Ear Surgeries

3. Tympanoplasty or myringoplasty

Tympanoplasty or myringoplasty is performed to close a perforation  (a hole) of the eardrum that does not heal by itself or to strengthen a tympanic membrane retraction pocket. Tympanoplasty has two objectives: improve hearing affected by the perforation and prevent recurrent infections.

The perforation is closed using a graft from the same patient. Depending on the case, we use either;

• An adipose (fat) graft harvested from the neck; and it is covered by hyaluronic acid discs that helps healing; this technique is called HAFGM (Hyaluronic Acid Fat Graft Myringoplasty), a technique described by Dr Saliba; see figure below;
• A fascia of the temporal muscle taken from above the ear;
• A perichondrium taken from the tragus (just in front of the ear canal);
• A cartilage taken from the tragus;

The advantage of performing this surgery under local anesthesia is to avoid general anesthesia and to have the opportunity to resume normal daily life, the same or the next day after the surgery, without having to missing school or work. However, you must follow the doctor’s recommendations.

Postoperative recommendations

 

       

 

__________________________________

Surgeries performed under local anesthesia at the Polyclinique Centre-Ville

Ear Surgeries:

1. Myringotomy + insertion of a transtympanic tube
2. Long term subcutaneous tube
3. Tympanoplasty or myringoplasty
4. Perilymphatic fistula surgery
5. Ossicular reconstruction
6. Stapedectomy

Surgeries of the head and neck:

1. Section of the tongue frenulum (the frenectomy)
2. Lesion excision of the face or in the oral cavity
3. Excision of lithiasis (stone) in the salivary glands canal.