Myringoplasty

Myringoplasty is a surgical procedure to repair the condition of perforated eardrum or tympanic membrane. A hole in the eardrum is called perforated eardrum. The hole could be small or large. A small hole may heal by itself, however, a large hole may cause some level of hearing loss and may cause recurrent infections with discharge from the eardrum.

Myringoplasty is an out-patient surgery performed under general anesthesia and takes about 10 to 30 minutes. It is a simplest procedure that generally works well with relatively small perforations.

Myringoplasty Procedure

The diagnosis of a perforated eardrum is done with the help of an instrument called Auroscope. Myringoplasty is the process of grafting the hole with a small piece of special paper or gel foam that temporarily seals the hole. It encourages the body's normal healing processes. Grafting materials for myringoplasty include fat, gelfilm, gelfoam, AlloDerm, and cigarette paper. The procedure involves the following steps:

Pre-Operative Details:

Prior to the surgery, the infection should be controlled by using ototopical, oral or intravenous antibiotics and antifungal. The ear should be kept dry for several weeks to months, prior to considering the patient for surgery. Operating an infected ear is contraindicated.

Intra-Operative Details:

• The child is anesthetized
• Cut is made in the ear or above the ear opening. A tissue taken from under the skin in front of the ear is used as a graft to patch the eardrum. Internal ear dressing and a head bandage is done for few hours after the surgery.
• Regular checkups are done until the child is relieved from the pain and completely awake.

RECOVERY

Generally, minimum recovery time is four to five hours. Once the patient is awake from the anesthetic effect, he/she can start taking fluids and normal diet if it can be managed.

Often, anesthesia may leave the child feeling sick for 24 hours. The patient should be allowed rest, given small, amounts of fluids frequently. Dizziness is common for few hours after the surgery.

POST-OPERATIVE CARE

• Maintaining personal hygiene, keeping away from wetting the area are a must until the dressing is removed in the follow-up visit.
• Preventing the ear from getting wet and preventing the hard blowing of nose is recommended. Sneezing from the mouth will take off the pressure from the ears, or else the placed graft may become dislocated.
• Avoiding exercise or gym for approximately 2-3 weeks after surgery is advised
• Flying in an aeroplane is strictly not advised..
• Refraining from commuting to work for a week is advised
• Taking the prescribed medication as directed by your doctor is a must
• Using of ear drops post-surgery as prescribed is a must.

Complications of Myringoplasty

There are some risks which an individual must be aware before going for surgery. Like every surgery has its own pros and cons, so does myringoplasty.

General complications include:

• Pain
• Bleeding, bruising
• Infection of the surgical site (wound)
• Unsightly scarring
• Blood clots

Specific complications of the surgery includes:

• Graft failure
• Hearing loss
• Tinnitus
• Disturbance in taste
• Allergic reactions

WHY CHOOSE BSR HOSPITAL FOR MYRINGOPLASTY?

BSR ENT Hospital is one of the renowned Hospitals in Hyderabad and Secunderabad with a high success rate of surgeries and clinical outcomes since the past 40 years. Some reasons why one should opt BSR are:

Trained and Experienced Doctors: The team of experienced surgeons like Dr. B. Shanker Rao, MS, DLO, FICS and Dr. B. Kalyan Chakravarthy, MS ENT / Head and Neck Surgeon, are skilled specialists in ENT care. The proven track record of successful surgeries by these skilled surgeons is an affirmation of the best treatment solutions the patients receive.

Patient centric approach: At BSR we ensure that every patient receives the finest quality treatment at affordable price. The staff and the team of doctors are very patient friendly, the doctors take the time to explain to patients, the treatment options, the pros and cons and the recovery.

Latest Technologies and Equipment: We are equipped with the latest technologies that support BSR's vision to provide the best in class modern treatment services. With the in-house laboratory, the patient's convenience is enhanced to get all the tests done under the same roof.