Surgery Packet for Myringoplasty (paper patch)

(repair of a hole/perforation in the eardrum using a paper patch):

Consider Bookmarking this page for future reference.

This information may be of use, but should not be considered medical advice unless specifically directed by your doctor.

Financial Information

• Estimating your cost for a surgical procedure.

Consent Form

• Myringoplasty/Tympanoplasty consent (form “C-AN”)

Instructions - Before Surgery

• instructions before surgery, including medications to avoid. (Very important!)

• Labs, tests, pre-operative clearance

• Eating & drinking before surgery: children and infants less than 4 years old | patients 4 years and older

• Adults should complete their Advance Directive forms.

Maps and Directions

• to The Center for Outpatient Medicine (TCOM) | 2502 East Empire Street, Bloomington, IL 61704 (south east side of building) | (309) 662-6120 | street view photo | map | website

• to the BroMenn Comfort & Care Suites (adjacent to TCOM) | 2502 East Empire Street, Suite D, Bloomington, IL 61704 (north east side of building) | (309) 662-6120 | map | website

• to Carle BroMenn Hospital | parking structure address for your GPS: 606 W Virginia Ave, Normal, IL 61761 | (309) 454-1400 | street view photo | map | website

Instructions - After Surgery 

• Instructions after myringoplasty/tympanoplasty surgery • Form “PO-R”