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Tympanoplasty (TIM-pah-noh-plass-tee) is a surgery to repair the eardrum. The eardrum is a thin layer of tissue that vibrates in response to sound. Why Is a Tympanoplasty Done? Doctors do a tympanoplasty when the eardrum (or tympanic membrane) has a hole that doesn't close on its own. It is done to improve hearing and prevent water from getting into the middle ear.