This is an automatically translated article.
The article was consulted with Specialist Doctor II Nguyen Van Thai - Ear - Nose - Throat Doctor - Department of Otolaryngology and Head and Neck Surgery - Vinmec Danang International Hospital.Perforation of the eardrum can lead to complications of hearing loss or otitis media, otitis externa. Surgery to patch the eardrum is an effective treatment for this condition.
1. What is an eardrum perforation?
The eardrum is a membrane dividing the outer and middle ear. It is oval, slightly convex, cone-like (the hollow part of the cone turns outward). The normal eardrum is translucent, pinkish gray, or bright white. Usually, it is possible to see through the eardrum.Perforation of the eardrum is a tear in the eardrum. When the eardrum is perforated, the patient can have hearing loss or middle ear infection, otitis externa. So can perforated eardrum be cured? Usually, a perforated eardrum does not require treatment because the eardrum is likely to heal on its own within a few weeks or months, provided the ear is kept dry and free of bacteria. Patients can use pain relievers such as paracetamol or ibuprofen if there is pain and discomfort.
In case of serious perforation of the tympanic membrane, affecting hearing, it is necessary to intervene and surgically repair the eardrum.
Thủng màng nhĩ là tình trạng có lỗ rách trong màng nhĩ
2. Surgical treatment of perforated eardrum
2.1 What is eardrum perforation surgery?
Perforated eardrum surgery is a procedure used to repair a hole or tear in the eardrum, to shape the eardrum.2.2 The surgical procedure of the eardrum
PreparationThe patient is examined clinically, taken paraclinical scans, and necessary tests before surgery. Do not perform if the patient is having an acute illness such as fever, systemic illness... The patient may be asked not to eat or drink anything after midnight the day before the surgery. Performing eardrum surgery
The procedure performed depends on the type of eardrum surgery. Specifically:
Eardrum patch: In case the patient has a hole or a small tear in the eardrum, the doctor can place the graft and fix it with thin tissue such as fascia, biofilms,... The procedure usually lasts 15 - 30 minutes, after local anesthesia. Tympanic reconstruction: Performed if the hole in the tympanic membrane is large or the patient has chronic otitis media that cannot be treated with antibiotics. The patient is anesthetized and an eardrum reconstruction is performed. The doctor uses a microsurgery instrument or a laser to remove excess tissue or scar tissue in the middle ear. Then, a small piece of patient tissue from a vein or muscle fascia is grafted into the eardrum to repair the hole. The doctor can operate through the ear canal to shape the eardrum or make a small cut behind the ear and access the eardrum from that direction. Rhinoplasty usually takes 2-3 hours. Replacement of the middle ear small bones: If the 3 small bones of the middle ear are damaged by otitis media or trauma, the patient is anesthetized, replacing the small bones with similar donor bones or with other materials. biomaterials for orthopedics.
Phẫu thuật thủng màng nhĩ giúp khôi phục thính giác ở bệnh nhân nhanh chóng
Patients need to put cotton in the ear 5-7 days after surgery, can bandage the outside, cover the ear to protect the ear. The patient may be prescribed some types of ear drops. When instilled, gently remove the gauze and cotton swabs, and put the drops in the ear. At the same time, the patient needs to change the bandage regularly and do not put anything in the ear. During the recovery process, it is necessary to avoid getting water into the ears, avoid swimming. Also, don't pick your ears or blow your nose. When sneezing, open your mouth so as not to increase pressure in your ears. Limit going to crowded places, do not visit sick people, need to keep body warm (because a cold after surgery will increase the risk of ear infections). After surgery, the patient may have a sharp pain in the ear or feel the ear is full of fluid, hear some strange sounds coming from the ear, ... These symptoms are usually mild, will improve gradually after surgery. a few days to a few months. Complications of eardrum surgery
Common: Bleeding, infection at the surgical site, allergy to drugs and anesthetics. Rare: Dizziness, damage to the nerve controlling taste, damage to the facial nerve, damage to the middle ear bones leading to hearing loss, moderate or severe hearing loss, not fully reversible hole perforated eardrum, there is excess skin behind the eardrum,... In short, eardrum patching surgery is a method to help restore patient's hearing quickly, with few complications. When surgery is indicated, the patient needs to coordinate with the doctor's instructions.
Vinmec International General Hospital is a prestigious medical examination and treatment address, trusted by a large number of customers across the country. The treatment of ENT diseases, including the treatment of perforated eardrums at Vinmec, is carried out according to the correct protocol, under the guidance and advice of well-trained doctors and experts in both areas. domestically and internationally. Indicated patients will have surgery with the support of a modern microscope system and a specialized endoscope system to achieve optimal results. Customers using Vinmec's services are warmly welcomed and use modern facilities and perfect medical services.
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