Endoscopic tympanoplasty is the procedure to repair the perforated eardrum (a ruptured eardrum) which causes sudden hearing loss; an endoscope is used in this procedure instead of a microscope. The three small bones of the middle ear the ossicles the malleus, incus, and stapes can also be involved in the procedure.
The following are the most common causes of eardrum perforation:
Small ruptures in the eardrum (perforations) heal on their own but bigger perforations involving a large area of the three layers along with infection causes improper healing and in which cases tympanoplasty surgery would have to be performed. At times tympanic membrane grafting is done. Grafts are usually obtained from:
The different types of procedures are suggested based on the condition of the patient, the main types of procedures are:
This involves the restoration of the perforated eardrum by grafting.
This involves the restoration of the tympanic membrane perforations with erosion of the malleus.
This takes place when tympanic membrane is perforated along with destruction of two ossicles, with the stapes still intact and mobile.
This takes place when ossicular destruction involves all the three bones.
This takes place if the footplate of the stapes bone is fixed.
Tympanoplasty, depending on the severity of damage, is done under local or general anesthesia. In small perforations of the tympanic membrane, surgery is performed under local anesthesia with IV sedative.
Before going for the tympanoplasty procedure, you need to go through some tests, which give a health update to your surgeon. Certain tests are done before the procedure such as
Hearing loss effects across ages, however, it increases with age. Causes of hearing loss: genetic 4 %, ear injury 8%, high decibels sounds 37%, ear infection 18 %, old age 32 %.
The patient has to be admitted a day before the surgery. It is a short duration surgery of about two -three hours. The patient is discharged the same day.
Advance technology has been immensely helpful for medical field. It has reduced the patients money, time and faster recovery too. The following are the advantages of endoscopic surgery:
The disadvantages of Endoscopic surgery are:
The procedure is indicated in:
Immediate and delayed complications are as follows:
The patient is advised the following: