Our Summary

This research paper is about a study on the effects of performing a particular ear surgery (tympanoplasty) on both ears at the same time, which is rarely done due to potential risks. 26 patients underwent this procedure and the results were quite positive. The surgery was successful in 92.3% of the cases (48 out of 52 ears), and significant improvements in hearing were observed after the operation. The average gap between the sound waves that travel through air and bone (known as the air-bone gap) decreased significantly, indicating better hearing. The patients also experienced a hearing gain, or improvement, of around 9.2 decibels on average. There were no significant complications from the surgery. The study concludes that this procedure is safe and effective, with good results and comfort for the patients.

FAQs

  1. What is the success rate of performing tympanoplasty on both ears at the same time according to the research?
  2. What improvements were observed in patients’ hearing after undergoing this procedure?
  3. Did the study find any significant complications from performing tympanoplasty on both ears at the same time?

Doctor’s Tip

A doctor might tell a patient undergoing tympanoplasty to follow all post-operative care instructions carefully, including keeping the ear dry and avoiding activities that could put pressure on the ear. It is important to attend all follow-up appointments to monitor healing and ensure the best possible outcome.

Suitable For

Patients who are typically recommended for tympanoplasty are those who have a perforated eardrum, chronic ear infections, or hearing loss due to damage to the middle ear. Tympanoplasty is often recommended for patients who have not responded to other treatments such as antibiotics or ear drops, and who continue to experience symptoms such as recurrent ear infections, hearing loss, or ear pain. In some cases, tympanoplasty may also be recommended for patients with congenital abnormalities of the ear drum or middle ear. Overall, tympanoplasty is a safe and effective procedure for patients with certain ear conditions, and can lead to significant improvements in hearing and quality of life.

Timeline

Before tympanoplasty:

  1. Patient experiences symptoms such as hearing loss, ear pain, ear infections, and drainage from the ear.
  2. Patient consults with an ENT specialist who recommends tympanoplasty as a treatment option.
  3. Patient undergoes pre-operative evaluations such as hearing tests and imaging studies to assess the extent of the damage to the eardrum.
  4. Patient receives counseling on the risks and benefits of the surgery and gives informed consent for the procedure.

After tympanoplasty:

  1. Patient undergoes tympanoplasty surgery, during which the eardrum is repaired or reconstructed using tissue grafts.
  2. Patient is monitored closely in the post-operative period for any signs of complications such as infection or delayed healing.
  3. Patient may experience temporary hearing loss or discomfort in the ear following the surgery.
  4. Patient attends follow-up appointments with the ENT specialist to monitor healing and assess hearing improvements.
  5. Patient gradually resumes normal activities and experiences improved hearing and decreased symptoms such as ear pain and infections.

What to Ask Your Doctor

  1. What is the success rate of tympanoplasty when performed on both ears at the same time?

  2. What are the potential risks and complications associated with undergoing tympanoplasty on both ears simultaneously?

  3. How long is the recovery time for bilateral tympanoplasty compared to unilateral tympanoplasty?

  4. Will I experience any limitations or restrictions in my daily activities following bilateral tympanoplasty?

  5. How soon after the surgery can I expect to see improvements in my hearing?

  6. Are there any specific post-operative care instructions or precautions I should follow after undergoing bilateral tympanoplasty?

  7. What are the long-term outcomes and prognosis for patients who undergo bilateral tympanoplasty?

  8. How often will I need to follow-up with you after the surgery for monitoring and evaluation?

  9. Will I need to undergo any additional tests or procedures to assess the success of the surgery?

  10. Are there any alternative treatment options to consider for my condition, and how do they compare to bilateral tympanoplasty in terms of effectiveness and risks?

Reference

Authors: Dursun E, Demir E, Terzi S, Coşkun ZÖ, Çeliker M, Erdivanlı ÖÇ. Journal: Am J Otolaryngol. 2020 Mar-Apr;41(2):102397. doi: 10.1016/j.amjoto.2020.102397. Epub 2020 Jan 9. PMID: 32070666