Tympanoplasty Type 1 with Endoscopic Middle Ear Anatomy - Manipal Hospitals



How to Prepare for a Mastoidectomy

Four Parts:

A mastoidectomy is the removal of part of the mastoid bone and in some cases, it's just the removal of mastoid air cells. This is also because the mastoid bone is infected by an unresolved middle ear infection (otitis media). A mastoidectomy is the last resort for when medical treatment for a mastoid lump has failed or for chronic ear infections that failed to resolve with antibiotics.

Steps

Confirming the Surgery

  1. Find out if a mastoidectomy is necessary.Consult an ENT (ears, nose and throat) specialist and get a second opinion. This is done after courses of antibiotics and all other means of clearing the infection have failed.
  2. Find out what kind of mastoidectomy will be done.There are three types of mastoidectomies.
    • A simple mastoidectomy is when the surgeon removes the infected mastoid air cells and drains the middle ear.
    • A radical mastoidectomy is when the surgeon may remove your eardrum, mastoid air cells, ear canal and middle ear structures. This is exclusively for complicated mastoiditis.
    • A modified radical mastoidectomy is when the surgeon removes mastoid air cells but not every middle ear structure.
  3. Connect with your insurance company.Check into the coverage you have for the surgery and your post-surgical medication costs. Discuss what surgical payment plan can be arranged for any portion not covered by your insurance.
  4. Research what a mastoidectomy is.A mastoidectomy is the removal of part of the mastoid bone and/or mastoid air cells.
    • General anesthesia will be administered via IV. After you fall asleep and are completely numbed, the surgeon will make an incision behind your ear and then use a small drill to access the mastoid bone and drill out the infected air cells from there. Suction irrigation will be used to clear the area of bone dust. They will then stitch you up and wrap gauze and bandages around your operated ear to keep the area clean and dry. This will take 2-3 hours to complete.
  5. Confirm and schedule a date with enough time to rest and recover.This is best done around a break time or during a week or two you can get off of work. The recovery period ranges from 7 days to 2 weeks.

Preparing For Your Surgery

  1. Arrange a ride home for the date of your release.The hospital will not send anyone who has undergone surgery and the effects of general anesthesia to go home without a driver to safely transport them.
  2. Prepare to stay overnight for observational purposes.You will be staying a few days so the ENT (ear, nose, and throat) specialists can watch for any complications, as well as to make sure the infection has been contained.
    • It's also a good idea to invite a family member over to stay with you.
  3. Find ways to reduce pre-surgical jitters and fear.Distract yourself with cleaning or cooking preparations that you won't feel up to after your surgery. Go shopping for some magazines or knitting supplies, things you can enjoy while you take it easy after your surgery.
  4. Prepare your recovery area at home.This area should be close to a bathroom and easy to move in and out of.
  5. Find ways to communicate non-verbally.You may experience hearing loss and ear numbness as a complication.
    • Using note cards or a whiteboard is a good idea.
    • If you are more of the techie type, use a phone or tablet to communicate instead.
  6. Get someone who can take over for you temporarily at work.Another version of this is for a student; Get someone to take notes and deliver class assignments while you're recovering.
  7. Prepare a hospital bag as you will likely be staying for a day or two in the hospital to be observed.Bring personal, but not expensive or valuable items with you. Packing a robe and slippers or socks is recommended.
    • Bring a 1-3 days worth of comfortable clothes and underwear for your stay.
  8. Prepare, or buy, soft foods.Since the operation will be done above your jaw, avoid chewy or hard food, since that will put strain on your jaw.
  9. Dress comfortably.Choose something that can be easily slipped off and that is also warm and soft. Hospital blankets are notorious for being thin and scratchy.
  10. Ask your doctor for recovery advice.They can give you specific advice on what to do after the surgery.

Taking Pre-surgical Measures

  1. Stop taking aspirin or any medication that has aspirin in it.Tylenol is a safe alternative to aspirin. Most hospitals will provide you with a pamphlet with pre-surgical instructions.
  2. Stop smoking.Smoking increases the chance of complications and slows down healing. Ask your doctor for more help on how to stop.
  3. Prepare for general anesthesia.The anesthesia will be administered via IV. This means you will be completely numbed and asleep. Do not eat or drink the night before.

The Recovery Process

  1. Get a lot of rest while you are in the hospital.When you get home, have a nap, or at very least, relax.
  2. Refrain from blowing your nose or sneezing violently until after your ear has healed.
  3. Do not panic if you see bloody discharge coming out of the operated ear.This is common after the procedure, however, call your doctor if it is bleeding excessively.
    • Place a cotton ball in the operated ear to control discharge. Change the cotton ball as soon as it is wet.
  4. Clean the stitched area of crusted blood and discharge carefully.Then, leave it to "breathe".
  5. Do not use ibuprofen or any aspirin containing medication until 2 weeks after your surgery.Also, do not take a sedative with your prescribed pain medication. Again, your hospital will provide you with post-procedure instructions.
  6. Treat swelling on your operated ear and below the operation area.
    • Call your doctor immediately if you have a fever over 101 °F (38 °C), foul smelling discharge from your ear, leg swelling and/or persistent nausea or vomiting.
  7. Stick to a liquid or bland diet.Avoid eating too soon after surgery, as vomiting is common. It takes a bit of time for the surgical drugs to evacuate your system. Wait at least a day to resume your regular diet.
  8. Avoid standing up.A loss of balance is common after a mastoidectomy. Only get up to use the bathroom. You may have to use a cane or walker until you regain balance.
  9. Refrain from washing your hair.If you do, make sure you don't get your operated ear wet. Wait at least a week before doing so, depending on how your ear healed.
  10. Avoid sleeping on your operated ear.This will cause pain and stress on the stitches and bandages. Try to sleep on your back instead.
  11. Take the prescribed medication until it is gone, even if you feel better.Completing the entire course of antibiotics and ear drops is important. Failure to do so may result in the infection coming back.
  12. Attend follow-up appointments as scheduled to see how your ear is healing and to remove the bandages.





Video: Prof.Dr.K.P Morwani-CAVITY LESS MASTOIDECTOMY

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Date: 03.12.2018, 13:44 / Views: 33363