Tympanoplasty (Perforated Eardrum Repair) Cost In India-various aspects-

A tympanoplasty (eardrum repair) surgery in India generally ranges from ₹35,000 to ₹60,000 based on the procedure’s complexity, the location, and the surgeon’s experience; with an average price approximately ₹45,000 – ₹50,000.

Factors influencing the cost: 

Type of tympanoplasty: A straightforward repair (Type I) could be less expensive than a more intricate procedure that includes reconstructing middle ear bones (Type II or III).

Hospital and surgeon fees: Esteemed hospitals and well-experienced surgeons may impose higher charges.

City location: Prices can differ depending on the city selected for the surgery.

Important points to remember:

Consult a doctor: Always consult with an ENT specialist to receive a precise cost estimate tailored to your specific condition.

Insurance coverage: Verify whether your health insurance includes coverage for tympanoplasty surgery.

Post-operative care: Factor in the costs for follow-up appointments and medications in your total budget.

What is Tympanoplasty?

Tympanoplasty is the surgical reconstruction of a perforated eardrum utilizing a biological or synthetic graft. It is a prevalent procedure in children since unintentional eardrum rupture is quite frequent among them. It is a procedure performed as an inpatient that typically lasts around 2 hours to finish. The patient is generally admitted for overnight observation to ensure there are no complications following the surgery.

What is a tympanoplasty performed for?

The most frequent symptom of a perforated eardrum is hearing impairment, coupled with balance issues and dizziness. It can arise in the following circumstances:

• Middle ear infection (otitis media)
• Eardrum injury from loud sounds, abrupt shifts in the air pressure around the tympanum
• Acoustic injury
• Deep insertion of foreign objects within the ear
• Head injury

Cost of Different Types of Tympanoplasty in India

Cost of Diagnostics Tests for Tympanoplasty in India

A correct diagnosis is essential to evaluate the level of impairment to the eardrum and its adjacent structures, the kind of surgery that will be conducted, and the selection of implant/graft to be utilized to confirm the success of the operation. The expenses for diagnostic assessments typically needed for tympanoplasty are:

• Tympanometry: Rs. 250-Rs. 800
• Audiology exam: Rs. 400-Rs. 1000
• Ear discharge culture and other lab tests: Rs. 400-Rs. 800
• Tuning fork evaluation: Rs. 200-Rs. 700

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Is tympanoplasty necessary to restore hearing after eardrum perforation?

Typically, perforations in the eardrum do not heal spontaneously. Surgical intervention is required to regain hearing and seal the perforation. Tympanoplasty has an approximate success rate of 85-90% in enhancing hearing quality and avoiding additional complications. Nevertheless, this success rate diminishes if there is significant damage to the bones of the middle ear.

Which factors affect the cost of tympanoplasty in India?

The expense of tympanoplasty in India is influenced by several factors such as:

Selection of treatment location and hospital
The expense of tympanoplasty in a metropolitan area may be a bit more expensive than in a non-metropolitan area. Likewise, the cost of hospitalization is affected by the type of hospital selected by the patient. The procedure typically necessitates an overnight stay, so the chosen hospital room type also impacts the treatment cost.

Nature of treatment
The overall expense of tympanoplasty treatment is also influenced by the type of surgery and graft utilized. Generally, the surgical method is determined by the severity of the condition, the patient’s age, the preferences of both the surgeon and the patient, and so on.

Selection of surgical graft
Based on the degree of the injury, the surgeon will select a suitable graft for the procedure. For tympanic membrane lesions, a simple true temporalis fascia graft is ideal, but for significant trauma that also affects middle ear bones, specialized synthetic or non-autologous grafts may be required.

Patient’s age and health status
The kind of surgical approach selected for eardrum repair is contingent on the patient’s age and health status; for instance, the type of graft and surgery chosen varies for children and adults.

Post-operative care and complications
Although tympanoplasty is considered safe, it is a significant surgery and can lead to postoperative issues like pain, nausea, airway obstruction, bleeding, etc. Proper post-operative care is essential to prevent such complications from arising.

Surgeon fees
The fees for the surgeon’s consultation and operation depend on their skills and experience. A seasoned surgeon is more likely to complete the treatment successfully without complications.

Expense of diagnostic assessments

To ensure the success of the procedure, an accurate diagnosis is vital to assess the degree of damage to the eardrum and its adjacent structures. The costs of diagnostic assessments typically required for tympanoplasty are:

Tympanometry: Rs. 300-Rs. 800
Audiology exam: Rs. 500-Rs. 1000
Ear discharge culture and other lab tests: Rs. 600-Rs. 800
Tuning fork evaluation: Rs. 300-Rs. 700

Insurance coverage
Tympanoplasty treatment is covered by the majority of health insurance plans. Nevertheless, the degree of coverage is determined by the specifics of the policy. At Pristyn Care, we have a dedicated insurance team that will assist you in comprehending the details of your insurance policy and submitting a claim.

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What occurs during tympanoplasty treatment?

Diagnosis

The diagnosis of tympanoplasty is made through hearing tests and a physical examination. The ENT physician will gather your medical history during the physical examination in order to determine the type and origin of your hearing loss. Once that is finished, he will place an otoscope in the ear canal to see the eardrum more clearly. Following that, he will conduct diagnostic tests, including the following:

Tympanometry: Tympanometry is conducted to assess how well the eardrum reacts to varying air pressures. To determine how big the eardrum perforation is, the physician will record the tympanum’s measurement.

Audiology: The physician will play sounds at different volumes and pitches during this test to determine how severe the hearing loss is.

Swab test: The doctor will collect a sample of any ear discharge and take it to a laboratory for culture to determine whether the middle ear is infected.

Tuning fork test: A tuning fork is a two-pronged metal tool that makes noise when its two prongs are struck together. The doctor will use it to create sounds near the patient’s ear in order to assess their hearing ability.

Procedure

Your surgeon will assist you in getting ready for surgery after your diagnosis. Ear surgery can be done openly or endoscopically. Generally, endoscopic surgery is favored because it results in a minimal and hardly visible scar behind and in front of the ear.

The procedure is done outpatient under local anesthetic. Since the tissue is similar to the eardrum and near to the surgical area, it is taken from the back of the ear in case just a tissue graft is needed to fix the eardrum. The surgeon will either make an incision behind your ear to access the ear canal or operate directly through it once you are anesthetized. He will close the hole in your eardrum with a graft of your own cartilage, a connective tissue graft, or a synthetic material graft after raising it. Finally, he will insert packing into the ear canal to hold the graft in position and seal the incision with bio-absorbable incisions. Following the procedure, you will be transferred to a recovery ward for observation.

If the middle ear bones are also broken, a prosthetic implant will be inserted in the location of the damaged bones during the same operation.

What preparations are necessary for a tympanoplasty?

Since tympanoplasty is an invasive operation, you must make the necessary preparations. You should give your healthcare provider full access to your medical history and inform them of any drugs or supplements you take on a regular basis. You should also disclose any allergies you may have.

Children may frequently experience fear during and after surgery because of the abrupt changes in their hearing. You should speak to your kid to get them ready for the surgery, depending on their age. You may speak with a pediatric therapist or pediatrician to help you get ready appropriately for youngsters who are too young.

You should wear loose, comfy, and simple-to-remove clothes for the surgery because you could have to wear a hospital gown during the operation. On the day of your surgery, refrain from wearing any makeup, deodorant, or nail polish, and remove all of your jewelry before visiting the clinic.

If you smoke regularly, you should stop at least two to three weeks before surgery to avoid harming your recovery. You should also inquire with your surgeon about any pre-surgery dietary restrictions you should adhere to.

What to anticipate following a tympanoplasty?

Following the procedure, you might be allowed to leave the hospital the same day, or you might be admitted for overnight observation in some situations to make sure there are no postoperative issues. Since you won’t be able to drive due to the aftereffects of anesthesia, you should have someone drive you home.

During the recovery period, it is essential that you closely adhere to the directions of your ENT surgeon, particularly if your child had the treatment. After the surgery, the surgical site will bleed and drain for three to five days.

You must see an ENT surgeon for frequent post-operative evaluations. You must be extremely patient since it may take some time after the surgery to see any significant improvement in hearing. You can expect to return to work or school in one to two weeks, but it may take at least two to three months for you to fully recover. Your surgeon will perform a hearing test to assess the overall improvement in your hearing after the 12-week period.

When is tympanoplasty necessary?

In the situations listed below, tympanoplasty is typically necessary to treat eardrum perforations and injuries to the bones of the middle ear:

• Middle ear bacterial infection
• Inserting foreign objects too far into the ear
• Face (ear) injury
• Abrupt exposure to loud music
• barotrauma from changes in air pressure
• Sports that involve contact
• Deep sea diving

What advantages does tympanoplasty offer?

In general, if eardrum perforations are not treated promptly, they can result in permanent issues and may never heal on their own. Tympanoplasty aids in mending the membrane that divides the ear canal’s inner and middle sections from the air. As a result, it helps reduce the risk of serious infections in the middle and inner ears.

The tympanic membrane gathers sound vibrations and sends them to the middle ear, where they are amplified for hearing. This is not feasible in the event of a perforation, and the patient is unable to hear clearly. As a result, tympanoplasty can help restore a patient’s hearing.

Tips for recovering from tympanoplasty

To help reduce postoperative swelling in the surgical region, elevate your sleep for the first few days. Before putting anything in your ears, see a physician. Take your medications exactly as directed. To avoid infections, apply an antibiotic ointment to the surgical area.

Refrain from any kind of strenuous activity for at least two weeks, such as weight lifting, running, or exercising. Keep the surgical site dry. For at least a week following surgery, avoid showering or washing your hair. Before swimming or flying in an airplane, you should also get consent from your surgeon.

In India, what is the price of tympanoplasty?

The cost of tympanoplasty is also influenced by a few other factors:

• Selection of Treatment City
  
• Expense of Hospitalization
  
• Surgical procedure type
  
• The patient’s age and medical condition.
  
• The degree of the injury
  
• Selection of the surgical graft or implant
  
• Post-surgery care is necessary.
  
• Issues that arise during or following the surgery
  
• Surgeon Fees
• Price of diagnostic tests
  
• Insurance coverage, and so forth.

Will I have any pain after a tympanoplasty?

You may experience some mild pain and discomfort in the first 24 hours following surgery, but usually, over-the-counter medications like pain relievers and anti-inflammatories can help you manage them. However, if the discomfort becomes intolerable, you should get in touch with your ENT surgeon for a checkup.

How soon after the surgery will I get my hearing back?

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