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Tympanoplasty is a surgical procedure that repairs a perforation (hole) in the eardrum. This can be caused by trauma, infection, or chronic pressure changes in the middle ear. Mastoidectomy is a surgical procedure that removes infected or diseased tissue from the mastoid bone, which is located behind the ear. Sometimes, a tympanoplasty and mastoidectomy are performed together, especially if there is a chronic infection in the middle ear and mastoid bone. In this case, the surgeon will typically perform the mastoidectomy first to remove any infected tissue, and then proceed with the tympanoplasty to repair the eardrum and restore hearing.

Why is the surgery done

Tympanoplasty and mastoidectomy surgeries are performed for different reasons:

Some common reasons for Tympanoplasty procedure include:

  • Chronic ear infections that have caused damage to the eardrum
  • Trauma to the ear that has resulted in a perforated eardrum
  • Tumors or growths in the middle ear that need to be removed

Tympanoplasty surgery aims to improve hearing and prevent further damage or infections to the middle ear.
Mastoidectomy may be recommended if:

  • Antibiotics have not been effective in treating the ear infection
  • The infection has spread to the mastoid bone and is causing complications such as hearing loss, vertigo, or meningitis
  • There is a cyst or tumor in the mastoid bone that needs to be removed

What to expect post surgery

After a tympanoplasty or mastoidectomy surgery, the patient can expect some discomfort and swelling in the ear and surrounding area. The level of discomfort may vary depending on the extent of the surgery and the individual's pain tolerance. Pain medications will be prescribed to help manage any discomfort.

Some other common post-surgery symptoms include:

  • Drainage from the ear
  • Temporary hearing loss or a feeling of fullness in the ear
  • Dizziness or vertigo
  • Tinnitus (ringing in the ear)
  • Mild to moderate nausea

It is important to keep the surgical area clean and dry, avoiding strenuous activity, and taking medications as prescribed. The patient may need to wear a protective dressing over the ear for several days after surgery.

The recovery period for a tympanoplasty or mastoidectomy varies depending on the extent of the surgery and the individual's overall health. Most patients are able to return to normal activities within a few weeks, although some restrictions may be necessary for a longer period.

Risks associated with the surgery

As with any surgical procedure, there are potential risks associated with tympanoplasty and mastoidectomy surgeries. Some of the risks include:

  • Infection
  • Bleeding
  • Temporary hearing loss
  • Tinnitus
  • Anesthesia complications

Frequently Asked Questions

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