SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
britishentcare@gmail.com

British Face clinic

SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
britishentcare@gmail.com

British face clinic

SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
britishentcare@gmail.com

British Face Clinic

SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
britishentcare@gmail.com

British Face Clinic

SUPRIYA

Facial Cosmetic, ENT & Thyroid Surgeon

Image is not available

Mr. Mrinal Supriya FRCS(OTOL-HNS)

01604556244
britishentcare@gmail.com

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  • The ear consists of the outer, middle and inner ear. The outer ear is covered by skin. The middle ear is covered by a mucus producing membrane. Sound travels through the outer ear and reaches the eardrum, causing it to vibrate. The vibration is then transmitted through three tiny bones (ossicles) in the middle ear. The vibration then enters the inner ear where the nerve cells are. The nerve cells within the inner ear are stimulated to produce nerve signals. These nerve signals are carried to the brain, where they are interpreted as sound.

  • The mastoid bone is the bony prominence that can be felt just behind the ear. It contains a number of air spaces, the largest of which is called the antrum. It connects with the air space in the middle ear. Therefore, ear diseases in the middle ear can extend into mastoid bone.

  • Operations on the mastoid may be necessary when ear infection within the middle ear extends into the mastoid. Most commonly this is a pocket of skin growing from the outer ear into the middle ear, known as cholesteatoma. This causes infection with discharge and some hearing loss. The pocket gets slowly larger, often over a period of many years, and causes gradual erosion of surrounding structures. Erosion of the ossicles can result in hearing loss. The only effective way to get rid of this pocket of skin is surgery.

  • Usually a general anaesthetic is used. There are several ways of doing the operation, depending on the extent of the ear disease. They have various names such as atticotomy and mastoidectomy and take between one and three hours. I will discuss with you about this before the operation. It involves a cut either above the ear opening or behind the ear.

    The bone covering the infection within the mastoid cells is removed. The resultant bony defect is called a mastoid cavity. I may leave the mastoid cavity open into the ear canal in very extensive disease. This allows inspection of the mastoid cavity easily. In limited disease, I usually close up the mastoid cavity with bone, cartilage or muscle from around the ear. At the end of the operation, packing will be placed in your ear while it heals.

  • The ear may ache a little, but this can be controlled with painkillers such as Paracetamol or Brufen.

  • The chances of obtaining a dry, trouble free ear from this operation in my hand is over 80 percent. In some patients it is possible to improve the hearing as well. I will discuss this during consultation.

  • There are some risks that you must be aware of before giving consent to this treatment. These potential complications are rare.

    Loss of hearing: In a small number of patients the hearing may be further impaired due to damage to the inner ear. If the disease has eroded into the inner ear, there may be total loss of hearing in that ear.

    Dizziness: Dizziness is common for a few hours following mastoid surgery and may result in nausea and vomiting. On rare occasions, dizziness is prolonged.

    Tinnitus: Sometimes the patient may notice noise in the ear, in particular if the hearing loss worsens.

    Weakness of the face: The nerve that controls movement of the muscles in the face runs inside the ear and may be damaged during the operation, but this risk is very rare. If it happens, the face may lose its movement on one side, but it is usually temporary.

  • You will usually go home the same day after the operation. There is sometimes some dizziness but this usually settles quickly. The stitches are usually self-dissolving.

    There may be a small amount of discharge from the ear canal. This usually comes from the ear dressings. Some of the packing may fall out. If this occurs there is no cause for concern. It is sensible to trim the loose end of packing with scissors and leave the rest in place.

    I will remove the packing in the ear canal after 2 or 3 weeks.

    You should keep your ear dry. Plug the ear with a cotton wool ball coated with Vaseline when you are having a shower or washing your hair. If the ear becomes more painful or is swollen, then you should contact my secretary.

  • 2 weeks.

  • The only way to remove the infection completely is a mastoid operation. In patients who are unfit for surgery, the only alternative is the regular cleaning of the ear and the use of antibiotic eardrops. This at best; could only reduce the discharge.

  • It is usual to have a “second look” surgery to ensure there is no residual infection. This is usually done after a year.

    In some cases, if the mastoid cavity is free of disease but too big, you may benefit from a procedure to reduce the size of the cavity – mastoid obliteration. This makes the ear easier to look after by reducing wax and debris build up and makes it possible to enjoy swimming without risk of ear infection.

    Some patients may require hearing reconstruction if their ear remains free of infection. I will discuss this if suitable in your case.

    Acknowledgement


    The information has been taken from ENT UK www.entuk.org with some modifications to reflect my practice.