Best Hospitals for Tympanoplasty in Singapore

Tympanoplasty or ear reconstruction surgery is a process that is done to terminate the tear in the eardrum. The surgery is performed only on the eardrum and not on the ear bones. After an examination of the eardrum which is ruptured the doctor asks you to keep patience for a maximum period of 6 weeks. The surgery is only performed after it is found out that your eardrum did not heal. A ruptured eardrum is very common among children. Though the surgery is a safe one still a patient might face bleeding and infection in the year. Apart from this, a patient can stop hearing or hear partially because of a ruptured eardrum even though he underwent surgery. You can face breathing issues.

Tympanoplasty in Singapore

If you are undergoing Tympanoplasty surgery in Singapore then the surgeon informs you not to consume anything 8 to 10 hours before the surgery. An expertized ENT surgeon performs the general anesthesia on you before proceeding with the surgery. The entire surgery will take up to 3 hours. First of all, the surgeon uses a microscope to take a closer look at your eardrum through the ear canal. If he finds that your ear canal is very tiny then he makes a slit at the back of your ear. An underlay or an overlay method can be used by your surgeon to perform the surgery. In the underlying method, the graft is kept so that it broadens under the hole. While in the overlay method the graft is placed on the outside covering of the tympanic membrane. The graft is packed using a special sheet so that the graft stays in place.

Cost Comparison

Tympanoplasty surgery cost in Singapore is $ 4,600 but the prices may vary from time to time.

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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.

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Frequently Asked Questions

What are the factors affecting the cost of Tympanoplasty in Singapore?

Tympanoplasty cost in Singapore varies from one hospital to the other. There are many hospital that cover the cost of pre-surgical investigations of the patient in the treatment package. The treatment cost usually includes the expenses related to hospitalization, surgery, nursing, medicines, and anesthesia. Stay outside the package duration, post-operative complications and diagnosis of a new condition may further increase the Tympanoplasty cost in Singapore.

Which are some of the best hospitals in Singapore for Tympanoplastyt?

Tympanoplasty in Singapore is offered by multiple hospitals across the country. Some of the most renowned hospitals for Tympanoplasty in Singapore include the following:

  1. Gleneagles Hospital
  2. Parkway East Hospital
  3. Farrer Park Hospital
  4. Mount Elizabeth Hospital
  5. Mount Elizabeth Novena Hospital
How many days does it take to recover post Tympanoplasty in Singapore?

While the speed of recovery may vary from patient to patient, they are still required to stay for about 10 days after discharge. During this time, the patient undergoes medical tests and consultations. this is to ensure that the treatment was successful and the patient us safe to return.

Which are some of the other popular destinations for Tympanoplasty?

Singapore is undoubtedly one of the best countries for Tympanoplasty in the world. It offers the best medical expertise and good patient experience at an affordable cost. Some of such countries are:

CountryCost
GreeceUSD 2500
IndiaUSD 2300
ThailandUSD 2200
TurkeyUSD 4500
United Arab EmiratesUSD 5500
United KingdomUSD 4000
How much are the other expenses in Singapore apart from the cost of Tympanoplasty?

Apart from the Tympanoplasty cost, the patient may have to pay for additional daily expenses such as for guest house after discharge and meals. The per day cost in this case may start from USD 50 per person.

Which are the best cities in Singapore for Tympanoplasty Procedure?

The following are some of the best cities for Tympanoplasty in Singapore:

  1. Singapore
How many days does one have to spend in the hospital for Tympanoplasty in Singapore?

The patient has to spend about 2 days in the hospital after Tympanoplasty for proper recovery and to get clearance for discharge. The doctors team review the patient's recovery during this time with the help of blood tests and imaging scans. Once they feel that everything is on track, the patient is discharged.

What is the average rating of Hospitals in Singapore offering Tympanoplasty?

The average rating for Tympanoplasty hospitals in Singapore is 2.7. This rating is automatically calculated on the basis of several parameters such as the infrastructure of the hospital, quality of services, nursing support and other services.

How many hospitals offer Tympanoplasty in Singapore?

There are more than 5 hospitals that offer Tympanoplasty in Singapore. These clinics have proper infrastructure for the treatment of patients who require kidney transplant. Such hospitals follow all legal protocols and guidelines as specified by the local medical affairs body when it comes to the treatment of international patients.

Who are the best doctors for Tympanoplasty in Singapore?

FAQ's Related to Singapore

What healthcare accreditation standards are followed in Singapore?

Joint Commission International is known as the world leader in healthcare accredition and the hospitals in Singapore are also apprised by this agency. Healthcare quality and patient safety parameters are assessed by the Joint Commission International or JCI. Joint Commission International apprises hospital in Singapore on Organisation management and those hospitals that make the cut are the ones most sought after by everyone. The Joint Commission International keeps really stringent assessment measures before giving any hospital in Singapore the accredition.

Which are the popular multispecialty hospital groups in Singapore?

The popular multi specialty hospital groups in Singapore are as follows

  1. Mount Elizabeth Hospital
  2. Raffles Hospital
  3. National University Hospital
  4. Gleneagles Hospital
  5. Singapore General Hospital
  6. Changi General Hospital
  7. Johns Hopkins Singapore International Medical Centre
  8. Tan Tock Seng Hospital
  9. Parkway Hospitals Singapore

The popular multispecialty hospitals in Singapore give the best medical treatment and it is no wonder that these hospitals are truly international in the form of the diverse patient population that frequents them. The popular multispecialty hospitals in Singapore are known for their high quality of medical professionals in a wide variety of specialties. In the popular multispecialty hospitals in Singapore you get the best of medical treatment in short waiting times.

Why should I opt for healthcare in Singapore?

You must choose your healthcare in Singapore because of the excellent healthcare infrastructure that defines the Singaporean healthcare landscape. The highest quality of comprehensive care and high precision of clinical outcomes are aimed for by healthcare professionals and healthcare providers in Singapore. The fact that Singapore healthcare system is synonymous with high degree of commitment to provide service to their patients is the reason one must opt for healthcare in Singapore. The ease of travel and access to quality healthcare are the reasons that make Singapore an attractive medical tourism destination.

What is the quality of doctors in Singapore?

The doctors in Singapore are thorough professionals with immense practical knowledge of their area of specialisation. The absolute precision and efficiency sought makes the doctors in Singapore some of the best in the world. As Singapore is a major international medical tourism destination, the doctors in Singapore have great international exposure which ensures that the quality of doctors in Singapore is very high. The doctors in Singapore are educated from the best universities of the world and have acquired great skill in treating patients.

When traveling to Singapore for medical treatment, what essential documents do I need to carry along?

We bring to you the list of documents needed for your medical travel to Singapore:

  1. Medical Records and Reports describing your medical condition
  2. Communication from the hospital and/or the doctor that has referred you
  3. Passport
  4. Treatment Plan and Frequency of treatment
  5. Fit to travel confirmation
  6. To and Fro travel tickets
  7. Visa relevant to your visit as a medical traveller to Singapore
  8. Proof of financial means for travel and treatment
  9. Credit Card/Debit Card/Valid internet banking account in Singapore

Please create the document checklist before starting your journey to Singapore as a medical traveller. Your financial documents, travel documents and your medical condition related documents are the three kinds of documents that you need to carry on your medical travel to Singapore. It is essential to make sure that your travel documents align with your medical travel visa requirements making your treatment, stay and travel back a seamless process.

What are the popular procedures available in Singapore?

There are many important popular procedures that are performed in Singapore such as:

  1. Dentistry
  2. Orthopedics
  3. Cardiology
  4. Cosmetic/Plastic Surgery
  5. Ophthalmology

Cardiology procedures have long been the forte of healthcare providers in Singapore owing to their expertise stemming from the best of education and training in performing these procedures. The departments of Orthopaedic surgery in the hospitals in Singapore are performing major surgeries with precision and efficiency leading to excellent results. Singapore is a hub for cosmetic surgery procedures such as:

  1. Liposuction
  2. Rhinoplasty
  3. Face Lift
  4. Breast Augmentation
  5. Blepharoplasty
What are the other facilities provided by hospitals in Singapore?

The major hospitals in Singapore ensure that the stay is comfortable not just for the patient but even the people accompanying them by providing a number of additional facilities. There are travel and transfer facilities being provided by the hospitals in Singapore such as:

  1. Accommodation
  2. Flight Booking
  3. Airport Transfers
  4. Interpreter

There are facilities available for medical travellers that ease the payment process such as private payment gateways and the option of availing private insurance. The hospitals in Singapore focus on patient centric care by conducting health screening programmes, dietitians and pharmacies within hospital premises.

What is the procedure for obtaining medical visa for Singapore?

Singapore has relaxed visa norms for many countries and you must check the visa requirements for your country before applying for a medical visa for Singapore Let us have a look at the required documents for medical visa for Singapore:

  1. Passport with the required time validity
  2. Completed application form
  3. LOI or Letter of Introduction from a local contact in Singapore
  4. A recent passport size photograph
  5. Bio data page photocopy of the passport of the applicant
  6. Covering letter and forwarding letter

It is advised that you check the required visa fee from your country for medical visa for Singapore. It takes atleast five working days to get your medical visa processed (excluding delays due to rush or submission of an incomplete application). Please make sure that you submit your original bank statement with your visa application to get your Singapore medical visa.