Tympanoplasty is the surgical procedure performed to repair a perforated tympanic membrane,

with/ without reconstruction of the ossicles, with the aim of preventing reinfection and restoring hearing ability.


Indications are primarily CSOM. Iatrogenic perforation in pediatric patients undergoing ventilation tube insertion for otitis media with effusion and traumatic TM perforations inflicted by mechanical trauma that do not heal may also warrant repair.

Microscopic and endoscopic approaches are utilized for tympanoplasty. The procedure is typically performed under local anesthesia , but General anaesthesia is given in selective cases.

Tympanoplasty is done using a postauricular, endaural or transcanal approach depending on the size of the TM perforation, the size of the ear canal and the preference of the surgeon. As in other surgical fields, a trend towards more minimally invasive techniques has led to trans-canal or endoscopic ear surgery becoming increasingly popular.

  • Pain
  • Infection
  • Failure of the Graft
  • Dizziness
  • Injury Resulting to the Chorda Tympani Nerve

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