Myringoplasty & Myringotomy

myringoplasty

WHAT IS MYRINGOPLASTY?

Myringoplasty is the name of the operation which repairs a hole in the ear drum. Myringoplasty is a microsurgical procedure (conducted using an operating microscope) to reconstruct the eardrum or the tympanic membrane of the ear. This procedure is mostly conducted for patients with perforated eardrums.

Myringoplasty is performed under a general anaesthetic as a day case or an overnight stay in hospital. You will come back after the operation with a big dressing over the ear which is removed the following morning. To perform the operation a cut is made either behind the ear in the shape of a hockey stick, or alternatively a small cut in front of the ear. The particular incision depends on the access at the time of the operation.

Surgery to repair the perforation

An operation to repair the perforation is called a 'myringoplasty'. The benefits of closing a perforation include prevention of water entering the middle ear, which could cause ear infection. Repairing the hole means that you should get fewer ear infections. It may result in improved hearing, but repairing the eardrum alone seldom leads to great improvement in hearing.

Myringotomy

Myringotomy is a surgical procedure of the eardrum or tympanic membrane. The procedure is performed by making a small incision with a myringotomy knife through the layers of tympanic membrane (see the image below). This surgical procedure permits direct access to the middle ear space and allows the release of middle-ear fluid, which is the end product of otitis media with effusion (OME), whether acute or chronic