When the eardrum has become perforated, or the small bones located in the middle ear are damaged, a tympanoplasty may be able beneficial to the patient. A tympanoplasty refers to a surgery used to repair these structures when damage has been caused by trauma or chronic ear infections and is regularly performed at Khavkin Clinic.
When Would A Tympanoplasty Be Necessary?
In cases where the ossicles, the bones of the middle ear bones known as the incus, malleus, and stapes are damaged, or the eardrum has become perforated and doesn’t heal on its own, a tympanoplasty may be necessary. In most cases, minor perforations of the eardrum will heal on their own, but in some cases, a graft of membrane taken from a vein or the muscle sheath known as fascia in the earlobe may be necessary. In those patients who have had previous surgeries or with limited graft ability synthetic materials may be used to complete the procedure.
What Kinds Of Tympanoplasty Are There?
Five basic forms of tympanoplasty exist, each one used to repair a specific kind of issue using a particular set of techniques appropriate to the patient’s condition. Depending on which procedure is used the patient will either be put under general anesthesia, though in some cases only a local anesthesia will be necessary. The five types of tympanoplasty are as follows:
Type I: This restoration of the eardrum via grafting is also known as myringoplasty.
Type II: In cases where the malleus has eroded and the tympanic membrane has become perforated this form of tympanoplasty will be used, grafting material onto the incus or the remains of the malleus.
Type III: If the incus and malleus have been destroyed, but the staples is still mobile, a graft will be placed on the staples and protections put in place for the assembly.
Type IV: When the majority of the ossicles have been destroyed, including all or part of the stapes, a graft may be placed on around the footplate of the stapes.
Type V: When the footplate of the Stapes is not mobile a type V procedure will be used.
What Should I Expect After My Tympanoplasty?
Following the procedure, a patient can expect to return home within just a few hours with a prescription for antibiotics and pain relievers. 10 days later the packing placed in the ear will be removed and an examination performed to see if the operation was successful. During this initial period and for three weeks afterward water must be kept out of the ear, and blowing the nose is discouraged as it could damage the procedure site. In most cases, patients can return to work within a week, though for those who perform heavy labor two to three weeks will be required before returning to work.
What Risks Are Associated With Tympanoplasty?
In most cases, a tympanoplasty will be successful with no or minimal complications. In the event that complications occur, they will involve the graft failing to heal, the eardrum becoming reperforated, scars or adhesions forming in the ear canal, and the ear canal narrowing (stenosis). Additionally, extrusion, erosion, or dislocation of the prosthesis can occur, and injury of facial nerves are possible. In some rare cases tinnitus, ringing in the ears may worsen as a result of the surgery, though it’s rare that this is permanent. 90% of all tympanoplasties are completely successful without any complications.
If you think you may benefit from a tympanoplasty or have additional questions, contact Dr. Yevgeniy Khavkin, your pain management doctor in Las Vegas, NV for an exam or consultation.