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Canal Wall Up Mastoidectomy is a refined surgical approach designed to treat chronic ear conditions while preserving the natural architecture of the ear canal. This technique is crucial for managing persistent infections or cholesteatomas that affect the quality of life. If you're facing recurring ear problems or hearing issues, consult with Pristyn Care’s skilled otolaryngologists who excel in performing this meticulous procedure. Schedule your consultation today.
Canal Wall Up Mastoidectomy is a refined surgical approach designed to treat chronic ... Read More
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Canal wall up mastoidectomy is a surgical procedure aimed at treating infections and other conditions affecting the middle ear and mastoid bone, located just behind the ear. Ear, nose, and throat specialists, or otolaryngologists, perform this surgery.
The procedure preserves the canal wall, which can help maintain the ear’s natural structure and function. This approach is necessary when the ear’s delicate structures are at risk of damage from infection or disease.
The primary benefits of the canal wall up mastoidectomy include eradicating disease, improving ear function, and preventing further complications that could lead to more severe health issues. This surgery is crucial for patients who suffer from chronic ear infections or other conditions that have not responded to other treatments.
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Canal wall up mastoidectomy is a key surgical technique used to address ear conditions without altering the ear’s natural structure. There are two main types:
Classic Intact Canal Wall Mastoidectomy/Combined Approach Tympanoplasty (CAT): This procedure combines mastoidectomy with tympanoplasty to restore the middle ear’s function while maintaining the integrity of the ear canal wall. It is suited for more complex cases where both infection and structural damage are present.
Before proceeding with a canal wall up mastoidectomy, it is crucial to conduct a thorough diagnosis to determine the suitability and necessity of the surgery. The diagnostic process includes:
The canal wall up mastoidectomy procedure aims to clear the infection and preserve the natural structure of the ear. Here are the steps involved:
Recovery: Post-operation, the patient will spend time in recovery where they are monitored for any immediate complications.
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Determining the right candidate for canal wall up mastoidectomy is crucial for the success of the surgery. This procedure is not suitable for everyone with ear problems. Ideal candidates typically include:
Previous Surgery Patients: Patients who have undergone other ear surgeries without successful resolution of their condition might need this procedure as a subsequent step.
Canal wall up mastoidectomy is a beneficial surgical option for treating persistent ear conditions. The procedure preserves the ear’s natural structure while addressing the underlying issues. Here are the key benefits:
Aesthetic Benefits: Since the structural integrity of the ear is maintained, there is less visible scarring and deformation compared to other types of ear surgery.
Preparing for the canal wall up mastoidectomy procedure is crucial for ensuring its success. Here are some steps to follow:
Arrange for Assistance: Plan for someone to drive you home post-surgery and help around the house as you recover.
Recovery from canal wall up mastoidectomy involves careful management to ensure optimal healing. Here’s what to expect and some tips to follow:
Avoid Strenuous Activities: Limit physical activity to reduce the risk of bleeding or other complications.
While the canal wall up mastoidectomy procedure is generally safe, like all surgeries, it carries potential risks and complications. Being aware of these can help in making informed decisions and managing expectations. Here are some of the possible risks associated with this surgery:
Facial Nerve Injury: Although very rare, there is a risk of injury to the facial nerve, which can lead to temporary or permanent weakness of the face on the operated side.
Canal wall up mastoidectomy is indicated for patients with cholesteatoma or chronic otitis media where it is essential to preserve the structure of the ear canal. This procedure is suited for managing diseases within the mastoid while maintaining ear canal integrity to minimise hearing disruption and maintain a more natural postoperative ear appearance.
Cortical mastoidectomy is generally a canal wall up procedure. This technique focuses on removing disease from the mastoid air cells while keeping the bony ear canal wall intact.
Hearing improvement after a mastoidectomy can vary. If the mastoidectomy successfully removes the disease and reconstructs any damaged parts of the middle ear, some patients may experience improved hearing. However, outcomes depend on the individual’s condition before surgery and the extent of necessary reconstruction.
Disadvantages of canal wall up mastoidectomy include potential for residual or recurrent disease since the wall is not removed. This may necessitate further surgical intervention. Also, the procedure can be more technically challenging and may require careful postoperative monitoring and follow-up visits.
In India, the cost of a canal wall up mastoidectomy typically ranges between INR 1,50,000 to INR 2,50,000, depending on factors like hospital facility, surgeon’s experience, and the complexity of the case. This price may vary widely based on location and the specific needs of the patient.
The success rate of canal wall up mastoidectomy is generally high, with many patients experiencing significant relief from symptoms and a reduced rate of disease recurrence. Success rates can vary but generally exceed 80%, depending on the surgical expertise and the extent of disease.
Pain levels post-canal wall up mastoidectomy are generally moderate but manageable with prescribed pain relievers. Most patients report that pain decreases significantly within the first week after surgery.
Yes, you can eat after undergoing a canal wall up mastoidectomy. It’s advisable to start with soft foods and gradually reintroduce your regular diet as your comfort allows.
After a canal wall up mastoidectomy, it’s best to sleep with your head elevated to reduce swelling. Avoid sleeping on the operated side to prevent pressure on the surgical site, which could cause discomfort or disrupt the healing process.
Yes, canal wall up mastoidectomy is considered a major surgery. It involves intricate work on the mastoid bone near critical structures of the ear and requires general anaesthesia. The procedure aims to eradicate ear disease while preserving the ear’s natural structure, demanding high surgical skill.
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