Myringoplasty (Ear drum repair)
What is a Myringoplasty?
A hole (perforation) in the eardrum can develop following ear infections or trauma, including grommet insertion. Hearing loss and recurrent ear discharge are common complaints in patients with a perforation. An operation called myringoplasty repairs the defect in the eardrum.
Surgery
Surgery is performed under general anaesthetic and takes approximately 1 - 2 hours. often the ear drum can be repaired through the ear canal but sometimes an incision may have to be made in front or behind the ear.
It can be performed as a day stay procedure, but depending on the extent of the surgery some patients have to stay in hospital for one night.
Risks
Pain is minimal and there is a minimal risk of bleeding and infection after surgery. Rarely taste sensation may be altered but settles with time. There is a small risk of decreased hearing in the operated ear. Sometimes the graft may not take.
After Surgery
You will require 4-7 days off school/work.
Pain Relief
Regular Paracetamol should provide sufficient pain relief in most patients but additional medication will be provided if needed.
Wound Care
- Remove ear pads the day after surgery
- Change cotton wool in the ear canal as long as there is leakage from the ear
- The packing in the ear canal will have to stay until your clinic review. One or two pieces may fall out and do not have to be replaced.
- Sutures do not have to be removed (they are dissolvable).
Until healing is complete at three months, avoid
- Nose Blowing
- Heavy lifting
- Sneezing with your nose and mouth closed
Keep the ear canal dry for at least 6 weeks. You can get the incision behind the ear spray wet after 48 hours and wet after 5 days.
Do not take part in sports or swimming until cleared by your surgeon.
Follow up
A clinic appointment will be scheduled 2-3 weeks after surgery.