Tympanoplasty in Irbid: Doctors and Clinics

Tympanoplasty is surgery that closes a long-standing hole in the eardrum with a graft taken from the patient's own tissues — usually temporalis fascia, a thin piece of ear cartilage, or periosteum. The eardrum is a thin membrane separating the ear canal from the middle ear and transmitting sound vibration to the hearing bones, so a persistent perforation leaves the middle ear open to the outside environment.

The two main goals are to stop repeated infection and discharge every time water enters the ear, and to recover the part of the hearing lost because of the hole. The usual causes are chronic middle-ear infection, a perforation that failed to heal after an acute infection, direct injury, damage from attempts to clean the ear with sticks or instruments, or a hole that persisted after a ventilation tube fell out.

What the operation does not do must be clear before consent. It does not repair sensorineural hearing loss arising from the cochlea or the hearing nerve, so any expected gain is limited to the conductive component caused by the perforation. It does not necessarily treat tinnitus, which may continue. If the hearing bones are eroded, an additional ossicular reconstruction may be needed in the same or a later session. The graft can also fail and the hole return, particularly with Eustachian tube dysfunction, continued smoking, or uncontrolled nasal inflammation.

Candidacy is decided by endoscopic examination of the ear and an audiogram, sometimes with a CT scan, together with assessment of the nose and Eustachian tube, because graft success depends on a ventilated middle ear. Surgery is usually postponed until the ear is dry and infection has settled. The specialty concerned is ear, nose and throat surgery, or dedicated otology.