Myringoplasty (Eardrum Repair Surgery) in Singapore

Myringoplasty is a type of ear surgery that repairs a hole or tear in the eardrum. The eardrum is a thin membrane that vibrates when sound waves hit it, allowing us to hear. When it’s damaged, whether from infection, injury, or repeated ear inflammation, it can cause hearing loss and make the ear more prone to infections.

This procedure aims to restore the eardrum’s function and protect the middle ear, improving hearing and reducing the risk of future problems.

What Is Myringoplasty?

Myringoplasty involves closing a perforation in the eardrum using a graft, typically made from tissue taken from behind the ear or inside the ear canal. The graft acts as a patch, allowing the eardrum to heal and regain its ability to transmit sound effectively.

The surgery is usually performed under general anaesthesia and often done as a day procedure, meaning most patients can return home the same day. It is a precise, delicate operation that can significantly improve hearing and ear health when performed by an experienced ENT surgeon.

When Is Myringoplasty Needed?

A small eardrum perforation can sometimes heal on its own. However, when the hole does not close or leads to repeated ear infections, surgical repair becomes necessary.

You may need a myringoplasty if you have:

  • A persistent hole after an ear infection or previous surgery
  • Injury to the eardrum caused by objects or sudden pressure changes
  • Ongoing ear discharge that doesn’t improve with medication
  • Noticeable hearing loss on one side

Leaving a perforation untreated can increase the risk of chronic ear infections and further hearing decline, so timely treatment is important.

Symptoms of a Perforated Eardrum

A perforated eardrum can sometimes go unnoticed, especially if the hole is small. However, larger tears or repeated infections usually cause symptoms that warrant medical attention.

Common signs include:

  • Hearing loss in one ear
  • Discharge of fluid, pus, or blood from the ear
  • Ringing or buzzing in the ear (tinnitus)
  • Pain or discomfort, especially during infections
  • A feeling of fullness or pressure in the ear
  • Occasional dizziness or imbalance

If these symptoms persist, it’s best to have your ear evaluated by an ENT specialist to confirm the diagnosis and prevent further complications.

Benefits of Myringoplasty

Repairing the eardrum not only improves hearing but also strengthens the ear’s natural defences.

Some key benefits include:

  • Improved hearing ability once the eardrum is intact again
  • Reduced risk of ear infections, as the repaired eardrum protects the middle ear from water and bacteria
  • Better ear comfort and fewer discharge episodes
  • Long-term ear health, helping prevent more complex ear diseases in the future

Most patients experience noticeable improvement in both hearing and quality of life after a successful surgery.

How Is Myringoplasty Performed?

The surgery is usually done under general anaesthesia. During the procedure:

  1. The surgeon makes a small incision either behind or inside the ear canal.
  2. A tissue graft (usually taken from the patient’s own fascia or cartilage) is carefully positioned over the perforation.
  3. The graft is secured in place and supported with a small absorbable dressing to help it stay stable while healing.

The operation typically lasts 1 to 2 hours. Patients are observed for a short period after surgery and can usually go home the same day.

What to Expect Before Surgery

Before surgery, your ENT specialist will carry out a comprehensive ear examination and a hearing test (audiogram) to assess the extent of the damage.

Preparation may include:

  • Treating any existing ear infections before the procedure
  • Avoiding swimming or water exposure to the ear
  • Adjusting certain medications such as blood thinners, if required
  • Discussing recovery expectations

Your doctor will guide you through each step so you feel well-informed and confident before your surgery.

Recovery After Myringoplasty

Most patients recover comfortably and resume normal activities within one to two weeks. Hearing improvement may be gradual as the eardrum heals.

Aftercare tips for smooth recovery:

  • Keep your ear dry and avoid swimming until cleared by your doctor
  • Avoid blowing your nose forcefully, as this may affect the graft
  • Refrain from strenuous activity or heavy lifting for a few weeks
  • Attend all follow-up appointments to ensure proper healing and monitor hearing recovery

Mild discomfort, a blocked sensation, or slight drainage may occur initially. These are normal and usually resolve within days.

Risks and Complications

Myringoplasty is generally safe, with high success rates. However, as with all surgeries, there are some potential risks, which your ENT surgeon will discuss beforehand.

Possible complications include:

  • Infection or delayed healing of the graft site
  • Graft not taking successfully (persistent perforation)
  • Temporary dizziness or metallic taste in the mouth
  • Rarely, no improvement or mild worsening of hearing

Choosing an experienced ENT surgeon helps minimise these risks and ensures the best possible outcome.

Cost of Myringoplasty in Singapore

The surgeon’s fee for a one-ear (unilateral) myringoplasty is SGD750 – SGD2,400, and for both ears (bilateral) myringoplasty is SGD1,300 – SGD3,900.

This estimate does not include other associated costs such as hospital charges, anaesthesia, medications, or post-operative care. The total cost may vary based on the complexity of your condition, the need for additional tests, and your insurance coverage.

For a detailed cost breakdown and advice on insurance claims or a Letter of Guarantee (LOG), please contact our clinic to discuss your treatment plan.

When to See an ENT Specialist

You should see an ENT specialist if you experience persistent ear discharge, hearing loss, or known eardrum perforation. Early evaluation can prevent repeated infections and further hearing damage.

Myringoplasty offers a reliable, lasting solution to restore hearing and protect the ear, helping patients return to their daily lives with comfort and confidence.

Disclaimer

The content provided on The ENT Specialist Centre website is for educational purposes only. It should not be used as a replacement for professional medical advice, diagnosis, or treatment from a qualified healthcare provider.

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