Here’s a clear, step-by-step overview of mastoidectomy surgery and the recovery process as performed in Bangalore, based on current practices and expert recommendations:
What is Mastoidectomy?
Mastoidectomy is a surgical procedure to remove diseased or infected mastoid air cells located in the mastoid bone behind the ear. It is commonly done to treat chronic ear infections, cholesteatoma, or complications that have not responded to medication.
Steps of Mastoidectomy Surgery
Preoperative Preparation
You’ll undergo a thorough ENT evaluation, which may include ear examination, hearing tests, and imaging (CT, MRI) to assess the extent of disease.
You may be asked to stop certain medications (like blood thinners) and to fast for several hours before surgery.
Anesthesia
The procedure is usually performed under general anesthesia, ensuring you are asleep and pain-free during surgery.
Surgical Procedure
An incision is made behind the ear (post-aural) to access the mastoid bone.
Using specialized instruments and a drill, the surgeon removes the diseased mastoid air cells and any infected tissue.
If present, abnormal growths like cholesteatoma are also removed.
The wound is closed and a mastoid dressing is applied to protect the area.
Duration
The surgery typically lasts 1 to 3 hours, depending on complexity.
Recovery After Mastoidectomy
Immediate Post-Op (First Week)
Expect some discomfort, swelling, and bruising around the surgical site.
Painkillers and antibiotics will be prescribed for a week to manage pain and prevent infection.
Mastoid dressing remains in place for 3–5 days; you may feel fullness in the ear and temporary hearing changes.
Rest as much as possible and avoid strenuous activity.
Weeks 2–4
Swelling and pain should gradually decrease; you may start feeling better.
Gradually return to light activities, but avoid getting the ear wet or exposing it to loud noise.
Do not use earbuds or blow your nose forcefully.
Weeks 4–12
Most healing occurs in this period; you can slowly return to normal activities as advised by your surgeon.
Attend all follow-up appointments for wound inspection and removal of any stitches if needed.
Full recovery can take 6–12 weeks, though many people return to work or school after 1–2 weeks.
Key Recovery Tips
Keep the ear dry: Avoid swimming or head baths until cleared by your doctor.
Follow all medication instructions: Complete the course of antibiotics and painkillers.
Monitor for complications: Watch for increased pain, swelling, discharge, or fever, and report these to your doctor immediately.
Regular follow-up: Essential for monitoring healing and managing any issues.
Summary Table
Step Details
Pre-op Prep ENT consult, imaging, stop certain meds
Anesthesia General anesthesia (asleep, no pain)
Surgery Incision behind ear, removal of diseased cells
Duration 1–3 hours
Immediate Recovery Pain/swelling, rest, mastoid dressing 3–5 days
1–2 Weeks Gradual return to light activity
4–12 Weeks Full healing, avoid water/loud noise
Complications Rare, include infection or hearing loss
In summary:
Mastoidectomy in Bangalore is a safe, routine procedure performed by ENT specialists using advanced techniques. Recovery is usually smooth with proper care, and most patients return to normal life within a few weeks, though full healing takes up to 12 weeks. Always follow your surgeon’s instructions for the best outcome.
