Tympanoplasty (Ear Drum Repair)
The definition of tympanoplasty is repairing eardrum and auditory sound connection system by cleaning the infection in ear bone in chronic middle ear diseases and eardrum perforations.
The surgery, according to the problems in the disease and scope of the surgery may be divided into four:
- Myringoplasty: The surgery which only includes the reparation of the hole in the eardrum.
- Tympanoplasty: The surgery which includes the reparation of eardrum, as well as the ossicle system.
- Mastoidectomy: The surgery which includes the cleaning of infection advancing through the mastoid bone.
- Tympanomastoidectomy: The surgery which includes the reparation of the eardrum, ossicle system and cleaning of the infection in mastoid bone.
Tympanoplasty surgeries can be done via incisions inside ear canal, inner ear or behind the ear. The temple muscle sheath and the cartilage membrane in front of the ear canal are the most used grafts in reparation of eardrum. In cases with bigger holes, reparations done using the thin cartilagineous stripes obtained in the cartilage in front of ear canal are preferred thanks to both the applicative ease and the success rate of results.
Different types of materials such as prostheses and middle ear ossicles are used in the events of necessary reparations done to enabling of the conduction of sound stemming from the damage in ear ossicles.
Process After Surgery (Ameliyat Sonrası Süreç)
Patients may usually be discharged after their medical dressing in the first day after the surgery.
In the cases where there is no surgery on mastoid bone, the external auditory canal is cleaned with special sponges and the patients are instructed to prevent water from entering their ears and use ear drops containing antibiotics and cortisone in order to prevent the infection and reactions in surgical zone. The recover time in the patients who have undergone this surgery is 3-4 weeks. Generally, it is recommended that, in the first six months, the ear should be defended against impacts and flights should be avoided. For these patients, the success rate of the surgery is good, which is determined via the scope of the disease and the level of audition before the surgery.