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retested.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated primary tympanoplasty; no formal rehabilitation program is usually needed."},"result_longevity":"If the graft heals, the closed eardrum is usually permanent, and hearing gains are generally maintained long term. Late re-perforation, retraction or cholesteatoma is uncommon, but it can occur, so periodic ear checks are advised.","revision_rate_pct":{"min":5,"max":12,"unit":"percent","qualifier":"Patients needing repeat surgery, mainly for residual or recurrent perforation, within about 1–2 years; graft failure is 3–15%."},"scars":"Transcanal approach leaves no visible scar; postauricular or endaural approaches leave a small, usually well-hidden incision behind or at the ear.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for uncomplicated primary tympanoplasty; staged surgery is reserved for complex cases."},"stages":[{"code":"tympanoplasty_surgery","label":"Tympanoplasty with graft reconstruction of the tympanic membrane","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of surgery."}}],"qualifier":"Follow-up checks are routine care, not additional treatment stages."},"success":{"metric":"Graft take rate (intact tympanic membrane)","value":90,"unit":"percent","horizon":"12 months","evidence_status":"limited","population":"Adults and children after primary tympanoplasty or myringoplasty; reported graft take about 82–97%."},"techniques":[{"name":"Underlay (medial) graft tympanoplasty with temporalis fascia or cartilage","suits_whom":"Most common approach for small to large perforations with adequate remnant for support.","recovery":"Similar to standard recovery; packing in the middle ear and healing over weeks."},{"name":"Overlay (lateral) graft tympanoplasty","suits_whom":"Selected anterior or total perforations where the remnant is inadequate.","recovery":"Often somewhat longer epithelial healing."},{"name":"Endoscopic transcanal tympanoplasty","suits_whom":"Selected small to medium perforations with accessible margins.","recovery":"Avoids external incision and may allow quicker comfort."}],"treatment_conditions":["day_case","outpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Operative time for uncomplicated primary tympanoplasty without mastoidectomy."},"initial_assessment_documents":["Recent pure-tone audiogram","Temporal bone CT scan report","Otoscopy or otoendoscopy photos of the eardrum","ENT clinic notes on ear discharge history","Prior ear surgery operative reports"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 2-4 weeks until the postoperative ENT check clears air travel. Later reviews are done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical 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position the tissue under your entire eardrum or just the hole.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"overlay-graft-tympanoplasty","name":"Overlay (lateral) graft tympanoplasty","how_it_works":{"text":"Graft is placed on top of the remaining eardrum ring","source":{"url":"https://www.entnet.org/resource/cpt-for-ent-tympanoplasty-2/","host":"entnet.org","quote":"The surgeon chooses an appropriate technique for placement of the graft under (underlay or medial graft technique) or on top of the remaining annulus (overlay or lateral graft technique).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"endoscopic-transcanal","name":"Endoscopic transcanal 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