Transcanal Cartilage Tympanoplasty скачать в хорошем качестве

Transcanal Cartilage Tympanoplasty

Transcanal Cartilage Tympanoplasty – A Modern Solution for Eardrum Repair By Dr. Prof. Vishal Pathania, ENT Specialist in Gurgaon A perforated eardrum can cause hearing loss, repeated ear infections, and discomfort that affects one’s quality of life. With the advancement of minimally invasive techniques in ENT surgery, transcanal cartilage tympanoplasty has emerged as an effective and reliable procedure for repairing eardrum perforations. As an ENT specialist in Gurgaon, I regularly perform this surgery to help patients regain their hearing and prevent chronic ear issues. What is Tympanoplasty? Tympanoplasty is a surgical procedure to close a hole (perforation) in the eardrum (tympanic membrane). It may also involve repairing the small bones of hearing (ossicles) if they are damaged. The aim is to restore the normal structure and function of the middle ear. Why Choose the Transcanal Approach? The transcanal approach means the surgery is done entirely through the ear canal, without any external cuts or incisions. This makes the procedure: Minimally invasive Scar-free Less painful postoperatively Quicker in recovery It is particularly suitable for small to medium-sized eardrum perforations, especially in adults and cooperative children. Why Use Cartilage? Traditionally, fascia (a layer of connective tissue) from behind the ear was used to close the eardrum hole. However, cartilage, often harvested from the tragus or concha (parts of the outer ear), provides several benefits: Stronger and more resistant to retraction and infection Ideal for patients with Eustachian tube dysfunction Long-lasting results, especially in chronic or recurrent perforations The Procedure Performed under local or general anesthesia, transcanal cartilage tympanoplasty involves the following steps: Accessing the eardrum through the ear canal using an operating microscope or endoscope. Harvesting cartilage from the ear's tragus or concha. Trimming the cartilage into a thin slice or “island” to fit the perforation. Placing the graft underneath or over the remnant eardrum (depending on the technique). Packing the middle ear and canal with a sterile dressing to hold the graft in place. The entire procedure typically takes 30 to 60 minutes. Recovery and Results Patients can usually go home the same day. Recovery involves: Avoiding water entry into the ear Regular follow-up visits for ear cleaning and inspection Hearing improvement over 4 to 6 weeks as the graft heals Success rates with cartilage tympanoplasty are very high — up to 90–95% graft uptake and significant hearing improvement in most cases. Who Should Consider This Surgery? You may be a candidate for transcanal cartilage tympanoplasty if you have: A persistent eardrum perforation Conductive hearing loss due to the perforation Recurrent ear discharge History of failed previous tympanoplasty Expert Care at Pathania ENT Clinic, Gurgaon As a dedicated ENT surgeon, I, Dr. Prof. Vishal Pathania, bring years of surgical experience and advanced endoscopic techniques to ensure the best outcomes for my patients. At our clinic in Gurgaon, we provide comprehensive care — from diagnosis and audiometry to surgery and follow-up — under one roof. If you suffer from a chronic ear problem or have been advised surgery for an eardrum perforation, visit us for a thorough evaluation and modern surgical treatment tailored to your condition.