Tympanoplasty

What you should know

Tympanoplasty is surgery to fix a torn eardrum. Your eardrum is a tissue found in the middle part of your ear. Your eardrum divides your outer ear canal from your inner ear.

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 bleed more than expected or get an infection. Nerves that control your face muscles or sense of taste may be damaged. The small bones in your ear may be damaged. You may become dizzy. The tear in your eardrum may not heal completely. You may develop bands of scar tissue in your inner ear or narrowing of your ear canal. You may have hearing loss. Your eardrum may swell or you may have drainage. Your graft may fail or you may develop another tear in your eardrum.

  • Without surgery, the tear may get bigger. Your hearing loss may get worse and lead to permanent hearing loss. You may have chronic ear infections. Infection can spread to other parts of your body and become life-threatening.

Getting Ready

The week before your surgery:

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

  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.

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

  • You may need blood tests or x-rays before your surgery. You may also need hearing tests. Talk to your healthcare provider about these or other tests you may need. Write down the date, time, and location for each test.

The night before your surgery:

Ask caregivers about directions for eating and drinking.

The day of your surgery:

  • 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.

  • 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.

  • 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 surgeon will make an incision behind your ear or inside your ear canal. Any infection, damage, or disease inside your ear will be cleaned out. The edges of your torn eardrum will be trimmed, or your entire eardrum may be removed.

  • A graft will be used to close your torn eardrum or to replace your eardrum. A tissue graft may be taken from another part of your body. Antibiotic foam may also be placed in your ear canal to help prevent infection. Your incision will be closed with stitches.

After your surgery:

You will be taken to a room to rest until you are fully awake. You will be monitored closely for any problems. Do not get out of bed until your healthcare provider says it is okay. You will be able to go home or be taken to your hospital room.

Contact a caregiver if

  • You cannot make it to your surgery.

  • You have a fever.

  • You get a cold or the flu.

  • You have questions or concerns about your surgery.

Seek Care Immediately if

  • You have bleeding in your ear.

  • You have dizziness that does not go away.

  • You have ringing in your ears that is getting worse.

  • You lose feeling in your face.

© 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.

Learn more about Tympanoplasty (Precare)

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