Table of contents

• What is tympanomastoidectomy?
• Reasons for performing tympanomastoidectomy
• How is tympanomastoidectomy performed?
  • 1- Mastoidectomy
  • 2- Tympanoplasty
• Tympanomastoidectomy surgery with bone chain repair
• Tympanomastoidectomy surgery with cartilage grafting
• Measures before tympanomastoidectomy
  • Necessary tests before surgery Tympanomastoidectomy
  • After tympanomastoidectomy surgery
  • Tympanomastoidectomy
  • When should we see a doctor after tympanomastoidectomy?
  • Is the result of tympanomastoidectomy permanent?
  • Complications Tympanomastoidectomy
  • Guide to see a doctor
  • Frequently asked questions

  • What is tympanomastoidectomy?

    Tympanomastoidectomy surgery is one of the types of ear surgery that is performed in combination to treat problems of the eardrum and mastoid bone (protrusion behind the ear)... Ear, nose and throat surgeons usually use this surgical method to treat chronic middle ear problems such as severe infection, rupture of the eardrum, and repair of the ossicle.

    Tympanomastoidectomy, which actually includes the 2 terms tympanoplasty (surgery to repair the eardrum) and mastoidectomy (surgery to remove the infected mastoid bone), is used when an ear infection does not resolve with medication and additional treatments.. The purpose of this surgery is to remove the infected ear tissue and repair the advanced structure of the ear.. cholesteatoma, which damages the surrounding tissue if it grows.

    Reasons for tympanomastoidectomy

    Basically, this surgery is performed to treat a severe middle ear infection that does not respond to conventional treatments such as antibiotics. The doctor must quickly drain the infectious fluid to prevent the infection from penetrating the eardrum, the chain of middle ear bones, the outer wall of the inner ear, and even the walls that cover the brain. The cholesteatoma grows rapidly and puts pressure on the auditory nerve, requiring surgery. Tympanomastoidectomy is doubled..

    In general, the conditions that require tympanomastoidectomy surgery are:

    • Chronic middle ear infection
    • Cholestatoma disease
    • Damage to the eardrum
    • Chronic rupture of the eardrum
    • Cochlear implantation in hearing impaired patients
    • Tumor surgery at the base of the skull

    In situations where middle ear infection or cholesteatoma leads to severe and irreparable damage to the auditory pathways, hearing may not be restored even after tympanomastoidectomy surgery.

    Tympanomastoidectomy surgery is performed under general anesthesia and may take 2 to 4 hours.... In general, the procedures of this surgery include removal of excess tissue or tumor, removal of infected bone tissue, repair of other damaged tissues or chains, and repair of eardrum rupture, which is usually done in 2 parts:

    1- Mastoidectomy

    During the mastoidectomy operation, the surgeon makes a small incision behind the ear to access the mastoid bone and the inner space of the middle ear.. This incision is made in such a way that the facial and ear nerves are not damaged. does.

    2- Tympanoplasty

    If the eardrum is perforated due to chronic infection or tumor, the surgeon repairs the eardrum during tympanomastoidectomy and through an incision behind the ear. have reported that their hearing has improved after performing this surgery.

    Tympanomastoidectomy surgery with bony chain repair

    When infection or tumor damages the bony chain, the best solution is tympanomastoidectomy.. This surgery helps to rebuild the bony chain and causes the disappearance of chronic infection and tumor in the mastoid bone.

    Sometimes due to chronic infection or tumors that have grown, the bone chain is torn... In such a situation, the surgeon connects the torn part and examines the condition of the stapes bone at the entrance of the auditory labyrinth, so as to repair the fistula or bone prosthesis if needed.

    Tympanomastoidectomy surgery with cartilage grafting

    The meaning of this surgery is to use thin and delicate cartilage to repair the eardrum.. Usually, the surgeon uses muscle fascia tissue or the skin of the ear canal wall to repair the eardrum.. But the tissue used for cartilage grafting in tympanomastoidectomy depends on the extent of the eardrum rupture or tear of the person.. The thin cartilage of the tragus part of the ear is used for this purpose.

    Measures before tympanomastoidectomy

    Before tympanomastoidectomy, it is necessary to perform a series of measures and can directly affect the outcome of the surgery in addition to ensuring the patient's health.. Important measures before tympanomastoidectomy include the following:

    • Inform the surgeon about the history of any surgery and underlying disease.
    • Stop drinking alcohol and smoking a month before the operation.
    • Inform your doctor about any type of chemical and herbal medicine you are taking.
    • During the procedure, remove any metal objects such as bangles, rings and bracelets from your body.
    • If you use the press on any part of the body, be sure to discuss this with the surgeon.
    On the day of the operation, you must fast for 12 hours... It is better not to drink water four hours before the operation.
  • The patient must bring the necessary documents such as audiometry, CT scan and ear tape on the day of surgery.
  • Consult with your doctor about shaving the hair behind the ears and be sure to shower the night before surgery.
  • The presence of an accompanying person is necessary on the day of surgery.
  • If you have drug or food allergies, be sure to inform your doctor before surgery.
  • If you have a cold or seasonal allergies, tell your doctor before surgery.

  Necessary tests before tympanoosteoidectomy surgery

  Before making a decision to perform tympanomastoidectomy, the doctor first performs a physical examination (examination with an otoscope) and checks the possibility of acoustic neuroma. Finally, he goes to audiometry evaluation (audiometry) and X-ray imaging as follows:

  • Audiometric test to evaluate hearing loss and tinnitus
  • Tympanometry test to check the condition of the middle ear and eardrum
  • MRI imaging and CT scan to check the condition of the lesion or tumor

  Care after tympanomastoidectomy

  Care after tympanomastoidectomy is an important part of the recovery process. The doctor or treatment staff will usually provide care instructions after surgery. These care tips, which you should do your best, include the following:

  • Take the medicines prescribed by the doctor, such as antibiotics, pain relievers and anticoagulants, as prescribed and on time.
  • Avoid lifting heavy objects.
  • Keep your mouth open when you sneeze.
  • Avoid blowing and pressing the nose and ears.
  • Avoid showering until the doctor gives permission.
  • Avoid swimming for a few months after surgery.
  • See the doctor in time to change the dressing and remove the stitches.
  • Do not delay re-visiting at certain time intervals to check the healing process by the doctor.
  • Stop smoking and alcohol for one month after surgery.
  • Do not eat salty and fatty foods for a few weeks after tympanoosteoidectomy.
  • Avoid manipulating the ear and cleaning it arbitrarily.
  • If you feel congestion and ringing in the ears, do not do anything without consulting a doctor and do not take medicine to treat earache.
  • If you do not know the cause of your ear itching after tympanomastoidectomy, avoid home remedies and be sure to consult your doctor.

  When should we see a doctor after tympanomastoidectomy?

  If after surgery and following the care instructions, you experience symptoms such as dizziness, loss of balance, lightheadedness, bleeding from the ear, foul-smelling discharge from the ear, redness and inflammation in the ear, unbearable pain in the ear, and symptoms of infection such as fever and chills, see a doctor as soon as possible.

  Is the result of tympanomastoidectomy permanent?

  This surgery is a definitive solution for the treatment of chronic middle ear infection and is used in situations where there is no way to prevent the progress of the infection... During this operation, the infectious fluid and the infected mastoid bone are completely removed, but the infection or tumors in this area may recur due to genetic factors or the individual's special conditions... For this reason, the doctor carefully examines the cause of the infection to prevent the recurrence of the infection and includes treatment measures. to be. Done.

  Complications of tympanomastoidectomy

  Tympanomastoidectomy surgery, like any other surgery, may have side effects along with its unique benefits. Side effects of this surgery include:

  • Damage to auditory nerves and facial nerve
  • Body's sensitivity to anesthesia
  • Dizziness and imbalance
  • Bleeding from the ear
  • infection
  • Loss or loss of hearing
  • Taste disorders
  • Tinnitus
  • Reconstructive surgery is needed

  Guide to see a doctor

  Tympanomastoidectomy is one of the specialized and effective methods for the treatment of chronic and frequent infections of the middle ear and mastoid bone.. This surgery is performed with the aim of removing infectious fluid and tumor caused by cholesteatoma and, if necessary, repairing the hole in the eardrum and the structural damage of the ossicle after surgery.. Result...

  In this article from GCORP LLC magazine, we introduced you to how to perform tympanomastoidectomy surgery, the steps before and aftercare.. If you have more questions about this, you can visit GCORP LLC and consult with the best specialist doctor, including the online ear... Also, GCORP LLC provides this possibility for It has provided you to make an appointment with the specialist of your choice through the online appointment system.

  Frequently Asked Questions

  Is tympanomastoidectomy performed for both ears?

  Usually an infection or tumor in the middle ear space affects one ear and this surgery is performed on the same ear... But if the infection is severe and spreads to 2 ears, tympanomastoidectomy surgery is performed on both ears.. The tympanomastoidectomy operation takes time. Does it kill?

  The duration of this surgery depends on the degree of ear damage and the condition of the person... but it usually takes about 2 to 4 hours.

  What is the difference between tympanomastoidectomy and tympanoplasty and mastoidectomy surgery and mastoidectomy surgery repair? Mastoidectomy, infected tissue and tumor separated from the mastoid bone they become Removing the infectious fluid and excess debris from the middle ear, the eardrum is repaired and the bony chain is rebuilt.

  Sources: fortworthent | myhealth | ent-specialist

  Was this article helpful to you?

  Rating A 3.6 / 5... Votes 28

  No points registered yet