the ear to grow sufficiently to help prevent complications after surgery. We may also delay tympanoplasty if the child has persistent problems with ear infections.

    An image showing the location of the eardrum

    An image showing the location of the eardrum

    What happens before tympanoplasty?

    Before tympanoplasty, the child will undergo a hearing test. This allows doctors to compare results with hearing tests done after surgery.

    How should we prepare for tympanoplasty?

    Your health care provider will tell you what and when your child can eat and drink before tympanoplasty. Your child's stomach must be empty on the day of the operation.

    You can help prepare your child and reduce his or her fears of tympanoplasty by talking about what to expect during and after tympanoplasty.

    What happens during tympanoplasty?

    Examination by otoscope and the two photos show a patched ear and a pierced ear

    Examination by otoscope and the two photos show a patched ear and a pierced ear

    An ear, nose and throat surgeon will perform the tympanoplasty. Tympanoplasty is performed in a hospital under general anaesthesia. The anesthesiologist will carefully monitor your child and get him to sleep safely and comfortably.

    During tympanoplasty, the perforation in the eardrum is patched (repaired). The tympanic patch, also called a graft, can be of two types of material:

    • Tissue from your child's ear (cartilage).
    • Man-made materials.

    The surgeon will place packing material behind and over the eardrum to keep the graft in place. This substance dissolves over several weeks.

    How long does tympanoplasty take?

    The procedure to repair a perforated eardrum usually takes 30 minutes to two hours.

    What happens after tympanoplasty?

    Your medical team will provide you with care instructions after the perforated eardrum repair procedure. For example, your child may need:

    • Sneezing with mouth open.
    • Avoid getting water into the middle ear.
    • Use ear drops regularly, if prescribed by your doctor.

    For about a week after reconstructive eardrum perforation surgery, your child may have:

    • Mild earache that gets better on pain relievers
    • A small amount of blood or fluid coming out of the ear
    • Feeling of pressure or fullness in the ear

    Your child's hearing improves within two to three months after tympanoplasty. Your doctor will schedule retests for the audiogram 8-12 weeks after tympanoplasty.

    Are there any risks of tympanoplasty?

    There is a very small risk of bleeding or infection after tympanoplasty. Other risks include:

    • taste dies
    • deterioration andHearing is not improved 
    • ringing in the ear
    • Weird taste in the mouth
    • dizziness
    • The most common complication is the failure of the tympanic hole to heal. Whether this happens depends on the size and location of the hole, the health of the ear, and the method of operation chosen. This condition occurs in 8% of difficult cases. Most patients can then repeat tympanoplasty, which is often successful.
    • Most patients feel their hearing improves after successful tympanoplasty, but hearing loss can usually persist as a result of scar tissue formation or persistent Eustachian tube problems. seldom Hearing deteriorates After tympanoplasty surgery. Conductive, sensorineural, or mixed hearing impairment may occur. Tinnitus can occur if hearing is impaired. Vertigo is rare.
    • A change in the sense of taste after tympanoplasty can occur due to damage to the taste nerve, which passes near the eardrum and is responsible for the sensation of taste on the side of the tongue. Loss of taste on the side of the tongue can occur up to 10% of ear procedures and last for a few months. It is seldom permanent.
    • Lightheadedness and dizziness are common after tympanoplasty, but they are often brief and rarely last.
    • Facial nerve paralysis is a very rare complication of tympanoplasty. The facial nerve runs through the middle ear and is rarely injured during tympanoplasty. The facial nerve monitor is used during medial and lateral tympanoplasty which reduces the incidence of these complications.

      A picture of the eardrum before and after the operation

      A picture of the eardrum before and after the operation

    How can parents help after myringoplasty?

    To help your child after tympanoplasty:

    • Follow your doctor's instructions.
    • Give your child pain relievers when needed.

    Make sure your child avoids:

    • Putting water in the ear.
    • Heavy lifting.
    • Doing vigorous and contact sports.
    • Any activities that may cause changes in pressure (swimming, diving, flying).

    Most children can return to normal activities two days after tympanoplasty.

    Call your doctor if:

    • Seeing new blood (bright red) on the bandage, or bleeding from the ear after tympanoplasty.
    • If the ear wound is more painful, red, or swollen than it was when your child left the hospital.
    • If your child has a fever over 38°C.
    • The child's pain increases.

    The following instructions will help you know what to expect in the days following tympanoplasty. Do not hesitate to Connection If you have questions or concerns.

    What after tympanoplasty and ear piercing myringoplasty repair?

    Habits to leave

    Habits to leave

    There are some restrictions on activities until the wound behind the ear heals. Your child should limit activities for the first seven to 10 days after tympanoplasty, and avoid exertion or active play. After that, a slow increase in activity is recommended.

    Gymnastics, swimming, sports, heavy exercise, or playing musical instruments that require blowing (trumpet, clarinet, trombone, saxophone, etc.) should be avoided for at least a month after tympanoplasty.

    A child can go back to school when they sleep well, stop taking painkillers, and are able to eat a regular diet.

    Encourage your child to avoid straining and blowing through the nose. It is important to sneeze with his mouth open for 5 to 7 days after tympanoplasty.

    food system

    Unbound. Resume a normal diet as permitted.

    Fever

    A slight rise in temperature may occur after tympanic perforation has been repaired and should be treated with acetaminophen. Follow the instructions on the bottle.

    pain

    Most children have mild to moderate pain for a few days after a ruptured eardrum is repaired. Acetaminophen (Tylenol®) and ibuprofen (Advil, Motrin®) should be used to relieve any discomfort.

    Pain control

    Replace acetaminophen (Tylenol®) and ibuprofen (Advil, Motrin) every 3 hours to control your child's pain.

    Older children may receive a prescription for stronger pain relief.

    Give pain relievers on a regular schedule for the first two or three days after tympanoplasty.

    Rectal acetaminophen suppositories are options for children who refuse oral pain relievers. It is available without a prescription.

    Your doctor will let you know if ibuprofen is not suitable for use.

    Vomiting and nausea

    Nausea and vomiting are common in children who undergo this type of middle ear surgery and anesthesia. Your doctor may prescribe medication for nausea/vomiting that can be used to help with these symptoms. Your child should feel comfortable within a few hours after the ruptured eardrum has been treated.

    Antibiotics

    Your child may be given a prescription for oral antibiotics, which you should start the day after tympanoplasty.

    A prescription for ear drops can be given to your child to start with after surgery. Please follow the instructions if they have been given to you.

    ear care

    During the first week after tympanoplasty, there may be some bloody discharge from the ear. Postoperative bleeding and tympanoplasty are to be expected. A small cotton ball may be used at the opening of the ear for drainage. There may also be some oozing from the wound behind the ear. This is not a problem; However, if it persists, increases, changes color or foul odor is observed, please contact your doctor.

    The head bandage is removed 24 hours after the eardrum grafting procedure. Children may wear the head bandage as desired after the first night of rest.

    Apply antibiotic ointment to the incision behind the ear twice a day. Absorbable sutures are used to close the incision. These stitches do not need to be removed.

    Keep the ear dry: Your child can shower and wash his hair 3 days after the eardrum repair. Earplugs or a cotton ball should be used when showering/washing hair.

    If tympanoplasty is done to improve hearing, there may not be a noticeable change until 8-12 weeks after tympanoplasty.

    Avoid blowing from the nose for two weeks after tympanic membrane grafting. Encourage your child to sneeze with the mouth open.

    Bimaristan Medical Center remains your first choice for treatment in Turkey.
    We direct you to the best specialists who are experts in all fields, we break the language barrier, Arab specialist doctors will help you in communicating with your doctor, we help you book an appointment in the most important and modern hospitals in Turkey, we offer our services to secure hotel reservations for you and your companions, in addition to transportation, we help you secure a travel visa for you for free.
    We provide our services throughout Turkey, the best place to provide you with treatment is our destination.
    We accompany you step by step towards recovery.
    Free consultations around the clock.
    do not hesitate contact us, Bimaristan Family Center in Turkey. You can also read on our website about thyroid cancer And the latest treatments by robot.

    Frequently asked questions and answers about tympanoplasty in Turkey​

    Is eardrum perforation dangerous?

    The rupture of the tympanic membrane leads to hearing impairment and infection of the middle ear that may resolve on its own without treatment and may require treatment with perforated tympanoplasty.

    Perforation of the tympanic membrane in adults

    As in children, it is a thin membrane that separates the outer and middle ear due to trauma or infection, which may heal without medical intervention and may require a surgical procedure.

    What are the symptoms of perforation in the tympanic membrane?

    Acute ear pain is the most common symptom, itching inside the ear, purulent or bloody discharge, hearing impairment and dizziness, which may resolve on its own after a few weeks.

    When does hearing improve after tympanoplasty?

    It takes about two to three months after the angioplasty.

    Can tympanoplasty without surgery in Turkey?

    The rap operation may be performed without surgery and without the need for general anesthesia by laser. Studies indicate that the success rate of these operations reaches 61% and is considered a suitable option for those who cannot tolerate general anesthesia, and it is considered one of the latest treatment methods.

    What is the color of the eardrum?

    The color of the tympanum is gray or pink and transparent.

    How much is the cost of eardrum grafting in Turkey?

    The price of tympanoplasty in Turkey is between 4000-6000 (maximum price) USD.

    What is the success rate of surgical tympanoplasty in Turkey?

    The success rate of tympanoplasty in Turkey is about 75%, according to the latest published studies.

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