Advanced ENT Care • Infection Control • Hearing Protection
Get Lasting Relief from Chronic Ear Infections with SurgiPartner Advanced Mastoidectomy
Mastoidectomy in Hyderabad — Mastoid Surgery for Cholesteatoma, Mastoiditis
Mastoidectomy is a surgical procedure to remove diseased mastoid air cells — the honeycomb-structured bone situated directly behind the auricle (outer ear). The mastoid air cell system connects to the middle ear space and when middle ear disease spreads to the mastoid, surgical intervention becomes necessary to prevent serious complications including facial nerve paralysis, meningitis, and brain abscess. SurgiPartner connects patients in Hyderabad with ENT otologists (ear specialists) experienced in mastoid and middle ear microsurgery.
The Mastoid Bone — Anatomy and Disease
The mastoid process is the bony prominence you can feel directly behind your ear. Inside it lies a network of interconnected air cells lined with a mucous membrane continuous with the middle ear lining. This anatomical communication is a two-way pathway — the middle ear and mastoid benefit from shared ventilation under normal conditions, but infectious or erosive disease in the middle ear spreads readily into the mastoid. The proximity of the mastoid to critical structures — the sigmoid sinus (major venous drainage), the facial nerve (CN VII), the dura of the posterior fossa, and the inner ear — makes untreated mastoid disease potentially life-threatening.
Conditions Treated by Mastoidectomy
Cholesteatoma — The Most Important Indication
A cholesteatoma is a pocket of keratinising squamous epithelium (skin cells) that grows abnormally in the middle ear and mastoid. Unlike normal skin, cholesteatoma expands progressively and secretes enzymes that erode bone — including the ossicular chain (causing hearing loss), the tegmen (roof of the middle ear, adjacent to the brain), the lateral semicircular canal (causing vertigo and inner ear damage), and the bony canal of the facial nerve (causing facial paralysis). Cholesteatoma never resolves with medication and invariably requires surgical removal. Mastoidectomy is the standard surgical approach — combined with tympanoplasty (eardrum reconstruction) when the eardrum is involved.
Acute Mastoiditis
Acute mastoiditis is a bacterial infection of the mastoid air cells, typically a complication of inadequately treated acute otitis media. Presenting with post-auricular pain, swelling, tenderness, and fever — with the auricle pushed forward and downward by the subperiosteal abscess — acute mastoiditis is a surgical emergency when it does not respond promptly to intravenous antibiotics and myringotomy. Cortical mastoidectomy drains the infected mastoid and prevents spread to intracranial structures.
Chronic Suppurative Otitis Media (CSOM)
Long-standing middle ear infection with persistent eardrum perforation and intermittent or constant ear discharge (otorrhoea). When granulation tissue, polyps, or middle ear and mastoid mucosal disease becomes extensive and does not respond to medical treatment, mastoidectomy combined with tympanoplasty (eardrum repair) provides disease control and potentially hearing restoration.
Types of Mastoidectomy
| Procedure | Extent | When Used | Canal Wall |
|---|---|---|---|
| Cortical (simple) mastoidectomy | Mastoid air cells only; middle ear not entered | Acute mastoiditis, cochlear implant access | Preserved (canal wall up) |
| Modified Radical Mastoidectomy (MRM) | Mastoid + posterior ear canal wall taken down; middle ear partially exenterated; ossicular chain preserved when possible | Cholesteatoma, extensive CSOM | Taken down (canal wall down) — creates open cavity |
| Radical Mastoidectomy | Complete exenteration of mastoid + middle ear; ossicles removed; Eustachian tube blocked | Extensive disease, salvage in irradiated field | Taken down — wide open cavity |
| Canal Wall Up (CWU) / Combined Approach Tympanoplasty (CAT) | Mastoidectomy with posterior canal wall preserved; middle ear approached through canal and mastoid simultaneously | Cholesteatoma — requires second-look surgery at 6–12 months | Preserved — better hearing outcomes but higher recurrence risk |
Mastoidectomy — What to Expect
Mastoidectomy is performed under general anaesthesia with the patient’s head turned away from the surgeon. Duration: 1.5–3 hours for primary cases; up to 5 hours for extensive disease. An incision is made behind the ear (post-auricular incision) to expose the mastoid cortex. Using a surgical drill under operating microscope or endoscope visualisation, the mastoid air cells are carefully removed to expose and remove diseased tissue while preserving critical structures. Facial nerve monitoring (continuous EMG) is used in all cases where the facial nerve may be at risk. Hospitalisation: 1–2 nights. Post-operative head bandage for 24–48 hours.
Why Choose SurgiPartner for Mastoidectomy?
SurgiPartner ensures advanced ENT expertise combined with complete patient support throughout treatment.
01.
Highly Experienced ENT Surgeons
Specialists trained in complex ear surgeries and infection management.
02.
Advanced Microscopic & Endoscopic Techniques
Ensures complete infection clearance with minimal tissue damage.
03.
Hearing Preservation Focus
Every effort is made to protect and improve hearing outcomes.
04.
End-to-End Care & Follow-Ups
From diagnosis to recovery, we guide patients at every step.
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