Perforated tympanic membrane middle ear and chronic diseases be applied in “Tympanoplasty” or middle ear surgery is technically the auditory system to be repaired at the same time, clearing of the infection in the middle ear behind the ear and mastoid process.
The operation, according to the sizes of the present disease only to be repaired the hole in the eardrum (middle), with the membrane in the middle ear to transmit sound to be repaired transmit system repair (tympanoplasty), advanced cleaning fluid into the mastoid bone (oral antibiotics) or a combination of surgery (timpanomastoidektomi) can be made in the form of.
What Is Tympanoplasty Surgery?
With a hole in the eardrum, however, a significant hearing loss and non-water discharge in the ear unless you run non-patients to close this hole in the ear during bathing and swimming water conservation operation to be performed generally by eliminating the necessity of the patient's life and improve the quality is to prevent hearing loss may occur over time and the progress that are carried out in accordance with the patient's preference.
Water protection from the patient's ear, nose and sinus inflammation that causes ear discharge in the area, although there is not a focus of recurrent ear discharge and hearing loss, both in the monitoring of progression or improve the quality of life is also associated with inflammation of the membrane with the aim to prevent the occurrence of serious problems in the hole must be closed. These patients during the same surgery, both in the membrane and the small bones of the middle ear that transmit sound hole is closed we are able to intervene in problems.
A cholesteatoma in the middle ear and mastoid bone and bone dissolving in the case of inflamed tissue called later with the surgery as soon as possible the determination of the fluid needs to be cleaned. For the protection of the auditory system in patients with cholesteatoma or to be repaired first and second the original purpose facial paralysis, hearing loss originating from the inner ear or intracranial complications (meningitis, brain abscess, etc.) without giving the opportunity to the formation of the infection is to clean up
Surgery Technique
This technique of surgery when deciding on the disease status of the hole on the membrane of the ear canal construction, whether to intervene in the mastoid bone behind the ear during the operation, the surgeon, and finally the patient's preferences is effective.
During the surgery, middle ear and mastoid, despite the implementation of surgical techniques are very different from each other under the microscope, the skin of the patient in surgery, the incision is limited to the visible, frequently asked questions about this.
Tympanoplasty surgery in the ear canal, may be performed with an incision behind the ear or in the ear. Only through the membrane without an additional incision to repair a small hole in the ear canal ameliyatyapila, while the middle and in the rear part of the membrane of the eardrum to the ear of the holes in the holes in the front of the ear and mastoid in cases where intervention is required from the back of a surgical approach is preferred. The decisive factor in this regard is the choice of the surgeon.
The sheath of the muscle tissue and repair of the eardrum is the most commonly used temporal. The tissue since it is close to the surgical site, can be easily obtained during the surgery. The membrane of the cartilage in front of the ear canal or ready-made materials (materials that have undergone the appropriate process, such as sterile parts of the brain) can be used. In recent years, especially the larger holes in the cartilage in front of the ear canal made using thin strips obtained from repair of the cartilage (cartilage tympanoplasty) and ease of implementation for both of the results due to the success started to be increasingly more preferred.
Conducting a repair due to damage hearing bones need to be made to ensure the transmission of sound when implants are made of various materials, obtained from parts of the cartilage in front of the ear canal, the middle ear bones can be used on many different materials such as the position and shape of itself given.
After Surgery
Usually the first day after surgery patients may be discharged from the hospital by dressing the wound.
Mastoid surgery is usually 10-14 day special without intervention at the end of the sponges in the external ear canal infection and surgery in patients protect their ears from water and cleaned in order to prevent ear drops that contain antibiotics and cortisone and reactions it is recommended to use. Recovery in this group is completed within 3-4 weeks. In general, patients should avoid influenza and impacts and travel by air. Technical and functional success rate and the severity of pathology in these patients before the surgery and usually depend on the level of hearing is quite good.
During surgery, all patients with an assessment of the mastoid bone for varying periods of time depending on the type of surgery must be made with various dressings. Recovery takes longer in this group, the hearing in these patients is less often when compared to other groups winnings.
Kolesteatoman especially if the nerve is settled in the vicinity of the facial nerve and inner ear and hearing to avoid damage to the bone in these regions cannot be scraped behind and disease at the cellular level may be.
Kolesteatoman intervals after surgery due to high risk of recurrence in patients with this condition with the inspections should be done. Aural cholesteatoma patients in this group interventions to repair the transmission system in the form of small foci recurs in 6-12 months when that will be held in the second control operation can be made.
As a result, there is not a standard approach tympanoplasty surgery for each patient to fit. The selection of surgical techniques and applications that will be used during surgery, especially in cases with cholesteatoma, including often the disease and patient characteristics, factors that were determined during surgery and the experience of the surgeon is effective.