Different Products and Techniques In The Repair of Tympanic Membrane Hole

Several Practical Methods in Eardrum Hole Surgery: Repair With Cigarette Paper, Fat Tissue, Silicone Membrane, Collagen Membrane and Bovine Pericardium

Several Products and Techniques in Eardrum Hole Surgery: Repair With Cigarette Paper, Fat Tissue, Silicone Membrane, Collagen Membrane and Bovine Pericardium

If there is a hole in the eardrum, the following symptoms may vary depending on the location and size of the hole:

- Hearing loss
- Recurrent ear discharge
- Recurrent middle ear infection and inflammation of the eardrum

With the exception of these symptoms, especially in patients with middle ear infections that do not protect the ear from water or prolonged repetition, there may be risk of injury and infection in the near future tissues such as brain, brain membrane and facial nerve due to chronic otitis media. Different ear surgeries have been developed to remove these risks and restore normal hearing. Earmold operations are surgical procedures consisting of different techniques developed for the treatment of the hole eardrum. The success of the eardrum surgery is based on the knowledge, experience and care of the physician; the patient is required to perform the necessary precautions and care with appropriate technique and appropriate patient selection.

Treatment of The Eardrum Hole

The eardrum may be punctured due to trauma or infections. In the treatment of traumatic tympanic rupture, it is usually sufficient to prevent water contact to the eardrum and wait for a few weeks. In particular, if the eardrum hole is large, the following methods of practicing the auricular hole can be applied.

Ear Drum Repair Video

Endoscopic Repair of Eardrum Video

Treatment of Eardrum Hole With Cigarette Paper

This method is called as "paper "patch" technique" and it is used especially in case of newly developing eardrum perforation. One of the most common methods of repairing the traumatic tympanic membrane perforation. The dead tissues around the peritoneal membrane of the ear are cleaned and after the blood-fresh eardrum is observed, the dried cigarette paper is immersed in the antiseptic solution and placed in the eardrum. It is the only blood and clot tissue that initially allows the paper to stick to the membrane. If the patient eats water, it can be easily separated from the membrane. For the success of the procedure, it is necessary to clean the dead tissues in all of the edges of the hole eardrum, to contact all the hole edges of the cigarette paper and to take care of the patient after the procedure. Generally, local anesthesia is sufficient for all process.

Repair of  Eardrum Hole With Fat Tissue

In the case of a hole in the eardrum is a method that can be preferred frequently. It is an ideal technique in patients with small and old holes in the eardrum. After removal of the dead cells at the edges of the ear in the ear, approximately 5 mm diameter fat tissue from the auricle is placed in the hole in the eardrum. The adipose tissue is compressed between the middle ear and the outer ear into the opening in the eardrum. The larger the hole diameter in the eardrum, the lower the success, as the risk of dislodging fat tissue increases. Generally, local anesthesia is sufficient.

Treatment of Eardrum Perforation With Silicone Membrane

There is a very different form of membrane-shaped silicone material designed for use in the medical sector and operations. These materials also have surfaces covered with substances that stop bleeding. Otic silicones used in perforated tympanic membrane surgery can be placed as a preservative alone or on other materials instead of cigarette paper. All processes in the cigarette paper method are also made in this technique.

Repair of Taympanic Membrane Perforation With Collagen Mebrane

Collagen structure and self-melting materials have long been used for the purpose of bleeding, buffering or filling. The use of collagen membranes alone, the use of silicon-coated collagen membranes, wound healing and the use of fibroblast growth factor (bFGF), which increases collagen production, are used together with lar epidermal growth factor (EGF) kullanıl which accelerates cell proliferation. Different applications are available, such as the use of post-tympanic membrane surgery. Links to the works you can read about this topic >> A new method for closing tympanic membrane perforations using basic fibroblast growth factor / A New Method for Closing Tympanic Membrane / Basic fibroblast growth factor combined with atelocollagen for closing chronic tympanic membrane perforations in 87 patients

Repair of Eardrum With Bovine Pericardium

Collagen membrane obtained from bovine pericardium (irradiated membrane) (market name Tutopatch® - manufacturer link >>  www.medandcare.pl/en/products/collagen-membranes/tutopatch-collagen-membrane)  can be used for tympanic membrane repairing surgery. It was obtained from the pericardium of the bovine and the irradiated collagen membrane was initially used for the closure of the tissue defects, and was later used in brain, eye and heart surgeries, tissue repairs, and in recent years for repair of the eardrum holes. In the form of standard eardrum surgery or with the above cigarette paper, similar to the tympanic membrane repair, the eardrum hole is repaired. Although it is argued that it is appropriate to repair large eyelids or to obtain adequate graft material; Because of the use of a foreign tissue and the repair of the tympanic membrane, it is not a frequently used material because of the presence of many tissues suitable for the graft in the immediate vicinity. Links to the works you can read about this topic >> Are bovine pericardium underlay xenograft and butterfly inlay autograft efficient for transcanal tympanoplasty? / Equine versus bovine pericardium in transmeatal underlay myringoplasty / The Tutopatch graft for transcanal myringoplasty

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

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