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Mastoidectomy

Mastoid bone anatomy behind the ear illustration Bangalore ENT

Mastoidectomy Surgery for Chronic Ear Infection & Cholesteatoma in Bangalore

When chronic ear infections or a cholesteatoma (an abnormal skin growth) spread into the mastoid bone behind the ear, antibiotics alone often stop working. Mastoidectomy removes the infected bone and tissue, protecting you from serious complications like facial nerve damage or meningitis while preserving as much hearing as possible. At Dr Rohit’s Centre for ENT & Cochlear Implant, patients travelling from Jayanagar, JP Nagar, and across South Bangalore trust us for precise, microscope-guided mastoid surgery. We explain clearly whether your case needs a simple, modified radical, or radical mastoidectomy, and whether combined ossicular or eardrum repair makes sense in the same operation.

A mastoidectomy is a surgical procedure performed to remove infected or diseased air cells within the mastoid bone, located behind the ear. These air cells can become infected due to chronic ear infections, cholesteatoma, or other middle ear diseases that do not respond to medication. The goal of mastoidectomy is to eliminate infection, prevent complications, and restore ear health while preserving hearing as much as possible.

Conditions Requiring Mastoidectomy

Mastoidectomy may be recommended for patients suffering from:

  • Chronic Otitis Media: Long-term middle ear infections spreading to the mastoid bone.

  • Cholesteatoma: Abnormal skin growth in the middle ear that can erode bone and cause serious complications.

  • Persistent Ear Infections: Resistant to antibiotics and recurring frequently.

  • Complications of Ear Infections: Such as abscesses, meningitis, or facial nerve paralysis.

  • Other Middle Ear Diseases: When conservative treatments fail to resolve the problem.

Types of Mastoidectomy

Depending on the extent of disease, different techniques are used:

  • Simple Mastoidectomy: Removal of infected mastoid air cells while preserving middle ear structures.

  • Radical Mastoidectomy: Removal of mastoid air cells along with part of the middle ear for severe disease.

  • Modified Radical Mastoidectomy: A balance between disease clearance and preservation of hearing structures.

How Mastoidectomy Works

The surgery is performed under general anesthesia. The surgeon makes an incision behind the ear, removes the diseased mastoid cells using a high-powered drill, and clears infection or abnormal tissue. Depending on the condition, ossicles (ear bones) or the ear drum may also be repaired or reconstructed during the same procedure.

Who Can Benefit from Mastoidectomy?

This surgery is suitable for:

  • Patients with chronic ear infections unresponsive to medication.

  • Individuals with cholesteatoma causing hearing loss, discharge, or dizziness.

  • Patients at risk of serious complications from untreated ear disease.

  • Those seeking relief from persistent pain, ear discharge, or foul odor due to infection.

Advantages of Mastoidectomy
  • Eliminates Infection: Clears diseased tissue to prevent recurrence.

  • Prevents Complications: Protects against brain abscess, meningitis, or facial nerve damage.

  • Improves Ear Health: Reduces chronic discharge and discomfort.

  • May Improve Hearing: When combined with ear drum or ossicular repair.

  • Long-Term Relief: Provides a permanent solution for severe or resistant ear disease.

The Procedure and Recovery

Mastoidectomy typically takes 2–3 hours, and most patients go home the same day or after a short hospital stay. Recovery involves keeping the ear dry, avoiding strenuous activities, and following regular follow-ups. Some temporary dizziness or mild discomfort may occur, but these usually resolve with time. Complete healing may take a few weeks, with hearing gradually improving depending on the extent of repair.

Why Choose This Treatment?

Mastoidectomy is a safe and effective surgery for chronic ear disease, particularly when infections threaten hearing and overall health. By removing diseased tissue and preventing serious complications, it provides long-term relief and better ear function. With modern surgical techniques and expert care, patients can achieve significant improvement in both hearing health and quality of life.

Mastoidectomy in Bangalore is a specialized surgical procedure performed at Dr Rohit’s Centre For ENT & Cochlear Implant to treat chronic ear infections and mastoid bone diseases. Our expert ENT surgeons ensure precise, safe, and effective treatment using advanced technology for better hearing outcomes and faster recovery. Visit us for expert ear care.

Frequently Asked Questions:

What is a mastoidectomy and when is it necessary?

A mastoidectomy is surgery to remove infected air cells from the mastoid bone behind the ear, usually performed when chronic ear infections or a cholesteatoma don't respond to antibiotics. It is necessary to stop the spread of infection and prevent complications such as hearing loss, facial nerve damage, or meningitis.

What is the difference between simple, modified radical, and radical mastoidectomy?

A simple mastoidectomy removes infected air cells while preserving the middle ear. A modified radical mastoidectomy removes infected cells along with part of the middle ear structures while attempting to preserve hearing. A radical mastoidectomy removes mastoid cells and most middle ear structures for severe or extensive disease.

Will I lose my hearing after a mastoidectomy?

Hearing outcomes depend on how much disease has already affected the ear and whether ossicular reconstruction or eardrum repair is performed during the same surgery. Many patients maintain or improve their hearing, although more extensive disease may result in some hearing changes.

How long is the recovery after mastoidectomy surgery in Bangalore?

Most patients return home the same day or after a short hospital stay, with initial recovery taking one to two weeks. Complete healing and any hearing improvement may take several weeks to a few months, with regular ENT follow-up visits.

What happens if a cholesteatoma is left untreated?

An untreated cholesteatoma continues to grow and can erode nearby bone, leading to hearing loss, dizziness, facial nerve weakness, or, in severe cases, infection spreading toward the brain. It does not resolve with antibiotics alone, so surgical removal through mastoidectomy is usually recommended.

How long does mastoid surgery take?

Mastoidectomy typically takes two to three hours under general anesthesia, depending on the extent of infection or cholesteatoma and whether additional ear reconstruction is performed. Most patients are discharged the same day or after an overnight stay.

Where can I find a mastoid surgery specialist in Jayanagar, Bangalore?

Dr. Rohit's Centre for ENT & Cochlear Implant in Jayanagar 7th Block provides mastoidectomy for chronic ear infections and cholesteatoma using microscope-guided surgical techniques. The clinic is located near RV Road and Jayanagar Metro Station, with appointments available by phone or online booking.

Is mastoidectomy a dangerous surgery?

Mastoidectomy is a well-established and generally safe procedure when performed by an experienced ENT surgeon. Like any surgery, it carries small risks such as infection, dizziness, or changes in hearing or taste. However, leaving a mastoid infection untreated usually carries a much greater risk of serious complications.