Myringoplasty

(Tympanic Membrane Reconstruction)

Myringoplasty

This is repair of a perforation in the tympanic membrane. It may be performed via the ear canal or from behind the ear (post-auricular incision). Various grafts may be used, but most commonly temporalis fascia or perichondrium is chosen.

 

Indications

 

Recurrent ear infections, to allow water activities

 

Risks

 

Risks of hospital admission, anaesthesia, failure of the graft (10-20%), wound infection, dizziness, tinnitus, altered sense of taste, facial nerve palsy, reduction in hearing and complete loss of hearing (a dead ear) (0.5%).

 

Below we see two images. The left image shows a tympanic membrane with a perforation. The right image shows the same ear after undergoing myringoplasty. A graft now sits under the perforation.