MANAGEMENT OF

MASTOIDECTOMY
Submitted to : Dr. Shobha Gusain
Submitted by : Falak jan
Surgical management
Indications

Acute supprative otitis media with bulged tympanic membrane

If severe earache persists in a child inspite of conservative treatment
Inadequate drainage
Acute otitis media with complications
Secretory otitis media
Contraindications

 Active discharge from the ear

 Nasal allergy
 Otitis externa
 Other ear has no hearing
Complications
 7 th nerve Paralysis
 Vertigo
 Haemorrhages
 Infection and wound break down
TYMPANOPLASTY
 Repair of the tympanic membrane with inspection of middle ear
 OR
 Procedure to eradicate disease on the middle ear and to reconstruct
the hearing mechanism with or without tympanic membrane grafting
Aims
 Prevent recurrent disease
 Improve hearing
 Provide a dry ear canal
 Enable patient to bathe and swim freely
Indications
INDICATIONS FOR TYMPANOPLASTY
 ⚫ Tympanic membrane perforations and associated hearing loss with
or without middle ear pathology such as tympanosclerosis, small
retraction pockets, and cholesteatomas.
Contraindications
 Poor general health
 Malignant tumours Of outer/ middle ear
 Uncontrolled cholesteatoma
 Unusual infections like malignant otitis externa
 Complications of chronic ear disease such as meningitis, brain
abscess of thrombosis
Classification
Subclassification
Radial Mastoidectomy
Indications of radical Mastoidectomy
Contraindications
Cortical mastoidectomy
A cortical mastoidectomy is a surgical procedure used to remove the
mastoid air cells of the temporal bone. It is typical used to treat severe
case of acute mastoiditis. This is a condition where Infection from the
middle ear spreads to the mastoid air cell.
Indication for cortical mastoidectomy
Contraindications
 Persistent deafness
 facial nerve injury
 CSF leak
 Vertigo
 Postoperative wound infection
THANK YOU