In some cases, surgery may be advised to help improve hearing loss.
Types of surgery include:
Stapedectomy—This is a microsurgical procedure to treat otosclerosis in which the stapes bone is removed and replaced with a prosthesis. Hearing may be better right away, but some bleeding behind the eardrum may keep hearing reduced. Very significant improvement in hearing should occur after 10 days to 2 weeks. Complications include severe hearing loss, facial nerve weakness, dizziness, infection, and the risk that the procedure may not be helpful.
Tympanoplasty—A graft of ear tissue is made through microsurgery to close a perforation (hole) in the eardrum. This is done to restore the middle ear hearing mechanism. It takes several weeks after surgery to determine if the procedure was a success. Complete recovery takes about 4 weeks. The hearing will improve, and when your doctor looks in the ear canal, he or she will see a healed eardrum. Complications include facial nerve weakness dizziness, infection, and a recurrence of the perforation.
Myringotomy and tubes (also called tympanostomy and tubes)—A small incision is made in the eardrum so that fluid (blood, pus, and/or water) can be drained from the middle ear. A tube is often inserted to maintain drainage. This procedure is used if there is still fluid in the ear from an ear infection or allergy after 3 months. It is most often performed in children but sometimes in adults. Complete healing without complications should occur within 4 weeks. If an ear tube is inserted, it should fall out within 6-12 months. In some cases, surgery to remove the ear tube may be necessary.
Surgery may also be used to remove tumors in the ear that cause hearing loss.
Causse JB, Causse JR, et al. Complications of stapedectomies. Am J Otol. 1983;4(4):275-280.
Dornhoffer J. Cartilage tympanoplasty: indications, techniques, and outcomes in a 1,000-patient series. Laryngoscope. 2003;113:11):1844-1856.
Hearing loss. Healthy Children—American Academy of Pediatrics website. Available at: https://www.healthychildren.org/English/health-issues/conditions/ear-nose-throat/Pages/Hearing-Loss.aspx. Updated November 21, 2015. Accessed August 17, 2016.
Isaacson JE, Vora NM. Differential diagnosis and treatment of hearing loss. Am Fam Physician. 2003;68(6):1125-1132.
Otosclerosis. Massachusetts Eye and Ear Infirmary website. Available at: http://www.masseyeandear.org/for-patients/patient-guide/patient-education/diseases-and-conditions/otosclerosis. Accessed August 17, 2016.
Stapedectomy. Ear Surgery Information Center website. Available at: http://www.earsurgery.org/surgery/stapedectomy. Accessed August 17, 2016.
Tympanoplasty surgery. Ear Surgery Information Center website. Available at: http://www.earsurgery.org/surgery/tympanoplasty-surgery. Accessed August 17, 2016.
Last reviewed September 2016 by Michael Woods, MD, FAAP
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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