A tympanoplasty is a surgery used to repair a collapsed or ruptured eardrum. This can occur due to ear trauma or excessive fluid behind eardrum causing the eardrum to rupture or perforate. The hearing bones are sometimes repaired at time of surgery if needed.
Patients will first be seen in our office and a hearing test will be performed. If at that time surgery is indicated by the physician, the nurse will assist you in scheduling surgery.
You will be asked to arrive at a surgical center or hospital. After check in, the patient will be taken to a pre-op room. From there, the patient will then be taken to the operating room and given a general anesthetic. During the procedure, a surgeon will make an incision behind the ear so that he can easily reach the eardrum. Repair will then be made to the eardrum and incision will then be sutured. Depending on the patient’s age and overall health, patients may be required to stay overnight for observation.
After surgery, a plastic cup will be placed over the ear. This cup can be removed the next day, but do not throw the cup away because it will need to be used at night for sleeping. When the cup is removed, there will be bloody gauze inside the cup. Throw this away. There will also be a cotton ball over the ear canal. This stays in place until removed by the doctor at approximately 2 weeks post-operatively. If the cotton ball comes out or is pulled out, it will not need to be replaced by physician. Just place a cotton ball back over the ear canal. Keep ear dry. The stitches behind the ear can get wet one week after surgery. The inside of the ear will need to be kept dry for 4 weeks. It is normal for there to be some swelling behind the ear, causing the ear to “stick out.” Patients will return to clinic approximately 2 weeks after surgery for post-op visit and then 6 weeks post-operatively to repeat hearing test.