LOR Hospital

Mastoidectomy

Mastoidectomy is a surgical procedure to remove infected or damaged air cells inside the mastoid bone located behind the ear.
This operation is performed in cases of chronic ear infections, cholesteatoma, or mastoiditis.
When is Mastoidectomy needed?
• Chronic middle ear infection (unresponsive to treatment)
• Cholesteatoma (abnormal skin growth in the middle ear causing bone damage)
• Acute or chronic mastoiditis (infection of the mastoid bone)
• To create additional surgical access to the middle ear (e.g., before cochlear implant)
How is Mastoidectomy performed?
• Performed under general anesthesia
• Incision made behind the ear
• Inflamed tissue, infection, or cholesteatoma removed under a microscope
• Hearing structures are preserved if possible
• If necessary, middle ear bones or eardrum may also be treated
Benefits of the surgery
• Elimination of chronic infection
• Complete removal of cholesteatoma
• Prevention of infection spreading to brain and nerves
• Possible restoration or preservation of hearing
• Reduction of long-term ear discharge and pain
Recovery
• Patient usually discharged the next day
• Head dressing kept for 1–2 days, then removed
• Temporary hearing loss or fullness in the ear may occur
• Stitches removed in 7–10 days
• Full recovery: approximately 3–6 weeks
Frequently Asked Questions
1. Is Mastoidectomy painful?
• Surgery is painless (general anesthesia). Mild pain may occur afterward and is managed with painkillers.
2. Will my hearing improve after surgery?
• If hearing structures are preserved, improvement is possible. The main goal is to prevent infection spread.
3. Will my ear continue to discharge?
• Usually the discharge stops, but ear hygiene and follow-up may be needed for some patients.
4. Is this operation performed in children?
• Yes, especially in children with cholesteatoma or chronic otitis media.
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