Anthromastoidectomy is a mastoid surgery. It is performed, among others in the case of acute inflammation of the inner ear or mastoiditis, to limit the spread of inflammation, and thus - to prevent serious complications, e.g. hearing loss or meningitis. What are the other indications for surgery? How is it going?

Anthromastoidectomyismastoid surgerywhich involves opening the mastoid cavity and removing its contents. The mastoid process is a part of the face that is located behind the auricle, at the back of the lower part of the temporal bone. Its presence is very important for the proper functioning of the adjacent middle and inner ear.

Anthromastoidectomy - indications for surgery

  • acute otitis media that cannot be treated with antibiotics and lasts longer
  • chronic otitis media
  • acute mastoiditis, which is the most common complication after otitis media
  • meningitis, which is a complication of acute otitis media
  • extra-marital abscess

In these cases, the aim of the operation is to remove the inflammatory lesions. It prevents the further spread of inflammation, and hence - hearing loss and serious intracranial complications, such as e.g. meningitis or encephalitis.

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In addition, anthromastoidectomy can be a diagnostic procedure in cases of difficulties in locating inflammatory changes in the temporal bone pyramid.

Anthromastoidectomy is also performed as the first step in other middle ear operations, such as e.g. tympanoplasty (operations that recreate sound conduction mechanisms in the middle ear).

Anthromastoidectomy - how is it going?

Anthromastoidectomy has several stages:

1. Give the patient general anesthesia 2. Make an incision behind the auricle (about 0.5 cm outside of the auricle attachment)

After the operation, the two centimeters of the auricle remain behind the auriclecavity

3. Removal of a layer of bone tissue from the mastoid process to enter it 4. Removal of mastoid air cells 5. Checking the condition of the medial bone plaques, the posterior fossa of the skull and the sigmoid sinus. If inflammation is diagnosed, the plaques are excised and the sinus is exposed (after surgery, new connective tissue will be created in the area of ​​the removed tissue) 6. Applying a dressing

Anthromastoidectomy - complications

This type of procedure requires great precision. If done incorrectly, complications can occur, the most common of which are weakness or hearing loss. In addition, there may be complications with general anesthesia.

Category:

ENT