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Eardrum perforation is repaired with a procedure called myringoplasty. If the delicate hearing bones (ossicles) have been damaged, they may be repaired at the same time with ossicular chain reconstruction. When these two procedures are combined (myringoplasty and ossicular chain reconstruction) it is called tympanoplasty. 

If the mastoid bone in the middle ear has been damaged, this can be treated with a surgical procedure called a mastoidectomy (this can be performed along with the tympanoplasty, if needed). 

If the mastoid bone is hard to reach, it may have to be accompanied by a canalplasty. This procedure is done to widen a narrowed external auditory canal to make way for a mastoidectomy and/or tympanoplasty

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