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Surgery guide · Ear

Cortical mastoidectomy in Gurgaon

The mastoid is the honeycomb of air cells in the bone behind the ear. Cortical mastoidectomy removes infected or diseased air cells to clear chronic infection, and is often combined with eardrum or hearing bone repair.

Who needs it

When it is recommended

  • Chronic mastoid infection that does not respond to medicines
  • Cholesteatoma in the middle ear or mastoid
  • Complications of chronic ear infection
  • Repeated acute ear infections that do not settle

The operation

How it is done

A cut is made behind the ear, and the infected air cells are removed with fine instruments while the facial nerve and inner ear are carefully protected. When needed, tympanoplasty (eardrum repair) or ossiculoplasty (repair of the hearing bones) is done in the same operation.

After surgery

Your recovery instructions

  1. Take the pain medicines as prescribed.
  2. Keep the ear clean and dry, and follow the dressing instructions.
  3. Do not swim or put your head under water until your surgeon says it is safe.
  4. Avoid loud noise and earphones until cleared.
  5. Do not fly or travel to high altitude until your surgeon advises it is safe.
  6. Come for a follow-up visit 1–2 weeks after surgery.

Possible risks

What can go wrong

  • Infection, which may need antibiotics
  • Temporary or, rarely, permanent hearing loss
  • Ringing or buzzing in the ear
  • Facial nerve injury, which is rare
  • Dizziness for a few days after surgery

Dr. Srivastava will review your case and talk these through with you before surgery.

Questions and myths

Cortical mastoidectomy: frequently asked questions

What is cortical mastoidectomy?

The mastoid is the honeycomb of air cells in the bone behind the ear. Cortical mastoidectomy removes infected or diseased air cells to clear chronic infection, and is often combined with eardrum or hearing bone repair.

Who needs cortical mastoidectomy?

It may be recommended for: chronic mastoid infection that does not respond to medicines; cholesteatoma in the middle ear or mastoid; complications of chronic ear infection; repeated acute ear infections that do not settle.

How is it done?

A cut is made behind the ear, and the infected air cells are removed with fine instruments while the facial nerve and inner ear are carefully protected. When needed, tympanoplasty (eardrum repair) or ossiculoplasty (repair of the hearing bones) is done in the same operation.

What should I do after surgery?

Take the pain medicines as prescribed. Keep the ear clean and dry, and follow the dressing instructions. Do not swim or put your head under water until your surgeon says it is safe. Avoid loud noise and earphones until cleared. Do not fly or travel to high altitude until your surgeon advises it is safe. Come for a follow-up visit 1–2 weeks after surgery.

What are the risks?

As with any operation, there are possible complications: infection, which may need antibiotics; temporary or, rarely, permanent hearing loss; ringing or buzzing in the ear; facial nerve injury, which is rare; dizziness for a few days after surgery. Your surgeon will discuss these with you before surgery.

Will mastoid surgery damage my hearing?

The aim is to clear disease and protect or improve hearing. Permanent hearing loss is rare.

Is mastoid surgery very painful?

Modern techniques and pain control keep discomfort low for most patients.

Will there be a scar?

There is a small cut behind the ear, placed in the natural crease, so the scar is hard to see.

Can it cause facial paralysis?

The facial nerve is carefully protected and monitored. The risk is low with an experienced surgeon.

Will the infection come back?

Surgery gives long-lasting results for most people. Some conditions, such as cholesteatoma, can return, so regular follow-up is important.

General information from the Artemis Department of ENT & Head and Neck Surgery patient information sheets. Your own surgeon's advice always comes first.