In patients who have a hole in the eardrum but do not have a significant hearing loss and there is no discharge unless water escapes into the ear, the surgery to be performed to close this hole is generally aimed at increasing the patient’s quality of life and preventing the progression of hearing loss over time by eliminating the need to protect the ear from water during bathing and swimming. performed according to the patient’s preference.
Although the patient’s ear is protected from water and there is no inflammatory focus in the nose and sinus area that will cause ear discharge, if recurrent ear discharge is observed, the hole in the membrane should be closed in order to increase the quality of life and to prevent the progression of hearing loss or serious problems related to inflammation. In these patients, both the hole in the membrane is closed and the problems in the small middle ear ossicles that transmit sound are intervened during the same surgery.
If an inflamed tissue called cholesteatoma is detected in the middle ear and mastoid bone, which progresses by dissolving the bone, this inflammation should be removed with surgery as soon as possible. In patients with cholesteatoma, the protection or repair of the hearing system is the second priority, and the main purpose is to clear the inflammation before it causes facial paralysis, inner ear-related hearing loss or intracranial complications (meningitis, brain abscess, etc.).