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Mastoidectomy is a surgical procedure performed to remove diseased mastoid air cells located in the mastoid bone, which is part of the skull situated behind the ear. This procedure is often necessary to treat infections that have spread from the middle ear to the mastoid bone or to remove cholesteatoma, a type of skin growth that can develop in the middle ear. In this blog, we will explore what mastoidectomy entails, its benefits, the surgical process, recovery, and aftercare.
A mastoidectomy involves the removal of infected or damaged mastoid air cells. There are several types of mastoidectomy procedures, each tailored to the specific needs of the patient:
Persistent infection of the mastoid bone that does not respond to antibiotics or other non-surgical treatments.
The presence of abnormal skin growth in the middle ear can erode bones and lead to serious complications if not removed.
Frequent and severe middle ear infections (otitis media) that do not improve with medical treatment and may spread to the mastoid bone.
Development of serious complications from middle ear infections, such as abscess formation, hearing loss, or facial nerve paralysis.
Need for mastoidectomy as an adjunct to tympanoplasty (eardrum repair) to ensure complete removal of infection or diseased tissue.
Before surgery, patients undergo a thorough evaluation, including hearing tests and imaging studies like CT scans to assess the extent of the disease. The surgeon will discuss the patient's medical history, the specific type of mastoidectomy required, and any preoperative instructions.
Patients are monitored in a recovery area until the effects of anesthesia wear off. They may experience dizziness, ear pain, and some discharge from the ear, which can be managed with prescribed medications.
Recovery at home involves rest, keeping the surgical site clean and dry, and avoiding activities that could disrupt healing, such as heavy lifting or strenuous exercise. Patients should follow their surgeon's instructions regarding ear care and medications.
Regular follow-up appointments are essential to monitor healing, remove any packing or dressings from the ear, and assess hearing improvement. The surgeon will also check for any signs of infection or complications.
Mastoidectomy effectively treats chronic mastoiditis (infection of the mastoid bone) and prevents the spread of infection to surrounding structures, such as the brain.
The procedure is crucial for removing cholesteatomas, which can erode bones, cause hearing loss, and lead to serious complications if left untreated.
In cases where the infection or cholesteatoma affects the middle ear, mastoidectomy can help preserve or improve hearing by removing diseased tissue and allowing for subsequent reconstructive procedures.
By addressing the underlying cause of chronic ear infections and inflammation, mastoidectomy can significantly reduce or eliminate persistent ear pain.
While mastoidectomy is generally safe, potential risks and complications include:
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