Steps of Mastoidectomy
Preparation and Anesthesia
You will be given general anesthesia, so you’ll be asleep and pain-free during the procedure.
The surgical team will include a surgeon, anesthesiologist, nurse, and surgical technician.
Incision and Access
The surgeon makes a small incision behind your ear to access the mastoid bone.
Using a microscope and a small drill, the surgeon carefully drills into the mastoid bone, keeping the area clear with suction irrigation.
Removal of Diseased Tissue
The surgeon removes the infected or abnormal air cells within the mastoid bone. The extent of removal depends on the severity of the disease.
In some cases, a drain may be placed to prevent fluid accumulation.
Closure
The incision is stitched up, and a gauze dressing is applied to keep the area clean and dry.
The entire procedure usually takes about 2–3 hours.
Recovery Process
Immediate Post-Op:
You’ll wake up in the recovery area, and your medical team will monitor you until you’re ready to go home, usually the same day.
Expect soreness behind the ear, a feeling of fullness, and possibly some drainage from the ear.
Pain is generally mild and managed with prescribed or over-the-counter pain relievers.
At Home:
Rest is crucial for the first few days; avoid strenuous activities and heavy lifting for at least two weeks.
Keep the incision and ear dry. Use a cotton ball with petroleum jelly during showers to prevent water from entering the ear.
Avoid blowing your nose, and sneeze with your mouth open to prevent pressure buildup in the ear.
Sleep with your head elevated and on the opposite side of the operated ear.
Follow all medication and ear care instructions, including using any prescribed antibiotic ear drops.
Follow-Up and Healing:
Attend all follow-up appointments for wound checks and to remove any packing or drains if used.
Most people can return to work or school in 1–2 weeks, but full recovery may take 6–12 weeks.
The ear may remain sensitive, and some temporary hearing changes are common.
