At Healing Hospital, we understand that chronic ear discharge, perforated eardrum, recurrent ear infections, and progressive hearing loss disrupt daily life, cause social embarrassment, prevent water activities, and create anxiety about permanent hearing damage. That is why our advanced Ear Surgery Centre, led by Dr. Lovkesh Mittal, one of India’s most experienced ear surgeons, offers state-of-the-art microscopic tympanoplasty and eardrum repair using advanced surgical techniques, ensuring high success rates, hearing restoration, and excellent outcomes for both children and adults.
We serve patients across Chandigarh, Punjab, Haryana, Himachal Pradesh, J&K, and other states of India with comprehensive ear care including detailed hearing assessment, high-resolution ear examination, advanced microscopic ear surgery in modular operation theatre, hearing restoration procedures, and complete post-operative care. With thousands of successful tympanoplasty procedures performed with 95% success rates, Dr. Mittal provides proven expertise in complex ear surgery ensuring optimal results with patient safety, hearing preservation, and satisfaction as highest priorities.
If you are searching for “best tympanoplasty surgeon in Chandigarh,” “eardrum repair specialist,” “chronic ear discharge treatment,” or “ear surgery expert near me,” you have found a centre where surgical excellence meets advanced microscopic techniques and proven outcomes.
What is Tympanoplasty?
Tympanoplasty is microsurgical repair of perforated eardrum (tympanic membrane) and middle ear structures, performed to stop chronic ear discharge, restore hearing, prevent recurrent infections, and create intact eardrum allowing normal ear function and water exposure.
The procedure involves grafting tissue (usually taken from temporalis muscle fascia or cartilage) over the perforation under high-powered surgical microscope, reconstructing middle ear anatomy when necessary, and restoring the sound-conducting mechanism—permanently closing the perforation, eliminating discharge, improving hearing, and protecting the middle ear from further infection.
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When is Tympanoplasty Recommended?
The indications of tympanoplasty are as follows:
- Chronic Eardrum Perforation
- Chronic Ear Discharge
- Hearing Loss from Perforation
- Recurrent Ear Infections
- Traumatic Perforation
- Ossicular Chain Damage
- Pre-Existing Cholesteatoma
- Failed Conservative Treatment
What are the Types of Tympanoplasty?
Simple Eardrum Repair (Type I - Myringoplasty)
Simple eardrum perforation repair without middle ear involvement, temporalis fascia graft placed under or over perforation, shortest surgery (45-60 minutes), highest success rate (90-95%), most common procedure for isolated perforations.
Eardrum Repair with Hearing Bone Reconstruction (Type II & III)
In these cases, the surgeon not only repairs the eardrum but also rebuilds or replaces the damaged hearing bones. This might involve repositioning your own bones, using a small piece of cartilage for support, or placing a tiny titanium prosthesis (artificial bone) to restore the sound transmission pathway.
Cartilage Reinforcement Technique
For perforations at high risk of failing to heal—such as very large holes, perforations that failed previous surgery, or cases where the eardrum tissue is particularly weak—surgeons use cartilage instead of the thin fascia tissue. The cartilage comes from your own ear (usually the small bump in front of your ear canal called the tragus).
Combined Eardrum and Mastoid Surgery (Tympanomastoidectomy)
When chronic ear infections have spread beyond the middle ear into the mastoid bone (the honeycomb-like bone behind your ear), or if dangerous skin growth called cholesteatoma has developed, a more extensive procedure is needed. The surgeon first cleans out all the diseased bone and tissue from the mastoid, then repairs the eardrum and reconstructs any damaged hearing bones.
What Happens Before, During, and After Tympanoplasty?
Before Procedure
Comprehensive Ear Evaluation
Detailed otoscopic examination assessing perforation size, location, and middle ear condition using high-resolution microscopy, pure tone audiometry measuring hearing levels and air-bone gap, tympanometry evaluating middle ear pressure and eustachian tube function, temporal bone CT scan if cholesteatoma or mastoid disease suspected.
Pre-Operative Assessment
Complete blood count and fitness for anaesthesia evaluation, ear infection control—perforation must be dry for 4-6 weeks before surgery (antibiotic ear drops if needed), discussion of procedure details, realistic hearing improvement expectations, graft success probability, instructions about medications to stop (aspirin, anti-inflammatory drugs).
Special Pre-Operative Care
No ear drops or water entry 1 week before surgery, control of allergic rhinitis or sinusitis if present, eustachian tube dysfunction treatment if identified, smoking cessation advised (reduces healing and success rates).
During the Procedure
Anaesthesia
General anaesthesia for most cases during delicate microsurgery, local anaesthesia with sedation option for adults in selected simple cases, ear canal injected with adrenaline solution reducing bleeding.
Surgical Access
Post-auricular approach (incision behind ear) for better exposure in complex cases, or endaural/transcanal approach through ear canal for simple anterior perforations, temporalis fascia harvested through same incision as graft material.
Microscopic Perforation Repair
High-powered surgical microscope provides detailed visualization, perforation edges refreshed removing scarred epithelium, middle ear inspected through perforation checking ossicles and clearing any disease, graft (fascia or cartilage) shaped and positioned underlay (under remnant drum) or overlay technique, absorbable gelfoam packing supports graft during healing.
Ossicular Reconstruction (If Needed)
Damaged hearing bones assessed and reconstructed using cartilage, bone cement, or titanium prosthesis, ossiculoplasty combined with tympanoplasty restoring sound conduction mechanism.
Mastoidectomy (If Required)
Chronic mastoid infection or cholesteatoma requires mastoid drilling before tympanoplasty, diseased mastoid air cells removed, healthy vascularized bed created for graft healing, combined procedure called tympanomastoidectomy.
After Procedure
Recovery Room
Mild dizziness common initially from ear manipulation, nausea managed with anti-emetics, pressure dressing around ear for 24 hours, pain typically minimal (ear feels full/blocked).
Hospital Stay (1-2 days)
Overnight observation recommended for general anaesthesia cases, ensures no post-operative complications, dizziness settles, discharge next day after dressing check, some simple cases may be day surgery.
What are the Recovery & Success Factors?
High Success Rate with Expert Microsurgical Technique
Tympanoplasty success (defined as intact graft at 6-12 months) ranges 85-95% depending on perforation characteristics and surgical expertise.
Significant Hearing Improvement & Quality of Life Enhancement
Most patients experience 15-25 dB hearing improvement closing air-bone gap substantially, transforming communication abilities and daily functioning. Beyond hearing restoration, successful tympanoplasty eliminates chronic discharge ending years of recurrent infections and antibiotic dependence.
Permanent Solution Preventing Future Complications
Intact eardrum prevents recurrent middle ear infections that could spread causing serious complications (mastoiditis, meningitis, facial paralysis), protects inner ear from progressive damage, and eliminates cholesteatoma risk from chronic perforation.
Why Choose Healing Hospital in Chandigarh for Tympanoplasty?
Advanced Hearing Assessment & Rehabilitation : Complete audiological services under one roof: pure tone audiometry, speech audiometry, impedance audiometry, oto-acoustic emissions, auditory brainstem response testing when indicated, and hearing aid consultation if residual hearing loss present post-surgery.
State-of-the-Art Modular Operation Theatre with Advanced Equipment : Our specialized ENT operation theatre features international-standard modular design with HEPA filtration controlling infection risk, advanced surgical microscopes with HD documentation systems providing magnification for precise microsurgery, complete micro-instrumentation set for delicate ear procedures, high-speed microdrills for mastoidectomy when needed, and comprehensive anaesthesia monitoring ensuring patient safety.
Comprehensive Pre & Post-Operative Care : We provide complete surgical care: thorough pre-operative counselling explaining procedure and realistic expectations, detailed written post-operative instructions for ear care, scheduled follow-up appointments monitoring healing with microscopic examination, serial audiometry tracking hearing improvement, long-term outcome assessment ensuring sustained success, and 24/7 emergency contact availability for concerns.
What are the Advantages of Tympanoplasty?
Below are the advantages of Tympanoplasty procedure:
- Resolves chronic ear discharge
- Enables water sports without ear protection
- Protects inner ear and progressive hearing loss
- 90-95% graft success
- Safe procedure
- Cost-effective
- One-time definitive ear repair lasting lifetime
- Protects from further ear complications such as cholesteatoma, mastoiditis, and others
What are the Risks & Complications Involved in Tympanoplasty?
Graft Failure (5-10%)
Most significant risk where perforation persists or recurs despite surgery, higher in large perforations, revision cases, eustachian tube dysfunction, smoking, or infection, may require repeat surgery after 6-12 months, factors affecting success discussed pre-operatively.
Hearing Deterioration (Rare, <1%)
Unexpected hearing worsening from surgery despite intact graft, may result from ossicular damage during surgery, inner ear injury (very rare), or middle ear fibrosis/adhesions, sensorineural hearing loss extremely rare but possible (<1%).
Tinnitus (Ear Ringing)
New or worsened ear ringing is possible after surgery (2-5% cases), usually temporarily improving over months, permanent tinnitus uncommon, pre-existing tinnitus may improve or worsen.
Taste Disturbance
Chorda tympani nerve (taste nerve) runs through middle ear near eardrum, temporary metallic taste or tongue numbness common (10-20%) for 2-3 months, permanent taste alteration rare (2-5%), usually mild and adaptable.
Dizziness/Vertigo
Temporary mild dizziness common first few days from ear manipulation, significant vertigo uncommon (<5%), resolves within week typically, prolonged severe vertigo rare suggesting inner ear injury.
Temporomandibular Joint (TMJ) Discomfort
Jaw stiffness or pain from mouth retraction during surgery, temporary lasting few days to weeks, resolves with jaw exercises and pain medication.
Infection
Ear infection after surgery is uncommon (2-3%) with proper sterile technique and antibiotics, middle ear infection delays healing affecting graft success, managed with antibiotic ear drops and oral antibiotics.
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Frequently Asked Questions (FAQs)
What is the success rate of tympanoplasty?
Overall success rates range 90-95% depending on perforation size, location, previous surgery, middle ear condition, and eustachian tube function. Small central perforations have highest success (>95%), while large, anterior, or revision perforations have lower success (75-85%).
How much hearing improvement can I expect?
Average hearing improvement is 15-25 dB, significantly improving communication abilities. Hearing depends on multiple factors: perforation size (larger perforations lose more hearing), ossicular chain integrity (damaged bones reduce improvement), middle ear disease severity, and inner ear function. Detailed pre-operative audiometry helps predict expected improvement.
How long does recovery take after tympanoplasty?
Most patients return to desk work within 1-2 weeks. Complete healing takes 6-8 weeks. Restrictions include: no water in ear for 6 weeks, avoid nose blowing forcefully for 2 weeks, no heavy lifting or straining for 3 weeks, no flying for 4-6 weeks, avoid swimming for 2-3 months until surgeon confirms complete healing.
Is tympanoplasty painful?
Ear surgery is relatively painless. Most patients report ear fullness or pressure rather than pain. Mild discomfort is managed with simple pain medications. Behind-ear incision may cause slight soreness for a few days. Overall, pain is minimal compared to other surgeries.
Can children have tympanoplasty?
Yes. Ideal age is >7-8 years when eustachian tube matures and adenoid problems typically resolve. Younger children may undergo surgery if perforation is large, causing significant hearing loss, or recurrent infections despite adenoidectomy.
How much does tympanoplasty cost in Chandigarh?
Cost varies based on procedure complexity (simple myringoplasty vs. complex tympanomastoidectomy with ossiculoplasty), anaesthesia type, hospital stay duration, and investigations required. Contact us at +91-8989600034 for detailed pricing information including pre-operative assessment and post-operative care.
How do I schedule a consultation for tympanoplasty?
Contact our appointment desk at +91-8989600034 to schedule consultation with Dr. Lovkesh Mittal. Bring any previous ear examination reports, hearing test results (audiograms), CT scans if performed, list of ear treatments tried, and questions for comprehensive evaluation and treatment planning.