Tympanoplasty is a type of microsurgery in which perforations in the eardrum that refuse to mend are fixed using an endoscope or microscope. A human may hear through the tympanic membrane, commonly known as the eardrum, which vibrates in response to sound. A tiny hole might not have much of an impact on hearing, but a bigger hole or one that is located in a specific portion of the eardrum might. Sometimes, tympanoplasty is combined with additional treatments to treat related middle ear issues.
| Country | Cost | Local_currency |
|---|---|---|
| United Kingdom | USD 4000 | 3160 |
| Turkey | USD 4180 - 5000 | 125985 - 150700 |
| Spain | USD 2000 - 5400 | 1840 - 4968 |
| United States | USD 3706 - 6000 | 3706 - 6000 |
| Singapore | USD 2000 - 4500 | 2680 - 6030 |
People from all age groups can be affected by ear disorders and hearing impairment problems. In the United States, a survey revealed that under the age of 65, over 60 percent of the population suffers from problems related to hearing loss. However, almost 25 percent 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.
Several reasons 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
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
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.

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Otolaryngologist
22 Years of Experience
Dr. Sethi has worked as a Senior Consultant, ENT/Otorhinolaryngology at Fortis Hospital, Shalimar Bagh Currently he is a member of the Medical Council of India (MCI), Delhi Medical Council and Association of Otolaryngologists of India (AOI). View More