What to expect following Patch Myringoplasty

Myringoplasty is an outpatient procedure to repair a small perforation of the eardrum (tympanic membrane), usually performed at the time a tube is removed in the operating room or when a tube has fallen out and left a small hole that has not healed.

The procedure is performed under local or general anesthesia, depending on the age and comfort level of the patient. During the procedure, the perforation’s edges are stimulated to grow using gentle instrumentation, and a small piece of cigarette paper or absorbable film (Epifilm) is placed over the hole. The patch acts as a scaffold for the eardrum to grow under.

The eardrum takes approximately two months to completely heal and during that time no water or medication should be placed in the ear unless directed by the surgeon. No nose blowing is advised for at least one month and flying should not be attempted until cleared by the surgeon.

The procedure requires no pain medications following and its success rate is reported anywhere from 70-90%. Failure occurs primarily due to persistent inflammation or infection of the patient’s sinuses and / or adenoids. If so further treatment of these areas may be needed before repeated attempt at repair of the eardrum, possibly in the form of tympanoplasty.

If you have any question regarding this procedure please do not hesitate to call our office to speak to your surgeon or a staff member.