Specialist Ear Surgery

Mastoid Surgery

Mastoid surgery is performed to treat cholesteatoma, a condition in which the eardrum becomes distorted and forms a sac that collects skin debris within the middle ear and mastoid bone. Although it develops slowly over time, untreated cholesteatoma can cause serious complications, including damage to the hearing bones, balance system, facial nerve, or even the lining of the brain. Early diagnosis and treatment are key to preventing long-term effects.

At Tympanic’s Clinic, the procedure is performed through a discreet incision behind the ear. The disease is carefully removed from the middle ear and mastoid bone, and the eardrum is reconstructed using fascia or cartilage. Our surgeons have extensive experience in both primary and revision mastoid surgery, including mastoid obliteration, where the cavity is closed and the ear canal wall is rebuilt after previous surgery.

Operation Time:

Approximately 2–4 hours

Hospital Stay:

Usually day case (home the same day)

Anaesthetic:

General anaesthetic

Post-operative instructions

You’ll go home with a head bandage and surface dressings, which are removed the day after surgery. Packing material in the ear canal is typically removed by your surgeon during your follow-up appointment. Some mild discharge or bleeding from the ear is common as the area heals.

01.

Managing Dressings and Packing

Remove the head bandage the day after surgery. The ear canal packing will be removed by your surgeon at follow-up.

02.

Caring for the Wound

Keep the incision behind the ear dry for seven days to aid healing, then normal washing can resume.

03.

Managing Ear Discharge or Bleeding

A small amount of discharge or bleeding is normal. Use cotton wool to absorb it and change as needed.

04.

Air Travel Restrictions

Avoid flying for six weeks after surgery to protect the ear during healing.

Patient Care and Support

At Tympanic’s Clinic, we provide full support before, during and after surgery. From your first appointment to your final review, our goal is to ensure a safe and confident recovery.

Consultation

We begin with a thorough examination and imaging to assess the extent of cholesteatoma and plan your treatment.

Preparation

You’ll receive clear instructions on medication, wound care and what to expect on the day of surgery.

Aftercare

Following surgery, we guide you through each step of recovery with personalised advice and support.

Ongoing Support

Regular follow-up appointments allow us to monitor healing and ensure the best possible long-term results.

+44 203 950 7678
info@tympanicperforation.co.uk