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Ear Treatment

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Mastoidectomy

Mastoidectomy

Mastoidectomy is a surgical procedure performed to remove infected air cells within the mastoid bone, located just behind the ear. It is commonly done to treat chronic ear infections, cholesteatoma (abnormal skin growth in the middle ear), or complications arising from untreated ear infections. The main goal of the surgery is to eliminate infection, prevent its spread, and protect vital ear structures responsible for hearing and balance.

Symptoms

Common symptoms that may indicate the need for a mastoidectomy include:

  • Persistent or recurrent ear infections
  • Foul-smelling ear discharge that does not improve with medication
  • Hearing loss or reduced hearing in the affected ear
  • Pain, swelling, or tenderness behind the ear
  • Dizziness or balance disturbances
  • Formation of a cholesteatoma (abnormal skin growth in the middle ear)

Causes

Mastoid infections and related conditions may develop due to:

  • Chronic middle ear infections (chronic otitis media)
  • Untreated or poorly treated ear infections spreading to the mastoid bone
  • Development of a cholesteatoma (abnormal tissue growth)
  • Repeated ear infections leading to bone damage
  • Injury or trauma to the ear or skull area

Treatment

Mastoidectomy is usually performed under general anesthesia. During the procedure, the surgeon makes an incision behind the ear to access and remove the infected or damaged mastoid air cells. Depending on the extent of the disease, the surgery may also involve repairing the eardrum or middle ear structures. There are different types of mastoidectomy—simple, radical, and modified radical—based on the severity of infection and the required reconstruction. Most patients can return home within a day or two, with a gradual improvement in symptoms.


Benefits

  • Removes chronic infection and prevents recurrence
  • Eliminates cholesteatoma and prevents complications
  • Protects hearing and other vital ear structures
  • Reduces ear discharge and discomfort
  • Prevents spread of infection to the brain or nearby structures
  • Improves overall ear health and quality of life

Prevention

While some chronic ear conditions may not be completely preventable, the following measures can help reduce risk:

  • Treat ear infections promptly and completely
  • Avoid inserting objects or unclean fingers into the ear
  • Keep the ears dry while swimming or bathing (use earplugs if advised)
  • Follow up regularly with an ENT specialist if you have chronic ear problems
  • Maintain good ear hygiene and avoid self-cleaning with cotton buds