A myringotomy, or surgery to make a hole in the ear drum, is a common surgery. It is typically paired with the insertion of a typanostomy tube, a tiny tube that is placed in the newly created hole in the ear drum, which allows infectious material to drain from the middle ear.
Tympanoplasty. Surgery to reconstruct the tympanic membrane (eardrum) can be performed either under local or general anesthesia. Many patients prefer to be completely asleep. In small perforations, the operation can be easily performed under local anesthesia with intravenous sedation.