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The surgery takes 1 ⁄ 2 to 1 hour if done through the ear canal and 1 + 1 ⁄ 2 to 2 hours if an incision is needed. It is done under local or general anesthesia. It is done on an inpatient or day case basis and is successful 85–90% of the time. [4]
The ear is washed and a small incision made in the eardrum. Any fluid that is present is then aspirated, the tube of choice inserted, and the ear packed with cotton to control any slight bleeding that might occur. This is known as conventional (or cold knife) myringotomy and usually heals in one to two days. [13]
In some cases, surgery is performed to reduce the ear size. [ 5 ] [ 6 ] While generally considered a cosmetic procedure, otoplasty for macrotia can improve overall quality of life, especially for young patients who may be able to avoid reduced self-esteem and social avoidance behavior due to large ears. [ 7 ]
Otorrhea (ear discharge) is the most common complication of tympanostomy tube placement, affecting between 25–75% of children receiving this procedure. [2] [6] [9] [10] Saline washouts and antibiotic drops at the time of surgery are effective measures to reduce rates of otorrhea, which is why antibiotic ear drops are not routinely prescribed.
The graft material most commonly used for the surgery is temporalis fascia. The tragal cartilage [1] and tragal perichondrium are also used as the graft by some surgeons. Myringoplasty restores hearing loss in certain cases of tinnitus. The chances of re-infection and persistent discharge is less after surgery.
For example, very curvy ear canals, narrow ear canals, or surgical ears are more prone to earwax buildup. When wax builds up, it causes muffled hearing, tinnitus, or aural fullness (plugged-up ...
Stapedectomy has success rates ranging from 80% to 95%. [5] [6]Stapedectomy closes what is called the "air bone gap" very efficiently, meaning it restores efficient conduction of sound coming through the air close to the level of the best ability of the nerve cells to perceive the sound.
Protruding ear, otapostasis or bat ear is an abnormally prominent human ear. It may be unilateral or bilateral. The concha is large with poorly developed antihelix and scapha. It is the result of malformation of cartilage during primitive ear development in intrauterine life. [1] The deformity can be corrected anytime after five years of age.