Myringoplasty Operation in Istanbul, Turkey

April 11, 2018

Myringoplasty Operation

Myringoplasty Operation - Myringoplasty Video - Repair of Tympanic Membran Perforation - Transcanal (Transmeatal, Endomeatal) Myringoplasty - A Hole In The Eardrum - Myringoplasty Technique - Myringoplasty Indications - Myringoplasty Contraindications - Postoperative Patient Care For Myringoplasty Operation - Post-operative Instructions for Myringoplasty

Myringoplasty, the eardrum surgery is the name given to the closure of small holes in eadrum. For this purpose, faty tissue, paper, muscle membrane (fascia), cartilage and cartilage membrane (perichondrium) can be used. When myringoplasty is combined with ossicular reconstruction, it is called tympanoplasty. You can see my last detailed article about this subject at >> Ear Drum Repair (Tympanoplasty / Myringoplasty) in Istanbul

The aim of the eardrum surgeries (tympanoplasty / myringoplasty):

- Prevent recurrent ear infections.

- Improve hearing, if there is a conductive hearing loss due to eardrum perforation.

- Enable patients to swim or get ear wet without facing infection as a consequence.

Tympanic Membran Perforation - A Hole In The Eardrum

Tympanic membrane perforation defined as hole or tear in ear drum. This problem can cause to hearing loss and deterioration of barrier function of ear drum.

Perforations without infection or cholesteatoma are not painful. The patient may report audible whistling sounds during sneezing and nose blowing, decreased hearing, and a tendency to infection during colds and when water enters the ear canal. Perforation with infection typically results in copious purulent drainage, which may be sanguineous in both acute and chronic perforation. Surgeries to treat the eardrum (tympanoplasty or myringoplasty) can made according to perforation dimension and middle ear state.

Myringoplasty Technique

Eardrum Repair Animation

Myringoplasty techniques include the paper-patch method, fat-plug myringoplasty, a gelfoam plug in combination with surgical removal of the perforation edges, and fibrin glue or a patch composed of a hyaluronic acid ester and a dressing component.

We can perform transcanal (transmeatal, endomeatal) myringoplasty (without endaural incision or retroauricular incision and operation perform via the external auditory canal). With this techinique recovery time is shor and postoperative patient complaints less in comparison to other techniques.

Quality microscope and surgical experience required for the implementation of this technique.
Myringoplasty is often done under general anaesthesia, but it can be done under local anaesthesia also.

Myringoplasty Indications

Myringoplasty operation should be sutable in the following cases:

- Small, central and dry ear drum perforation
- Dry tympanic mebrane perforations (either central or marginal)

Myringoplasty Contraindications

Myringoplasty operation should not be performed in the following cases:

- Active discharge from the middle ear
- Middle ear cholesteatoma which can cause spontaneous drainage from the ear
- Uncontrolled nasal allergy
- When the other ear is dead (deaf ear)
- Patients with less than 3 years of age

Postoperative Patient Care For Myringoplasty Operation

- Do not blow your nose until your physician has indicated that your ear is healed. Any accumulated secretions in the nose may be drawn back into the throat and expectorated if desired. This is particularly important if you develop a cold.

- Do not “pop” your ears by holding your nose and blowing air through the eustachian tube into the ear. If it is necessary to sneeze, do so with your mouth open.

- Do not allow water to enter the ear until advised by your physician that the ear is healed. Until such time, when showering or washing your hair, lamb’s wool or cotton may be placed in the outer ear opening and covered with Vaseline.

- If an incision was made in the skin behind your ear, water should be kept away from this area for 1 week.

- Do not take an unnecessary chance of catching cold. Avoid undue exposure or fatigue. Should you catch a cold, treat it in your usual way, reporting to your doctor.

- For avoiding constipation to eat foods of high in fiber and walking may be useful.

Source links:

Kulak Zarı Ameliyatları

Kulak Zarı Ameliyatı Nasıl Yapılır?

Myringoplasty - Ent-Surgeon.co.uk

Perforated eardrum & Myringoplasty - ENT UK

Myringoplasty and tympanoplasty - Vula - University of Cape Town

myringoplasty: procedures, techniques, results - Cambridge Journals

Cartilage myringoplasty.

Myringoplasty (Aftercare Instructions) - Care Guide - Drugs.com

Myringoplasty - Cambridge University Hospitals

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

Private Office:

Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52