Tympanoplastyenparentshttps://kidshealth.org/EN/images/headers/KH_generic_header_04_2.jpgTympanoplasty is a surgery to repair a hole in the eardrum that doesn’t close on its own. It can improve hearing and prevent water from getting into the middle ear.tympanoplasty, hole in an eardrum, eardrum, eardrum surgery, ear surgery, ruptured eardrum, ear drum, ear drums, 07/09/201909/23/201909/23/2019William J. Parkes, IV, MD07/01/20194a687a66-df85-4d63-a7bc-c7dda7d6619ahttps://kidshealth.org/ws/RadyChildrens/en/parents/tympanoplasty.html/<h3>What Is a Tympanoplasty?</h3> <p>Tympanoplasty (TIM-pah-noh-plass-tee) is a surgery to repair the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/eardrums.html/">eardrum</a>. The eardrum is a thin layer of tissue that vibrates in response to sound.</p> <h3>Why Is a Tympanoplasty Done?</h3> <p>Doctors do a tympanoplasty when the eardrum (or tympanic membrane) has a hole that doesn't close on its own. It is done to improve hearing and prevent water from getting into the middle ear.</p> <p>Kids can get a hole in an eardrum from:</p> <ul> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/otitis-media.html/">infections</a> that cause the eardrum to burst</li> <li>ventilation <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/ear-infections.html/">(ear) tubes</a> that fall out or are removed</li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/eardrums.html/">injury</a>, such as puncturing the eardrum with a <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/earwax.html/">cotton swab</a></li> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/cholesteatoma.html/">cholesteatoma</a>, a growth within or behind the eardrum</li> </ul> <p>Most of the time, the eardrum can repair itself. So at first, doctors closely watch a hole in a child's eardrum rather than fix it right away. They might wait years to repair one in a very young child. This lets the ear develop enough to help prevent complications after the surgery. Surgery might also wait if a child has ongoing problems with ear infections.</p> <p><img class="center_this" title="Diagram of the ear showing the eardrum. Tympanoplasty is surgery to repair a hole in the eardrum, as described in the article." src="https://kidshealth.org/EN/images/illustrations/earAnat10yo_a_enIL.png" alt="Diagram of the ear showing the eardrum. Tympanoplasty is surgery to repair a hole in the eardrum, as described in the article." /></p> <h3>What Happens Before a Tympanoplasty?</h3> <p>A child will have a <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/hear.html/">hearing test</a> before the surgery. This lets doctors compare the results with hearing tests done after the surgery.</p> <h3>How Should We Prepare for a Tympanoplasty?</h3> <p>Your health care provider will tell you what and when your child can eat and drink before the surgery. Your child's stomach must be empty on the day of the procedure.</p> <p>You can help prepare your child and ease any fears by talking about what to expect during and after the tympanoplasty.</p> <h3>What Happens During Tympanoplasty?</h3> <p>An ear, nose, and throat (ENT) surgeon will do the tympanoplasty. Your child will get <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/anesthesia-types.html/">general anesthesia</a> to sleep through the procedure. The anesthesiologist will carefully watch your child and keep him or her safely and comfortably asleep.</p> <p>During a tympanoplasty, the hole in the eardrum is patched. The patch, also called a <strong>graft</strong>, can be made of:</p> <ul> <li>tissue taken from around your child's ear ( cartilage or fascia)</li> <li>manmade material</li> </ul> <p>The surgeon will put packing material behind and on top of the eardrum to keep the graft in place. This material dissolves over several weeks.</p> <p><img class="center_this" title="View of a perforated eardrum and a patched eardrum after a tympanoplasty." src="https://kidshealth.org/EN/images/illustrations/tympanoplasty-415x233-rd1-enIL.gif" alt="View of a perforated eardrum and a patched eardrum after a tympanoplasty." /></p> <h3>How Long Does a Tympanoplasty Take?</h3> <p>The operation usually takes from 30 minutes to 2 hours.</p> <h3>What Happens After Tympanoplasty?</h3> <p>The surgery team will give you care instructions. For example, your child might need to:</p> <ul> <li>avoid nose-blowing</li> <li>sneeze with the mouth open</li> <li>avoid getting water in the ear</li> <li>use ear drops, if prescribed</li> </ul> <p>For about a week after surgery, your child may have:</p> <ul> <li>mild ear pain that gets better with pain medicine</li> <li>a small amount of blood or fluid draining from the ear</li> <li>a feeling of fullness in the ear</li> </ul> <p>Usually, any packing placed in the ear will dissolve over time. At the first post-operative visit 2–3 weeks after surgery, the surgeon may try to remove any that is left. You can expect your child's hearing to improve over 2 or 3 months after the surgery. The surgery team will schedule a repeat hearing test 8–12 weeks after surgery.</p> <h3>Are There Any Risks From Tympanoplasty?</h3> <p>There's a very small risk of bleeding or infection from a tympanoplasty. Other risks include:</p> <ul> <li>graft failure</li> <li>hearing that doesn't improve or that gets worse</li> <li>ringing in the ear</li> <li>funny taste in the mouth</li> <li>dizziness</li> </ul> <h3>How Can Parents Help After Tympanoplasty?</h3> <p>To help your child after a tympanoplasty:</p> <ul> <li>Follow the surgeon's care instructions.</li> <li>Give your child pain medicine, when needed.</li> </ul> <p>Make sure your child avoids:</p> <ul> <li>getting water in the ear</li> <li>heavy lifting</li> <li>vigorous exercise and contact sports</li> <li>any activities that may cause changes in pressure (swimming, diving, <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/flying-ears.html/">airplane travel</a>)</li> </ul> <p>Most children can return to regular activities a couple of days after surgery.</p> <h3>When Should I Call the Doctor?</h3> <p>Call your doctor if:</p> <ul class="kh_longline_list"> <li>You see fresh (bright red) blood on the bandage or packing, or oozing from the ear or incision.</li> <li>The ear or incision is more tender, red, or swollen than it was when your child left the hospital.</li> <li>Your child has a <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/fever.html/">fever</a> over 100.4&deg;F (38&deg;C).</li> <li>Your child's pain gets worse.</li> </ul>TimpanoplastiaUna timpanoplastia es una operación para reparar el tímpano. Los médicos hacen este tipo de operaciones cuando el tímpano tiene un agujero que no se cierra por sí solo. https://kidshealth.org/ws/RadyChildrens/es/parents/tympanoplasty-esp.html/f791bcf1-9c98-47eb-bcac-9f28631efbe2
CholesteatomaA cholesteatoma is a growth behind the eardrum that can damage the bones of the middle ear. Treating it can help prevent hearing loss.https://kidshealth.org/ws/RadyChildrens/en/parents/cholesteatoma.html/b0f3a67e-9658-42a5-8be8-81b474cd453d
Ear InjuriesEar injuries not only can affect a child's hearing, but sense of balance too. That's because our ears also help keep us steady on our feet.https://kidshealth.org/ws/RadyChildrens/en/parents/ear-injuries.html/6fc83c4f-3990-4df7-8894-4bc49079f617
Ear Tube SurgeryMany kids get middle ear infections (otitis media). Doctors may suggest ear tube surgery for those with multiple infections or a hearing loss or speech delay.https://kidshealth.org/ws/RadyChildrens/en/parents/ear-infections.html/add2e377-3c66-403c-8c8a-eb82911bcc54
Eardrum InjuriesA "popped" eardrum is more than just painful - it can sometimes lead to hearing loss. Learn about ruptured eardrums and how to prevent them.https://kidshealth.org/ws/RadyChildrens/en/parents/eardrums.html/e40e1551-dc7a-461d-b6ef-94c5c366a477
EarsHearing may be the ears' main job, but it's not all they do. Learn all about the ears in this Body Basics article.https://kidshealth.org/ws/RadyChildrens/en/parents/ears.html/40f0c600-fea3-4ef8-b1cd-dabddd2e014a
Hearing Evaluation in ChildrenHearing problems can be overcome if they're caught early, so it's important to get your child's hearing screened early and checked regularly.https://kidshealth.org/ws/RadyChildrens/en/parents/hear.html/f867639c-fb49-46cc-a897-8386816dad97
How the Ears Work (Video)The ears gather sounds from our environment and turn them into messages for the brain to decode. Learn more in this video about the ears. https://kidshealth.org/ws/RadyChildrens/en/parents/ears-video.html/7c3d7a77-13d5-4f22-82b4-59abb8cbe688
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