Other disorders following mastoidectomy digital illustration

Other disorders following mastoidectomy Save


ICD-10 code: H95.19

Chapter: Diseases of the ear and mastoid process

Other Disorders Following Mastoidectomy

Mastoidectomy is a surgical procedure that is performed to remove infected mastoid air cells in the temporal bone of the skull. This surgery is commonly performed to treat chronic otitis media, a condition that is characterized by inflammation of the middle ear. While mastoidectomy is generally considered a safe procedure, there are some potential complications that can occur after surgery.

  1. Facial Nerve Injury
  2. The facial nerve is a nerve that controls the muscles of the face. During mastoidectomy, there is a risk of injury to this nerve, which can lead to facial weakness or paralysis. This complication is rare, occurring in less than 1% of cases, but it can be a serious problem if it does occur.

  3. Hearing Loss
  4. Mastoidectomy can sometimes result in hearing loss, particularly if the surgery was performed to treat a severe case of chronic otitis media. This is because the surgery may involve removing part of the ossicles, the tiny bones in the middle ear that are responsible for transmitting sound waves. In some cases, a hearing aid may be necessary to restore some level of hearing.

  5. Tinnitus
  6. Tinnitus is a condition that is characterized by a ringing or buzzing sound in the ears. It is a common complication of mastoidectomy, occurring in up to 30% of cases. While tinnitus can be annoying, it is not typically a serious problem and can often be managed with medications or sound therapy.

  7. Vestibular Dysfunction
  8. The vestibular system is responsible for maintaining balance and spatial orientation. Mastoidectomy can sometimes result in damage to this system, which can lead to problems with balance, dizziness, and vertigo. This complication is relatively rare, occurring in less than 5% of cases, but it can be a significant problem for patients who experience it.

  9. Meningitis
  10. Meningitis is a serious infection of the membranes that surround the brain and spinal cord. While rare, it is a potential complication of mastoidectomy. Patients who experience symptoms such as fever, headache, and stiff neck after surgery should seek medical attention immediately to rule out meningitis.

If you are considering mastoidectomy, it is important to discuss the potential risks and complications with your doctor. While most patients recover well after surgery, it is important to be aware of the possible complications so that you can recognize them if they do occur.