Department of

ENT-Microscopic Ear Surgery

Department of

ENT-Microscopic Ear Surgery

Microscopic Ear Surgery

Children frequently develop ear drum holes. This could occur as a result of an injury or an illness. Tympanic membrane perforation is another name for this condition. Your doctor might recommend microscopic ear surgery depending on your health. One such procedure is known as tympanoplasty.

The surgical procedure known as a tympanoplasty is used to replace the eardrum or the tiny bones in the middle ear. This surgical treatment aims to repair the perforation while simultaneously enhancing hearing.

What common signs and symptoms accompany perforated ears?

  • An earache.
  • Buzzing in the ear Whistling noises when blowing your nose or sneezing.
  • Hearing loss or a decline in hearing.
  • Infection or inflammation of the middle ear.

When is the necessity for tympanoplasty?

  • Your physician might advise Tympanoplasty is recommended when:
  • Loss of hearing.
  • Hearing Ringing.
  • Vomiting brought on by vertigo or a spinning sensation from it.

Exactly how is the diagnosis made?

The following techniques can be used for diagnosis:

  1. Audiogram: An audiogram is a test used in audiometry to determine how well the ears can hear. It is used to examine sound intensity and tone, balance problems, and other inner ear function-related difficulties. assessing the hearing loss’s history as well as any vertigo or other facial tremors.
  2. Otoscopy: Otoscopy is typically performed to examine the malleus, a tiny bone in the middle ear that resembles a hammer, and the mobility of the tympanic membrane.
  3. Fistula Test: This test is typically carried out if the patient has a history of fainting or has a small eardrum hole.
  • Standard blood tests.
  • Routine testing of the urine.


  1. The patient is often given general anaesthesia during a tympanoplasty. After that, the doctor will insert an item called an ear speculum into the external ear canal. Next, the operating microscope is put in place.
  2. The ear canal will then be cut, often behind the ear for significant perforations, by our surgeon. The ear is then carefully advanced to reveal the eardrum. To inspect the middle ear, the surgeon will elevate the eardrum.
  3. If the eardrum has a hole, it is debrided so that the aberrant area can be removed. The eardrum hole is then filled with a piece of cut fascia from the temporalis muscle, which is located behind the ear. Fascia is the tissue that lies beneath the skin. The regular eardrum skin can develop over the hole created by this tissue, known as a graft. At this stage, the surgeon may occasionally repair the middle ear bones.
  4. Within a few hours, the patient is able to go home. A modest painkiller and antibiotics may be recommended by the doctors.

How long does it take?

The entire process can be finished in 30 to 60 minutes. Serious instances can require more time.

Risks associated with Tympanoplasty: What dangers exist?

In a few rare instances, there might be a few risk factors:

  1. Bleeding.
  2. Hearing loss as a result of damage to the middle ear’s tiny bones is caused by facial nerve damage with a change in perception of taste.
  3. Infection.
  4. Bleeding.
  5. Breathing difficulties.
  6. Medication reactions.
  7. Nausea or vertigo.
  8. Probabilities that the eardrum perforation won’t heal fully.
  9. Hearing loss or hearing loss that gets worse.

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