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Mastoidectomy: A Comprehensive Guide to Ear Surgery
Welcome to our comprehensive guide on mastoidectomy, a surgical procedure performed to treat various conditions of the middle ear. In this article, we will delve into the intricacies of mastoidectomy, exploring its purpose, procedure, recovery, potential risks and mastoidectomy cost.
What is Mastoidectomy?
Mastoidectomy is a surgical procedure that involves removing infected or damaged tissue from the mastoid bone, a prominent bone behind the ear. The mastoid bone contains a network of air cells that connect to the middle ear. When these air cells become infected or inflamed, it can lead to complications such as chronic ear infections, cholesteatoma, or the spread of infection to nearby structures.
It is also used to remove other tissues from the temporal bone including tumours, cancers etc.
Closure of CSF leaks from the ear also need a mastoid surgery.
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ENT Consultation, Surgeries & Treatment
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The Importance of Mastoidectomy
Mastoidectomy plays a crucial role in the treatment of various ear conditions, including:
Chronic Ear Infections
Cholesteatoma
Complications of Acute Otitis Media
Mastoidectomy Surgery
Types of Mastoidectomy
There are several types of mastoidectomy procedures, each tailored to address specific conditions and severity:
- Simple Mastoidectomy: This procedure involves the removal of infected tissue from the mastoid air cells, while preserving the hearing mechanism and other structures in the ear.
- Modified Radical Mastoidectomy: In cases where the infection has spread extensively, a modified radical mastoidectomy may be necessary. This procedure involves removing infected tissue, as well as some middle ear structures, to achieve complete eradication of the infection.
- Radical Mastoidectomy: A radical mastoidectomy is the most extensive form of the procedure, involving the removal of all mastoid air cells, the middle ear structures, and the eardrum. It is typically reserved for advanced cases or when the infection has spread beyond the middle ear. This is also done for Cancers of the middle ear.
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The Surgical Process of Mastoidectomy
During mastoidectomy, an incision is made behind the ear – Post Aural incision (or in front and above the ear – Endaural incision) allowing the surgeon access to the mastoid bone and middle ear structures. The surgeon carefully removes infected tissue, cleans the area, and may reconstruct any damaged structures, depending on the extent of the procedure. A Tympanoplasty including an ossicular reconstruction may be done in order to reconstruct the eardrum as well as the middle ear ossicles. Once the surgery is complete, the incision is closed using sutures.
Recovery and Postoperative Care
Following mastoidectomy, you will be monitored in a recovery room until the anaesthesia wears off. You may experience some discomfort, swelling, or drainage from the surgical site, which is normal. Pain medications and antibiotics may be prescribed to manage pain and prevent infection. It is essential to follow your doctor’s postoperative instructions carefully, including keeping the surgical site dry and avoiding strenuous activities.
Potential Risks and Complications
As with any surgical procedure, mastoidectomy carries certain risks, although they are relatively rare. Potential complications may include:
- Infection
- Bleeding
- Damage to nearby structures
- Facial nerve injury
- Hearing loss
- Tinnitus (ringing in the ears)
- Dizziness or vertigo
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Why choose MedFirst for the best Mastoidectomy Surgery in Delhi?
MedFirst ENT Centre located at Vasant Vihar, New Delhi, led by Dr. (Major) Rajesh Bhardwaj, a top ENT specialist, offers modern equipment and a comfortable, clean environment.
The same experienced doctor can be seen at every visit. Unlike large hospitals, MedFirst ENT center ensures that patients have minimal waiting time.
The staff is friendly, the location is easy to find, and the clinic is kept spotless with thorough sanitization. MedFirst ensures you get the best care with convenience.
What is Mastoidectomy
removes the damaged mastoid air cells which are formed in the hollow spaces within the mastoid.
Types of Mastoidectomy
- Simple Mastoidectomy: Here, there is draining of the middle ear by removing the damaged air cells.
- Radical Mastoidectomy: For some complicated cases, there is removal of mastoid air cells, eardrum and most of the middle ear structure.
- Modified Radical Mastoidectomy: Removal of the mastoid air cells along with some parts of the middle ear.
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How is Mastoidectomy Performed?
A simple Mastoidectomy is performed as follows,
- A general anaesthesia is given to the patient to make sure that the patient is comfortable.
- A cut or incision is made behind the ear to access the mastoid bone.
- The mastoid bone is opened through a drill and using a microscope for visualization.
- To keep the surgical area clean, suction irrigation is done.
- Infected cells are drilled out
- Stitching of the cut made and covered with gauze to keep the wound clean
Who Should opt for a Mastoidectomy?
People suffering from these conditions can opt for a mastoidectomy,
- Cholesteatoma: A non-cancerous growth which can form behind the eardrum.
- Ruptured eardrum: A tympanoplasty-surgery performed to repair the eardrum. A person suffering from a ruptured eardrum can opt for this surgery.
- Otitis media: When there is Inflammation or infection of the middle ear. Sore throat, cold or respiratory infections can cause this.
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Essential Pre- and Post Operative Care for Mastoidectomy
Before Surgery
Two weeks before the surgery, the patient is asked to avoid medications such as Aspirin, Ibuprofen or Naproxen. These medications may interfere with blood clotting and increase the chances of bleeding.
After Surgery
- Wrap around the dressing is removed after 24-48hours.
- Water should be kept away from the ear and the ear canal
- Lying on the side should be avoided
- A small amount of bleeding can be seen. If it turns green or yellowish, consult the surgeon.
- Avoid blowing the nose harshly and sneeze with the mouth open.
- Drink fluids throughout the day and avoid alcohol.
- Heavy and straining activities should be avoided.
- Keep the stitches clean to avoid any infection.
Benefits of a Mastoidectomy
- Avoid complications: Treating of chronic or acute ear infections can help preventing further complications.
- Faster treatment: Have ear infections treated and healed faster than antibiotics in some cases.
- Better lifestyle: The irritation and ear drainage caused by infections or inflammations can be treated and the patient can go on with day-to-day activities comfortably.
- Minimized recurrence: Once the person has been treated for with mastoidectomy the chances of a recurrent infection is very unlikely.
Cost of Mastoidectomy Surgery in Delhi
The total cost of a Mastoidectomy depends upon different factors which are listed below,
- The choice of treatment city and hospitals.
- Hospitalization fees depend on the facility and duration of stay.
- The severity of the condition influences the treatment cost.
- The age and health condition of patient determine how complex the treatment should be.
- Post-surgical care and hospital visits add up-to expenses.
- Based on the expertise and experience of the surgeon, the fees change.
- The cost of diagnostic tests is an important part of the overall expense.
- Out-of-pocket expenses reduced using insurance coverage
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