Simple Tympanic Membrane Hole Closure Surgery - Pre- and Postoperative 1 Year Photos

Endoscope Assisted Eardrum Hole Repairing - Before and After 1 Year

Transcanal endoscopic myringoplasty,Endoscopic eardrum repair,Endoscope assisted myringoplasty, Eardrum hole surgery

In the above image, it is seen that there is a central perforation in the eardrum before the operation, and in the photo below taken one year after the operation, the hole in the eardrum is completely closed. In the patient, the eardrum was repaired by endoscopic method, through the external ear canal (transcanal). "Island Graft Technique" was used for the graft placed in the eardrum. The purplish appearance is due to the dried residue of castellani solution that was dropped a few months ago.

Eardrum Hole, Causes, Symptoms, Diagnosis and Treatment

An eardrum hole, also known as a tympanic membrane perforation, refers to a rupture or tear in the thin tissue that separates the outer ear from the middle ear. The eardrum, or tympanic membrane, plays a vital role in transmitting sound vibrations from the outer ear to the middle ear, where the auditory ossicles (small bones) amplify the sound and send it to the inner ear.

Causes of an eardrum hole can vary and may include:

1. Middle ear infections: Severe or recurrent infections can lead to increased pressure and inflammation, potentially causing the eardrum to burst.
2. Trauma: A sudden and forceful impact to the ear, such as a direct blow or insertion of a foreign object, can cause the eardrum to tear.
3. Barotrauma: Rapid changes in air pressure, such as during scuba diving, flying in an airplane, or an explosion, can damage the eardrum.
4. Acoustic trauma: Exposure to extremely loud noises, such as explosions or loud music, can cause a rupture in the eardrum.
5. Chronic middle ear disease: Conditions like chronic otitis media or cholesteatoma, characterized by long-term inflammation or abnormal skin growth in the middle ear, can weaken the eardrum and lead to perforation.

Symptoms of an eardrum hole may include:

1. Ear pain or discomfort.
2. Hearing loss or muffled hearing in the affected ear.
3. Tinnitus (ringing or buzzing sensation in the ear).
4. Drainage of fluid or blood from the ear.
5. Vertigo or dizziness in some cases.

It's important to seek medical attention if you suspect you have a hole in your eardrum. A healthcare professional, such as an ear, nose, and throat (ENT) specialist, can perform a thorough examination to confirm the diagnosis. Treatment options depend on the size and location of the perforation, as well as the underlying cause. Small perforations often heal on their own, but larger or persistent holes may require medical intervention, such as surgical repair or the use of a patch or graft to promote healing.

Eardrum hole repairing techniques

Different techniques have been described for the repair of holes in the eardrum. Apart from the classical tympanoplasty operation, myringoplasty operation techniques including only simple eardrum repair have been described. In recent years, techniques for repairing the tympanic membrane, which are performed only through the external auditory canal (transcanal), have been described. Among these, trancanal endoscopic and microscopic myringoplasty operations have started to be performed vertically in selected patients. Endoscopic techniques have started to be preferred by patients due to the absence of visible scars, less surgical trauma and short recovery time. Our patient, whom I shared with you here, reported that his hearing almost normalized in the second month. Since he came from abroad, only the 1st year photo could be obtained.

Endoscopic Eardrum Operation Videos

Postoperative care after endoscopic myringoplasty operation

After undergoing endoscopic myringoplasty surgery, it is important to follow proper postoperative care to promote healing and reduce the risk of complications. Here are some general guidelines:

1. Medication: Take prescribed pain medications and antibiotics as instructed by your doctor to manage pain and prevent infection. Follow the recommended dosage and complete the full course of antibiotics.

2. Ear protection: Keep your ear dry and avoid getting water or any other liquids in the operated ear. Your doctor may advise using earplugs or a cotton ball coated with petroleum jelly when showering or bathing.

3. Follow-up appointments: Attend scheduled follow-up visits with your doctor to monitor the healing process. They will assess the surgical site, remove any packing if necessary, and provide further instructions.

4. Avoid strenuous activities: Refrain from engaging in physically demanding activities, such as heavy lifting or intense exercise, for the recommended duration provided by your surgeon. Excessive strain or pressure can disrupt the healing process.

5. Keep the ear clean: Follow your doctor's instructions for cleaning the ear. This may involve gently wiping the outer ear with a clean cloth and avoiding the use of cotton swabs or inserting any objects into the ear canal.

6. Rest and recovery: Adequate rest is crucial for proper healing. Take it easy during the initial recovery period, and avoid activities that could put strain on the operated ear.

7. Watch for signs of complications: Monitor the operated ear for any unusual symptoms, such as increasing pain, persistent drainage, fever, or worsening hearing loss. If you notice any concerning signs, contact your doctor promptly.

8. Follow dietary instructions: Your surgeon may provide specific dietary instructions, such as avoiding certain foods or drinks that could affect the healing process. Follow these recommendations for optimal recovery.

Remember to consult your healthcare provider for personalized postoperative care instructions, as individual circumstances may vary. Adhering to the recommended guidelines will help ensure a smoother recovery and enhance the success of your endoscopic myringoplasty procedure.

Link where you can read other articles published on this website about endoscopic eardrum operation that I prepared before >>

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon

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