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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.

Ear Anatomy


Before your surgery:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.
  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.
  • Local anesthesia: This is medicine given as a shot into your skin. It is used to numb the surgery area and dull your pain. Medicine to decrease bleeding may be added to the numbing medicine.

During your surgery:

  • Healthcare providers may use a scope to look inside your ear. Your healthcare provider may need to remove any earwax present. Healthcare providers may make an incision behind your ear, or inside your ear. Healthcare providers may make the surface of your eardrum rough so the graft will attach better.
  • Healthcare providers 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. Healthcare providers 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 healthcare provider says it is okay. Healthcare providers will tell you 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. You may need any of the following medicines:

  • Antihistamines: These help prevent symptoms of allergies, such as sneezing or itching.
  • Pain medicine: You may be given a prescription medicine to decrease pain. Do not wait until the pain is severe before you ask for more medicine.


  • 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.


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 healthcare providers to decide what care you want to receive. You always have the right to refuse treatment.

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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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