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Myringoplasty

What you should know

Myringoplasty is surgery to fix a hole in your eardrum. A graft is used to cover the hole. The graft may be a piece of fascia (hard tissue that covers muscles), skin, fat, or cartilage from another area of your body. The graft may be artificial, from a donor, or from an animal. Myringoplasty is done to help prevent middle ear infections and improve your hearing.

Before After

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

Risks

  • You may be allergic to the anesthesia used during your surgery. You may bleed or have more pain than expected, have pain, or get an infection. You may scar in the area your surgery was done, or where your graft was taken. You may get blood clots, and your eardrum may collapse. Nerves or areas near your inner ear or face may be damaged during surgery. You may develop scarring or narrowing of your ear canal.

  • You may have swelling, discharge, or hearing loss after your surgery. Your graft may fail, causing you to have an open hole in your eardrum again. You may also develop a new hole in your eardrum and need another surgery. If you do not have the myringoplasty, the hole in your ear may get bigger. Your hearing loss may get worse and lead to permanent hearing loss. You may have repeated ear infections that spread to your head, neck, and brain, and may be life-threatening.

Getting Ready

Before your surgery:

  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.

  • Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.

  • Tell your caregiver if you have had other ear surgeries or nose problems.

  • Your caregiver will look inside your ear to see the size and location of the hole in your eardrum. He may check you for other ear, nose, or throat problems. You may need to have blood and urine tests and x-rays. You may also need hearing tests. Ask your caregiver for more information about these and other tests that you may need. Write down the date, time, and location of each test.

  • Write down the correct date, time, and location of your procedure.

The night before your surgery:

Ask caregivers about directions for eating and drinking.

The day of your surgery:

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • Ask your caregiver before you take any medicine on the day of your surgery. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital. Caregivers will check that your medicines will not interact poorly with the medicine you need for surgery.

  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.

  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

Treatment

What will happen:

  • Your caregiver will give you anesthesia medicine to keep you free from pain during your surgery. Caregivers may use a scope to look inside your ear. Your caregiver may need to remove any earwax present. He may make an incision behind your ear, or inside your ear. Caregivers may make the surface of your eardrum rough so the graft will attach better.

  • Caregivers will check for other ear problems, such as damaged bone. A graft is put underneath or over your eardrum to cover the hole. The graft may be secured with a material containing gelatin or special glue. If fat is used as a graft, the fat is plugged into the hole of your eardrum. A bandage soaked in a special paste that prevents germ growth may be placed inside your ear. Caregivers will then close the incisions with stitches.

After your surgery:

You will be taken to a room where you will rest until you are awake. Do not get out of bed until your caregiver says it is okay. Caregivers will let you know when you can go home. If you are staying at the hospital, you will be taken to your hospital room. You will be given antibiotics after your surgery to help prevent ear infections. You may have a bandage over or around your ear. The bandage will help keep your surgery area clean and dry, and help prevent infection.

Contact a caregiver if

  • You cannot make it to your surgery.

  • You get sick or have a fever.

Seek Care Immediately if

  • You have a headache that does not go away even after you take your medicine.

  • You have dizziness or loss of balance.

  • You have nausea or vomiting.

  • You have pain in your inner ear or behind your ear.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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