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Tympanoplasty

Tympanoplasty

Tympanoplasty Surgery in India: Cost, Treatment Hospital & Top Doctors

Tympanoplasty is a surgery that is performed to repair a hole or tear in the eardrum, known as a perforated eardrum. The surgery is carried out in a hospital under general anesthesia and takes two to three hours to complete. Tympanoplasty is usually recommended for children with chronic ear infections and hearing loss, though adults may also require the procedure in certain cases.

India has become a leading country for African patients seeking tympanoplasty surgery due to its affordable treatment costs, internationally accredited hospitals, and highly experienced ENT specialists. African patients choose India because they can receive advanced ear care using modern surgical techniques at a fraction of the cost compared to many other countries, without compromising on quality or safety. The country's shorter waiting times, English-speaking doctors, and comprehensive medical tourism support make India a leading country for tympanoplasty surgery.

What are Problems in the Eardrum?

When any sound wave reaches the eardrum it causes vibration. The vibrations are then carried to the tiny bones of the middle ear. Then these bones transfer the signals to the inner ear. The eardrum consists of a thin connective tissue membrane which has skin on the outside and mucosa on the inside.

The eardrum is a complex part of the process of the hearing process system. It protects our middle ear from bacteria causing infection. But sometimes an infection may lead to perforation in the eardrum.

The eardrum may face problems like perforation and inflammation which is known as tympanitis.

What is Tympanitis?

An inflammation of the tympanic membrane, or eardrum, is medically referred to as tympanitis. The eardrum may become inflamed due to trauma or bacteria. It can leave a serious impact on hearing.

What are Some Causes of Tympanitis?

There are various factors involved in the inflammation of the eardrum, such as:

  • Middle ear infection or glue ear mainly occurs in children
  • Injury to head or ear
  • Poking to the ear
  • Eustachian tube dysfunction
  • Bacterial infections like bullous myringitis
  • Swimmer’s ear, a type of fungal or bacterial infection

What are the Symptoms of Tympanitis?

The symptoms of tympanitis are:

  • Redness and swelling in the ear
  • Itchiness in the ear
  • Pain in one or both the ears
  • Leakage of excess fluids
  • Temporary loss of hearing
  • Difficulty in sleeping

What are the Reasons for Tympanitis Treatment in India?

The treatment of tympanitis in India depends on the cause of it. It can be due to:

1. Middle ear infection:

In the middle ear infection, the doctor may prescribe you some pain killers to relieve the pain. In some cases, the doctors may also prescribe antibiotics. But it can get cured even with antibiotics some days after the diagnosis using an otoscope.

2. Bullous myringitis:

In this type of infection the doctors usually prescribe antibiotics and pain killers.

3. Swimmer’s ear:

The doctors may prescribe antibiotic eardrops which contain steroids that reduce inflammation.

What is a Perforated Eardrum?

A perforated eardrum is a hole in the thin tissue that separates the ear canal from the middle ear that is eardrum. Eardrum perforation may result in loss of hearing. It can also make the middle ear weak causing other infections. A perforated eardrum gets healed within a few weeks without any treatment. However, sometimes a patch or surgery is required to repair the hole. Everything is discussed here about the perforated eardrum and its treatment.

What are the Symptoms of a Perforated Eardrum?

You will observe these signs if you have a perforated eardrum or other ear infection.

  • Earache or pain in the ear
  • A sudden loss of hearing, difficulty in hearing or you can hear a muffled sound only
  • Itchiness in your ear
  • Leaking of fluid, mucus-like or blood, from your ear
  • Fever-high temperature
  • Buzzing or ringing in your ear
  • Spinning sensation
  • Nausea or vomiting

What are the Causes of a Perforated Eardrum?

A hole in the middle ear or a perforated eardrum may be caused by:

1. Otitis media:

Otitis media means a middle ear infection often caused by the gathering of fluids in your middle ear. The pressure created by these fluids may result in a perforated eardrum.

2. Barotrauma:

Barotrauma is the stress applied to the eardrum when the pressure of air in the middle ear and the pressure of the air surrounding you are unsteady. Barotraumas are often caused when the pressure of air changes in connection with air travel.

3. Acoustic trauma:

Acoustic trauma means a sudden loud sound or blast, such as a gunshot or explosion, overpowering the sound wave coming to the ear and can sometimes cause a perforated eardrum.

4. Objects in your ear:

If you put small objects, such as a hairpin or cotton bud in your hair, that can tear the eardrum.

5. Head trauma:

Injury to the head, like a fracture on the skull, may result in damage or dislocation of the eardrum.

What Happens When You Have a Perforated Eardrum?

Generally, the perforated eardrum gets healed within three to six months on its own. But if it fails to do it some severe problems may occur, such as:

1. Loss of hearing:

Most of the time, hearing loss is temporary. It only lasts until the tear in the eardrum has healed. The area and the size of the hole can decide the effect of loss of hearing.

2. Infection in the middle ear:

The hole in the eardrum can lead to making the area vulnerable, resulting in an attack of bacteria in the ear. It can create chronic infection along with a perforated eardrum.

3. Cholesteatoma:

This happens very rarely though, when this cyst develops in the middle ear, composed of skin cells, which can result in long-term damage to the eardrum. A cyst can create a friendly environment for the bacteria, which can damage middle ear bones.

What to do in Case of a Perforated Eardrum?

Generally, perforated eardrums don’t need to be treated, as they can heal by themselves.

Try to follow these tips during the healing process so that the chances become less for ear infections:

  • Try to avoid putting anything in your ear like eardrops or cotton buds until and unless your doctor advises it
  • Take extreme care to avoid putting water in your ear
  • Don’t blow your nose too hard, as it can lead to more damage to the eardrum
  • Try taking painkillers to relieve the pain
  • Protect your ears from unnecessary noise by wearing protective earplugs

What are the Risk Factors for Tympanoplasty Surgery in India?

The doctor will inform you about the risks and benefits involved in the surgery before recommending tympanoplasty. If anesthesia doesn’t suit you, it will be avoided by the doctor.

Anesthesia can be risky for patients who are:

  • Addicted to alcohol
  • Allergies to anesthesia
  • Having asthma
  • Having diabetes
  • Kidney problems
  • Obesity
  • Neurological condition
  • Sleep apnea
  • Having heart disease
  • High blood pressure

How is a Tympanoplasty Surgery in India Performed?

When your perforated eardrum doesn’t heal on its own, then you must get eardrum perforation treatment. In a tympanoplasty, the doctor will heal the eardrum by applying patches to the hole. It is also done through the ear canal or an incision at the back of your ear. A tissue graft is taken from behind your ear and is used as the patch. Other than the tissue, the doctors may also use synthetic material grafts.

What Happens During the Tympanoplasty Surgery in India?

The procedure of the tympanoplasty surgery in India is done in the hospital.

The doctor will make a small cut in front or behind your ear to take a small tissue from your skin. They will then, with the help of small surgical instruments, patch the hole of your eardrum with that piece of tissue. After that, a dressing will be placed to hold the patch. It will help to prevent water and germs from going in. The patch has to stay in place for 2 to 3 weeks. The whole process of surgery usually takes two hours.

After spending one night for observation in the hospital, if there are no further complications, you will get discharged. Children are usually discharged on the same day if their vital signs are stable.

What Happens After a Tympanoplasty Surgery in India?

Follow the complete guidelines provided by the doctor for the recovery process. You must avoid heavy lifting or strain for at least 2 weeks. The doctor may also call you within a week to make sure everything is fine and to remove the stitches.

You may face some issues, like drainage of fluids. You can use cotton balls to keep the area dry. The doctor can also prescribe you some ear drops to use after surgery.

Best Doctors for Tympanopalsty Surgery in India

If you or a loved one are seeking the best quality tympanoplasty surgery, choosing the right doctor can help. India is home to some of the world’s most experienced ENT specialists, who are known for their expertise in ear surgeries and patient-centeric care. Here are some of our top doctors for tympanoplasty surgery in India:

1. Dr. J. M. Hans:

Dr. J. M. Hans is a highly experienced ENT specialist in India with strong proficiency in tympanoplasty, otologic microsurgery, and hearing restoration procedures. With over 45 years of experience, he is known for delivering safe and effective results and success rates in the treatment of middle ear disorders.

Dr. J. M. Hans

2. Dr. Sanjay Sachdeva:

Dr. Sanjay Sachdeva is a leading ENT surgeon in India, who is recognised for his extensive experience of over 39 years in performing tympanoplasty, middle ear reconstruction, and advanced microsurgical ear procedures. Known for his precise techniques and strong expertise, he provides effective treatments for chronic ear infections and perforated eardrums.

Dr. Sanjay Sachdeva

3. Dr. W.V.B.S. Ramalingam:

Dr. W.V.B.S. Ramalingam is an experienced ENT and skull base surgeon in India who is known for his expertise in ear surgeries, tympanoplasty, ossicular chain reconstruction, and chronic otitis media management. His advanced technique and evidence-based treatments make him a sought-after specialist for complex ear conditions.

Dr. W.V.B.S Ramalingam

4. Dr. Shashidhar TB:

Dr. Shashidhar TB is an expert in advanced tympanoplasty and middle ear surgical techniques in India. He offers specialised treatment care for patients with eardrum perforations, conductive hearing loss, and chronic ear diseases. His focus on modern and minimally invasive ENT procedures have made him a preferred choice for ENT treatments in India.

Dr. Shashidhar TB

What is the Cost of Tympanoplasty Surgery in India?

Many patients from African countries such as Kenya, Nigeria and Cameroon travel to India seeking the best treatment at minimum cost. The cost of Tympanoplasty surgery in India is amazingly lower than the rest of the countries. Indian hospitals have the most advanced technology and Indian doctors are very well-trained with years of experience. India is providing different packages for the international patients. Tympanoplasty and myringoplasty are the two treatments available in India for an eardrum repair. The cost of Tympanoplasty in India is mentioned below:

Treatment Name Cost in India Stay in India
Tympanoplasty Surgery in India $2,000 5-7 Days

What are Some Restritions After a Tympanoplasty Surgery in India?

Try to avoid these activities without asking permission from the doctor.

  • Smoking
  • Swimming
  • Avoid contact with sick people
  • Sports
  • Avoiding blowing your nose too hard

Tympanoplasty may take two to three months to recover fully. It is advised to follow the instructions of the doctor to ensure a safe recovery. You must have patience while dealing with the recovery phase.

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Tympanoplasty Surgery in India FAQs

Is a perforated eardrum dangerous?

A perforated eardrum is not dangerous and usually heals on its own in some weeks. But it is better to consult a general physician because if it doesn’t get healed it may cause loss of hearing.

How do I know if my eardrum is perforated?

You will realize that your eardrum is perforated by the sudden loss of hearing or just a muffled sound. You may also feel a sharp pain in the ear. There are other symptoms too which help you in knowing that your eardrum is perforated, like- itchiness in the ear, vomiting or high temperature.

When does hearing improve after tympanoplasty?

No surgery in the world can guarantee a 100 per cent success rate. But according to a study, 90-95% is the success rate of tympanoplasty. The improvement in hearing depends upon the condition of the ossicles.

What is water treatment behind the eardrum for adults?

Healthcare practitioners frequently perform water treatment behind the eardrum for adults to address a variety of ailments, such as ear infections and blockages. To eliminate any debris or trapped fluids, the middle ear is immediately irrigated with a sterile saline solution as part of the therapy. Using specialized equipment made for safe insertion into the ear canal, the treatment is normally carried out while the patient is under local anesthesia. Healthcare professionals are trained to carry out this process safely and successfully while minimising any dangers to the patient's hearing or general health.

How do I know if my eardrums are perforated?

Are you thinking, 'How do I know if my eardrums are perforated?' There are many factors, including exposure to loud noises, abrupt changes in air pressure, or injury that can result in a perforated eardrum. Sudden hearing loss, ear pain or discomfort, ringing in the ears or tinnitus, and a fluid flow from the ear are some of the signs of a burst eardrum. Vertigo or dizziness may occur in extreme situations. It is critical to get medical help right away if you think your eardrums may have been punctured. An otoscope will be used during an examination by an ENT expert to look for any obvious evidence of perforation in the inner ear.

What is eardrum grafting?

Tympanoplasty surgery, also the name for eardrum grafting, is a surgical operation used to reconstruct or restore the eardrum. In order to build a new eardrum, the technique often entails making a tiny incision behind the ear and removing tissue from another area of the body, including the temporalis fascia or cartilage. Eardrum grafting is frequently done to treat eardrum perforations or rips brought on by injury, infection, or persistent middle ear disorders. When the middle ear region has been damaged, surgery can also be performed to enhance hearing.