How are small holes in the eardrum treated?
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| Closure of the eardrum with a paper patch - Repair of small holes in the eardrum - Repair of the eardrum with fat tissue - Repair of the eardrum hole - Repair of small holes in the eardrum - Transcanal myringoplasty - Transmeatal myringoplasty - Endomeatal eardrum repairing operation |
Small perforations of the eardrum may not be recognized for a long time. The smaller the size of the perforation, the less the negative effects on hearing and the frequency of recurrent middle ear infections. Therefore, it may take a long time until patients notice.
In case of perforation of the eardrum caused by traumatic reasons, waiting for several months to avoid contact with water is usually sufficient for spontaneous healing of the eardrum. However, the long-standing small eardrum holes do not close and waiting has no effect on healing.
In acute perforation of the eardrum, if the perforation is too small there is a possibility of closure, the patient may be followed-up or patch attempts can be performed under the conditions of the office.
Cigarette paper, fat tissue from the earlobe and muscle membrane patch can be used. Under the microscope, a thin strip of membrane is removed from the perforation edges to remove dead cells from the perforation edge and may place a thin paper patch on the eardrum.
If simple patch techniques fail for small eardrum holes; eardrum operations can be planned.
For small eardrum holes, the eardrum can be repaired with a simple membrane operation without cutting the outer ear canal!
Transcanal myringoplasty (also called "transmeatal myringoplasty" or "endomeatal myringoplasty") made through the outer ear canal for small eardrum holes.The epithelial layer consisting of dead cells at the edges of the eardrum hole is removed (desepithelization). The cartilage, cartilage membrane or muscle membrane, which can be removed by a small incision from different areas of the auricle, is closed on the hole. Spongostan, which stops bleeding, is laid on the membrane, the surgery is terminated. You can find the video about this technique on the below and you can click to related link >> Ear Drum Repair Animation
How does the hole in the eardrum affect hearing?
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| Eardrum hole - Perforated tympanic membrane |
There may be varying amounts of hearing loss due to perforation of the eardrum. Hearing loss may increase as the diameter of the hole in the eardrum becomes larger and bone chain problems are added to the scalp.
The amount of hearing loss varies depending on the condition of the middle ear and the hole in the eardrum. If the hole in the eardrum is large, vibrating membrane area decreases and hearing loss increases. In case of damage or stiffness of the ossicles in the middle ear, hearing loss increases as the transmission of vibration energy to the inner ear decreases. These hearing losses are referred to as "conductive hearing loss." If the hearing nerves in the inner ear are also affected, an additional hearing loss is added. This type of hearing loss due to the damage to the inner ear hearing nerve "sensorineural or neural type hearing loss" is called.
If the hole in the eardrum is small and the middle ear ossicles are normal, hearing loss may be too small to be noticed.
The hole in the eardrum breaks the "barrier function"!
The eardrum acts as a barrier between the middle ear and the outer ear. When there is a hole in the eardrum, the barrier is broken. If there is a hole in the eardrum, infection develops in the ear when entering the sea or pool or spontaneously. This infection causes permanent damage to hearing. It can also cause infections such as facial paralysis, meningitis, dizziness, brain abscess, ear abscess. Recurrent ear infections can cause permanent damage to the inner ear hearing cells. Therefore, people with holes in the eardrum need to protect their ears from water contact.If a person with a hole in the eardrum doesn't care about it and doesn't protect his ear, and if he / she lives with ear discharge for years, the treatment to be applied can be turned into surgery to dry the ear discharge instead of improving the hearing. Therefore, in patients with long-term perforation of the eardrum who cannot achieve self-repair of the ear, additional surgical interventions are necessary for operation and repair of the tympanic membrane, sometimes for hearing improvement. If a person with a hole in the eardrum doesn't care about it and doesn't protect his ear, and if he / she lives with ear discharge for years, the treatment to be applied can be turned into surgery to dry the ear discharge instead of improving the hearing. Therefore, in patients with long-term perforation of the eardrum who cannot achieve self-repair of the ear, additional surgical interventions are necessary for operation and repair of the tympanic membrane, sometimes for hearing improvement.
Similar link >> Perforated Eardrum - Definition, Causes, Symptoms, Treatment
Source link >> Eardrum repair: MedlinePlus Medical Encyclopedia
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
Appointment Phone: +90 212 561 00 52
Fax: +90 212 542 74 47
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