Tympanoplasty Cost in Hungary

Treatment and Cost

10

Total Days
In Country

2 No. Travelers

2 Day in Hospital

8 Days Outside Hospital

Treatment Price not available

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About the Tympanoplasty

People from all age groups can get affected by ear disorders and hearing impairment problems. In the United States, a survey revealed that under the age of 65, over 60 per cent of the population suffers from problems related to hearing loss. However, almost 25 per cent of people aged above 65 experience a significant loss of hearing. Thankfully, different types of ENT surgeries are available to treat problems related to the ear.

Most often, people are diagnosed with problems related to the eardrum, or tympanum, and the infection in the cells of the mastoid bone. The tympanum is the thin membranous structure present between the outer and the middle ear. It vibrates when sound waves hit on it and this enables us to hear.

A repair surgery called tympanoplasty is required to treat a perforation or hole in the eardrum. The middle ear is sterile but due to rupture of the eardrum, an infection can also occur. It may also be required for repairing of tiny bones present behind the eardrum or ossicles in the mastoid bone. This repair is known as mastoidectomy.

Tympanoplasty and mastoidectomy are therefore conducted together in many cases. This procedure is known as tympano-mastoidectomy.

Causes of Hearing Loss

There are several reasons that may cause loss of hearing, including the following:

  • Birth defect

  • An ear infection that has grown very severe and left untreated for long

  • The injury suffered by the ear

  • Ear subjected to excessive levels of noise

  • Hearing loss as a result of age

  • Other reasons

Symptoms of Hole in Eardrum

Some of the common symptoms of a puncture in eardrum include the following:

  • Sharp pain in the ear that disappears abruptly

  • Excessive pressure, which will suddenly disappear with the rupture and pus formation in the ear

  • Loss of hearing

  • Dizziness

Types of Tympanoplasty

Type 1 tympanoplasty or myringoplasty is the surgery that ensures restoration of the eardrum that got perforated with drafting

Type II tympanoplasty addresses membrane perforations with erosion in the bone malleus. Grafting is done on the incus bone or in the remains of the malleus.

Type III tympanoplasty is meant for destruction of two ossicles and intact and mobile stapes bone. A graft is placed on the stapes and it provides protection for the total assembly.

Type IV tympanoplasty is useful for cases of ossicular destruction, which has all or part of the arch of stapes included. A graft is placed around the mobile stapes footplate

Type V tympanoplasty is useful when the footplate of the stapes bone is fixed. 

For treating Cholesteatoma, tympanoplasty can be combined with stapedectomy and mastoidectomy and in many cases, a second operation is required to ensure the infection is totally eradicated.

How is Tympanoplasty performed?

The tympanoplasty surgery is performed with intravenous sedation and local anaesthesia. An incision is made into the ear canal section and from the bony ear canal, the remaining eardrum is elevated and lifted forward. Under the operating microscope, the ear structures can be seen clearly. An incision behind the ear is made if the hole is very large or far forward. It ensures that the entire outer ear is forwarded, giving better access to the perforation.

The perforated remnant part is rotated forward after the hole is exposed and now the ossicles are inspected. Scar tissue and bands can surround the bones and they are removed with a laser or micro hooks. Now the ossicular chain is pressed to check its mobility and functionality. If it is found to be mobile, then the rest of the surgery aims at repairing the defect of the drum.

From the tragus, which is the cartilaginous lobe of skin in front of the ear, or from the back of the ear, a tissue is taken. A gelatin sponge is positioned under the drum, which is absorbable and it supports the graft. Underneath the remaining drum remnant, the graft is inserted and folded back to close the perforation. The incision is closed with the help of stitches. On the outside of the ear canal, a sterile patch is placed and the patient can then be transferred to the recovery room.

If the bones in the ear suffer from erosion, then ossicular reconstruction is advised. At times it can be determined before surgery but in other cases, erosion is visible only when the ear is completely opened under the microscope.  The reconstruction can happen at the time of the eardrum construction. Bone erosion can happen at the tip of the incus or anvil. A discontinuity between stapes and the incus has to be resolved.  

A small piece of bone or cartilage can be inserted from some other part of the body of the patient if the gap between the two cones mentioned above is small. But if the gap is large, then the anvil bone is removed and remodelled to give a shape of a tooth with the help of the operating microscope. After reshaping the prosthesis, it is placed between the malleus and the stapes and ossicular chain continuity is then re-established.

In some other ossicular construction, the malleus can get fixated by bony ingrowth or scar tissue to the ear’s lateral wall.  The plastic-type or silastic sheet is often placed to prevent the regrowth of a new bone against the wall.  In such a reconstruction, it may be required that the stapes and incus are separated from the natural connection to stop the transmission of drill vibration. This can damage the inner ear.

Recovery from Tympanoplasty

Usually, a patient is discharged within two to three hours of the surgery. Along with a mild pain reliever, some antibiotics are also administered. After 10 days, the patient is again expected to visit so that packing can be removed and graft success can be checked.

Patients are advised to keep water away from the surgical site and avoid blowing of the nose. If the patient is suffering from cold and allergies, then decongestants are prescribed. Within 5 to 6 days, the patients can resume a normal life. After 3 weeks of the surgery, the packing is removed under the operating microscope and at this point, the grafting success can be completely determined. 

Care must be taken by the patient to soak the ear canal with antibiotics to keep infection at bay. Shearing forces of excessive tension should not be felt by the graft. The surgeon will advise the patient to avoid activities that alter the tympanic pressure, including using a straw to drink or blowing of the nose. Finally, a hearing test is performed after 4 to 6 weeks of the surgery.

Patient Stories

Frequently Asked Questions

What is the health care infrastructure of Hungary / Why should opt for Hungary as a destination for your medical treatment?
Hungary is well-known for the broad range of treatments implemented for treating one or diverse types of diseases. The healthcare facilities in Hungary focuses on overall care and thus, attends to both physiological and psychological care. To keep at par with the other developed countries in the world, Hungary focuses in upgrading and constantly keeps room for including modern amenities. Therefore, the candidates availing treatments in Hungary are treated thoroughly with modern techniques, assisted by skilled professionals which makes opting Hungary one of the most wise decisions.
What are the conditions of the hospitals in Hungary? Are they JCI certified. What is the quality of the support staff in the hospitals?
The hospital in Hungary are furnished with cutting edge technology and robotic machineries which are the newest addition to the medical field. From diagnosis to providing necessary treatment, the hospitals are ideally planned to provide all-round care to every individual requiring medical assistance. One of the most important aspect of availing treatments in Hungary is the candidate interaction of the support staffs. Not only the doctors, surgeons, but also the support individuals are extremely well- educated with the modern devices, and are capable of dealing with every kind of situation and thereby has great contribution to the high success rates.
Are the doctors/surgeons in Hungary of the best quality?
The doctors and surgeons are well- versed with the modern advancements and are duly trained to operate robotic technology gracing the medical science. They are also professionally trained to embrace future advancements which guarantees completely advanced mode of treatment to the visiting individuals. The treatment thus offered are world-class as specific care is taken to minimize side effects and further risks in fatal conditions.
What is the process for obtaining medical visa in Hungary?
To avail a medical visa before travelling to Hungary, the candidate must thoroughly go through the procedure mentioned on the government website of the country. The procedure should be stepwise followed and the mentioned/ required documents should be kept ready for producing, as and when required. The necessary requirements for the same are:
  • Two passport size photographs of the candidate
  • Valid passport (both original and photocopy) which should not have an expiry date within three months of scheduled visit.
  • Duly filled copy of visa application form
  • Paid receipt for the visa application fee
  • Medical insurance and travel insurance documents which guarantees financial credibility
  • Civil status proof of the candidate
  • Employment status, if any, or clear mentioning of the status of the candidate
  • Accommodation documents, may it be hotels, rental or staying with an acquaintance, should be clearly mentioned.
  • In case the candidate is a minor, consent letter from the guardians or parents need to be provided
  • Medical certificate duly signed by the registered medical practitioner as well as acceptance letter by the doctor referred to
  • Additional documents like birth certificate, residential proofs, etc., may also be required.
What support services does MediGence provide in Hungary?
The support services provided by MediGence ensures seamless medical travelling experience in Hungary. Right from the beginning of the journey to the end, MediGence assists the candidates and the family with utmost care thereby making the stay as comfortable as it can be. Hence, here is a list of services provided for candidate satisfaction:
  • Travel insurance guidance
  • Medical insurance query related support
  • Visa Assistance
  • Free Airport to Hospital Transfer
  • On-Ground Support
  • Teleconsultations
  • Accommodation Assistance
  • Rehabilitation and recovery services
Which are the best cities in Hungary for medical treatment?
Hungary is thriving and blooming with metropolitan cities which have excelled in terms of hospitals and clinics thereby providing excellent medical facilities. The treatments in Hungary are world-class and have scored high success rates, which is why, a huge number of medical tourists flock to the country to avail treatments for minor to major diseases and anomalies. Hence, here are some of the best cities that house some of the best hospitals in Hungary:
  • Budapest
  • Pecs
  • Szeged
  • Debrecen
  • Miskolc

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