Eardrum Repair

Eardrum repair; It is the name of the surgery performed as a result of the rupture of the eardrum that protects the middle ear cavity and provides hearing.

It is started to be applied by cleaning the ear for those who constantly suffer from eardrum symptoms and ear inflammation. It is also referred to as the repair of not only the eardrum but also the ossicular chain. It is an operation to improve hearing.

The eardrum protects the ear from the external environment and transmits sound waves. Disruptions in their functional function lead to loss of communication, i.e. perforation of the eardrum.

Eardrum repair is recommended by experts for patients requiring urgent intervention.

In which cases is the eardrum perforated?

Perforation of the eardrum is due to the following conditions:

  • Various infections.
  • Currents
  • Objects inserted into the ear.
  • Skull fractures.
  • Over-tightened hairpins.
  • Sudden explosions.
  • Fluids entering the ear from the external environment.
  • Blows to the ear.
  • Functional disorders of the Eustachian tube.
  • Some ear surgeries.

What are the symptoms of a perforated eardrum?

The main symptoms of a perforated eardrum are as follows:

  • Discharge of an inflamed or bloody fluid.
  • Ringing in the ear
  • Humming.
  • Difficulty in hearing.
  • Nerve paralysis in the facial area.
  • Severe dizziness.
  • Discharge from the ear.

After these symptoms, it is necessary to be examined by a specialist Ear, Nose and Throat doctor. Devices such as otoscope and microscope are checked. These devices provide detailed information about the size and shape of the hearing loss.

How to Protect the Eardrum?

A number of measures are taken to protect the eardrum :

  • Among the complaints of those with nasal bone curvature; sinusitis, nasal discharge, nasal congestion, such as airplane travel and underwater diving.
  • Obtaining plugs from pharmacies to prevent excess water from getting into the ear during activities such as swimming.
  • Not using cotton balls or rubbish to clean the ear.
  • Do not play with the pressure level of the ear.
  • Not blowing the nose to clean the mucous membrane.

How is eardrum repair done?

The construction of the eardrum repair depends on the hole in the eardrum. If the hole is small, it will heal on its own. This repair period is six weeks. If it does not improve on its own and the symptoms increase, consult an Ear, Nose and Throat doctor – ENT for short.

If there is active inflammation in the ear, the first step of the surgery is completed by drying it. The actual surgery is then performed under anesthesia.

In some cases, a staged operation is required. In these operations, the eardrum is first repaired to facilitate hearing. The ossicular chain is repaired at least four months after the first operation.

With the doctor’s guidance, eardrum repair surgery is performed. These surgeries are performed with a sample taken from the tissue of the ear without using artificial membranes.

Surgeries are performed with a behind-the-ear incision surgery called Temporal Adele Tissue and removal of the membrane from the cartilage in the external auditory canal called Perichondrium. This operation is called tympanoplasty in the medical language. There are no suture marks in surgeries performed with the membrane taken from cartilage.

What are the Types of Eardrum Repair Surgery?

Eardrum repair surgery is categorized under three headings:

  • Myringoplasty It is a small operation performed by patching the hole in the membrane if it is small. It is an application that lasts between 15 and 30 minutes on average using local anesthesia.
  • Tympanoplasty: An operation performed for chronic inflammations that do not improve with medication, excessive tissue accumulated around the eardrum and a large hole in the membrane. Such problems also damage the ossicular chains inside the ear. Using general anesthesia, samples are taken from the vein or tissue and placed on the membrane. It is completed in two or three hours.
  • Ossiculoplasty This operation is performed after damage caused by ear infections and blows to the ear and wear and tear of the ossicles inside the ear. It is a type of surgery in which the bones in the ear are removed and the bones of a donor or prosthetic devices are placed and general anesthesia is used.

Apart from the surgeries described above, in cases where the eardrum hole is small and does not heal spontaneously, the method called the Silastic Method is applied. In this method, which is rarely applied in Turkey, the hole in the eardrum is closed with local anesthesia. Patient rest is not required. The success rate is high.

What are the Objectives of Eardrum Repair Surgery?

The aims of eardrum repair surgery are to address the problems of ear health:

  • Repair of the membrane hole
  • Proportion of ear ossicles
  • Removal of existing inflammation
  • Correction of hearing functions

What Risks Does Eardrum Repair Surgery Carry?

Although the risks of eardrum surgery are quite rare, they are as follows:

  • Damage to the taste nerves.
  • Hearing loss
  • Failure of the membrane hole to close.
  • Intense hearing loss.
  • Abnormal growths on the eardrum.
  • Clotting.
  • Respiratory problems.
  • Vertigo
  • Allergic reactions to the administered drugs.

What is Required for Preparation for Eardrum Repair Surgery?

It is necessary to inform the doctor about the medications used for eardrum repair surgery. The doctor is informed about any allergy to any medication, latex or anesthesia used during surgery.

You can come hungry or full if you wish. For infants, the situation is solved by regulating the frequency of breastfeeding.

If there is a medication given under the control of a doctor before the operation, the medication should be taken by drinking water in minimum sips.

The operation can be postponed in case of a feeling of sickness or other conditions. The priority is not surgery, but drying up the pus that is constantly flowing. After the inflammation is dried, the date and type of surgery is determined.

The minimum age limit for the surgery is 12 years. Hearing loss can also occur in young children due to some flu infections.

What Happens After Eardrum Repair Surgery?

After the eardrum repair surgery, you will be hospitalized for a maximum of one day.

The ear is wrapped to prevent damage to the ear from external factors. The sutures are removed after one week. Even if the stitches are removed, the ear tampon is still used. After two weeks, all the wounds heal and the doctor continues to check the harmony between the ear and the membrane. Recovery time is longer when a staged operation is performed.

It is possible to return to normal life within five days. Surgery is not suitable for people with intense nasal congestion.

The ear drops that may be given after surgery are applied completely and in accordance with the doctor’s instructions. The drops are poured onto cotton wool and then the ear is closed again.

Pain in the ears, a feeling of fullness and hearing some sounds are normal in the course of the process. These symptoms disappear spontaneously as time passes.

What are the Points to Consider After Eardrum Repair Surgery?

The points to be considered after eardrum repair surgery are listed as follows:

  • Sleeping with the head elevated for a minimum of one week.
  • Never covering the mouth when sneezing.
  • Avoiding movements that will confuse the pressure balance of the ear
  • Heavy loads should not be lifted, exercises should be interrupted.
  • Avoid contact with water in the ear for a minimum of two months.
  • Avoiding diving sports.
  • Not traveling by plane.
  • Avoiding patients
  • Not unclogging the ears or nose.
  • Eating a diet high in fiber.
  • Not coughing
  • If the sutures or behind the ears get wet, dry them with gentle movements without rubbing.
  • There may be aches and pains in the body that can cause fever. It is extremely important not to use medicines outside the doctor’s control.

Is There a Non-Surgical Treatment for Eardrum Repair?

Non-surgical treatment of eardrum repair depends on the extent to which the eardrum is perforated. If it is a small hole, healing will occur on its own. This healing process is completed within six weeks and eardrum repair is performed without surgery.