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Myringoplasty

What is a myringoplasty?

A myringoplasty is an operation to repair a hole (perforation) in the eardrum (tympanic membrane). A perforation is usually caused by an infection in the middle ear that bursts through the eardrum (see figure 1).

It can also be caused by trauma (for example, being hit across the ear). A perforated eardrum can lead to repeated ear infections and poorer hearing.

What are the benefits of myringoplasty surgery?

Surgery can prevent repeated ear infections and sometimes improve hearing.

Eardrum  

Are there any alternatives to surgery?

Keeping the ear dry by placing cotton wool and Vaseline in the ear when bathing or washing your hair may prevent infection.

An infection can be treated with antibiotics and a trained healthcare practitioner can clean the ear. A hearing aid can improve poor hearing.

What does the operation involve?

A myringoplasty is usually performed under a general anaesthetic but a local anaesthetic can be used. The operation usually takes between an hour and an hour and a half.

Your surgeon will need to use a graft (piece of tissue) to cover the hole.

Your surgeon will insert the graft through a cut made either in front of or behind your ear or inside your ear canal. They will lift the eardrum and place the graft underneath it and support it with a dissolving sponge. They will then put the eardrum back.

What complications can happen?

1. General complications of any operation

  • Pain
  • Bleeding
  • Unsightly scarring

2. Specific complications of this operation

  • Failure of the graft
  • Loss of hearing
  • Tinnitus
  • Change of taste
  • Infection
  • Allergic reaction

How soon will I recover?

You may be able to go home the same day. If a head bandage has been used, it will be removed the morning after surgery.

Your surgeon will tell you when you can return to normal activities. You should stay off work for two weeks.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, you should ask a member of the healthcare team or your GP for advice.

You will be seen in the outpatient clinic two to three weeks after the operation to check the graft.

Summary

A perforated eardrum is a common problem. A myringoplasty can prevent infections and sometimes improve your hearing.

Paying for your operation

Myringoplasty costs are covered by most medical insurance policies, but please check with your insurer first. If you are paying for your own treatment the cost of the operation will be explained and confirmed in writing when you book the operation. Ask the hospital for a quote beforehand, and ensure that this includes the surgeon’s fee, the anaesthetist’s fee and the hospital charge for your procedure.

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The information should not replace advice that your relevant health professional would give you.

 
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