Type of Surgery
Information
Last updated: 02/17/2009
The examining physician performs a complete physical with diagnostic testing of the ear, which includes an audiogram and history of the hearing loss, as well as any vertigo or facial weakness. A microscopic exam is also performed. Otoscopy is used...
to assess the mobility of the tympanic membrane and the malleus. A fistula test can be performed if there is a history of dizziness or a marginal perforation of the eardrum.
Preparation for surgery depends upon the type of tympanoplasty. For all procedures, however; blood and urine studies, and hearing tests are conducted prior to surgery.
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Other Information
Tympanoplasty is reconstructive surgery for the tympanic membrane, or eardrum. There are several options for treating a perforated eardrum. If the perforation is from recent trauma, many ENTs will elect to watch and see if it heals on its own. After that, surgery may be considered. Tympanoplasty can be performed through the ear canal or through an incision behind the ear. The surgeon takes a graft from the tissues under the skin around the ear and uses it to reconstruct the eardrum. One of the most common graft sites is from the tragus. The surgery takes ½ to 1 hour if done through the ear canal and 2⅓ to 3 hours if an incision is needed. It is done under local or general anesthesia. It is done on an outpatient basis and is successful 85-90% of the time.
Other Information
Adenoid surgery is very safe, but every operation and anaesthetic has a small risk. This is much the same as the risks of everyday life. For example, crossing the road, driving a car, flying in a plane.
-P H Jones
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