Tympanomastoidectomy surgery
Dr. Maryam Yacoubi
تهرانOtorhinolaryngology and skull base specialist

Steps of tympanomastoidectomy
It should be noted that the exact steps of tympanomastoidectomy by an ear surgeon may be different in each person compared to others; But in general, overcoming is done according to the following steps.
- Repairing holes created in the eardrum
- Removing excess cholesteatoma tissue (this tissue is located behind the eardrum.)
- Removing damaged bone tissue
- Repairing other damaged tissues
Possible side effects of surgery Tympanomastoidectomy
Although surgery to repair damage to the middle ear, it usually does not cause any special problems; However, like any other surgery, there is a very small risk for its possible complications. The best ear surgeon in Tehran for tympanomastoidectomy surgery; Before the operation, he will check the following possible problems:
- Possibility of infection after the operation
- Inappropriate reaction of the body to anesthesia
- Ear bleeding
- Hearing loss
- Lightheadedness or dizziness
- Need for reoperation
- Facial weakness or paralysis due to nerve damage
mastoidectomy surgery process
The time required for an experienced and professional otolaryngologist during the tympanomastoidectomy surgery by the best ear surgeon in Tehran is about 2 to 3 hours. During this surgery, in order to clean the bones of the middle ear, an incision will be made behind your ear; Then any abnormal tissue grown inside the mastoid and infected bone tissue is removed and if a large part of ear bone may be removed Artificial materials should be used to replace it in the ear. In the second stage of the ear tear repair operation; The tympanic membrane is removed from its place and after that, any excess fluids are drained from the middle ear space and tissues are used to repair the holes created in the eardrum. Before the completion of the eardrum repair surgery in Tehran and if necessary, the bones of the inner ear may be replaced with synthetic materials; This action itself helps to improve or restore hearing.
Is the repair of middle ear damage painful?
During tympanomastoidectomy surgery, due to the use of anesthetics or anesthesia; You will not feel any pain. In addition, after the end of the operation, the effect of these drugs remains for some time; Therefore, you will not feel any pain for a few hours, and after that, if you feel pain, you can ask your doctor to prescribe painkillers if needed.

Surgeon suitable for tympanomastoidectomy
The best surgeon for tympanomastoidectomy in Tehran should have experience, expertise and high surgical capabilities. Therefore, to find the best surgeon, you can follow these steps:
- Consultation: Consulting a specialist doctor can be the first step. During the visit, he can assure you that the treatment process will be done without any worries.
- Investigation about the experience and expertise of the tympanomastoidectomy surgeon: Information about the experience and expertise of the otolaryngologist Hazeg is very important in obtaining a favorable result. Therefore, you can use the opinions of previous patients in the office, the doctor's portfolio, or the experiences of others, to ensure the quality of surgical services.
- Reading resumes: surgeon resumes can help you get to know their expertise, experience, and skills.
- Consulting and consulting with several surgeons: it is recommended for a Make the right choice. Consult with several surgeons specializing in tympanomastoidectomy to get different opinions and more information, and also to have better information in choosing a skilled doctor.
- Checking reputable medical centers: Studying about reputable medical centers and hospitals that perform this type of surgery is also very important.
Finally, choosing the best surgeon for tympanomastoidectomy, It depends on the needs and preferences of the patients. Therefore, make sure that the surgeon you choose is comfortable and he can give you the assurance of a favorable operation..
Tympanomastoidectomy surgery cost
Tympanomastoidectomy surgery is one of the specialized methods for treating chronic middle ear infections and diseases such as cholesteatoma. One of the common questions of patients is how much is the cost of this surgery and what factors affect it? The cost of surgery depends on several important factors.
- The first factor is the type of treatment center; Performing surgery in private hospitals is usually more expensive than public or university centers. The second factor is the salary of the surgeon and the medical team, which can vary according to their experience and skill. The type of anesthesia, length of stay in the hospital, prescription drugs, and the need for additional procedures such as ossiculoplasty also affect the final cost. They cover the costs of ear surgery, but it is better to coordinate with your insurer before the operation for accurate information. Patients should note that the main goal of this surgery is to control infection and preserve or improve hearing, and it is not recommended to make a decision based solely on cost. If you are looking for more detailed information about the cost of tympanomastoidectomy surgery, the best way is to consult a specialist ear surgeon and have an in-person consultation so that the exact cost can be estimated based on your clinical conditions.
The recovery process after tympanomastoidectomy
The recovery after tympanomastoidectomy surgery usually takes a few weeks to a few months, and knowing this process helps the patient. Go through your recovery more calmly. In the first days after the operation, it is normal to feel mild pain, ear heaviness or temporary dizziness and it is usually controlled with painkillers and antibiotics. The dressing in the ear often remains for up to a week, and after its removal, the patient may have a brief discharge or temporary hearing loss.
In the following weeks, as the membrane repairs and the ear dries, hearing gradually improves. During this period, it is important to observe several points: avoiding water entering the ears, avoiding extreme fanning, and limiting heavy activities or high-pressure sports. The doctor will usually schedule regular visits to check for repair and cleaning of the ear canal. In general, most patients return to daily life within 6 to 8 weeks, but complete restoration of the ear structure can take up to several months. Patience and adherence to the surgeon's recommendations play a major role in achieving the desired result and reducing the possibility of complications.
Care after tympanomastoidectomy operation in Tehran
Immediately after the eardrum repair, you will be transferred to the recovery room and you will be examined in terms of things like blood pressure, pulse and breathing to maintain caution. Recovery will include the following:
- prescription of pain medication
- use of antibiotics to prevent infection
- prescription of medication to prevent blood clots
care instructions after surgery to repair middle ear injuries
usually about a week or It may take longer to return to your normal activities. At first, your hearing system may not work properly; This is an obvious thing to do and you should not be worried about it. In general, the otologist may list the following as prohibited activities after tympanomastoidectomy:
- In the first weeks after tympanomastoidectomy, you should avoid heavy activities.
- Avoid lifting heavy objects or extreme pressure on the body.
- Avoid washing your ears and hair separately until the doctor gives you permission.
- Avoid going to the swimming pool for a while.
- Avoid air travel and wait until the Tehran otolaryngologist gives permission to do this.
Tympanomastoidectomy with graft Cartilage
During tympanomastoidectomy with cartilage grafting, thin cartilage tissue is used to repair the eardrum, and the doctor often uses muscle fascia tissue or the skin of the ear canal wall to repair the eardrum. The amount of tissue removed from the ear, regarding the repair of the membrane tear, depends on the extent of the tear and also the condition of the patient. Dr. Maryam Yacoubi uses tragal cartilage during this procedure. The tragal cartilage is thin and smooth to the maximum and has a positive effect on the result of the surgery.
Get to know the types of tympanomastoidectomy
It is interesting to know that there are different types of mastoidectomy. Below we give a brief explanation about each of them, which includes:
Simple mastoidectomy: In this type of procedure by Dr. Maryam Yaqoubi, the best ear surgeon in Tehran, it requires opening the mastoid bone to drain the middle ear by piercing the infected air cells.
Radical mastoidectomy: During this process, the surgeon removes the mastoid air cells. The components of the middle ear, canal and eardrum are infected. Usually, those patients with more complicated mastoid disease are the candidates.
Modified radical mastoidectomy : Radical mastoidectomy is less severe, during which the doctor removes and pierces the air cells of the mastoid. Therefore, some bones of the middle ear are preserved and the eardrum is also reconstructed. For this reason, the hearing power of the patient is slightly affected.
Table of types of tympanomastoidectomy
descriptions #000080; padding: 10px;">simple mastoidectomy In this procedure, the mastoid bone is opened and the infected air cells are pierced. Radical mastoidectomy Removal of infected air cells, middle ear canal, and eardrum. Radical mastoidectomy Modified It is a milder version of the radical type in which some structures of the ear are preserved and the eardrum is reconstructed, as a result hearing is less damaged. When should we see a doctor?
If you are constantly suffering from vertigo, ear infection and ear pain caused by it, or your eardrum is torn due to an impact, it may be necessary to perform tympanomastoidectomy surgery to improve your hearing and control your infection. Finally, it should be said that an otolaryngologist in Tehran can help the patient in this field.
Frequently asked questions in the field of tympanomastoidectomy surgery
In this part of the article, you can find answers to some of your mental doubts.
The meaning of tympanomastoid What is it?
Actually, this phrase is a combination of two medical terms, which include tympanoplasty and mastoidectomy, which respectively mean the repair of the eardrum and the process of removing the infected mastoid bone.
What is tympanomastoid for? Middle ear injuries in children and adults are generally performed in the treatment of problems resulting from chronic ear infections.
Which specialist performs tympanomastoidectomy surgery?
Basically, this method is performed by an ear surgeon in Tehran or an otolaryngologist.


