Description

Familiarity with Treatment

Canal wall up mastoidectomy is a surgical procedure performed to treat chronic ear infections, cholesteatoma, or other middle ear pathologies. It involves preserving the posterior bony external auditory canal, separating the ear canal from the mastoid cavity.

Procedure

During a canal wall up mastoidectomy, the surgeon removes the diseased tissue or cholesteatoma from the middle ear and mastoid. The procedure aims to provide a dry and safe ear by eliminating the infection and reconstructing the normal anatomy of the middle ear. The posterior bony external auditory canal is preserved, allowing for a more natural ear canal.

Who is it Suitable For?

Canal wall up mastoidectomy is suitable for individuals with chronic ear infections, cholesteatoma, or other middle ear pathologies. It is typically performed when the preservation of the posterior bony external auditory canal is desired, and the extent of the disease allows for this approach.

Who is it Not Suitable For?

Canal wall up mastoidectomy may not be suitable for individuals with specific medical conditions or anatomical limitations that may affect the feasibility or safety of the procedure. A comprehensive evaluation by a specialist is necessary to determine the suitability for a canal wall up mastoidectomy.

Advantages

• Preservation of Ear Canal: Canal wall up mastoidectomy preserves the posterior bony external auditory canal, maintaining a more natural ear canal.
• Dry and Safe Ear: The procedure aims to provide a dry and safe ear by removing the diseased tissue or cholesteatoma from the middle ear and mastoid.
• Potential for Hearing Restoration: Canal wall up mastoidectomy may provide an opportunity for hearing restoration, if possible, depending on the individual’s specific condition.

Complications

Complications of canal wall up mastoidectomy may include:

• Bleeding
• Facial Nerve Injury: Although rare, there is a risk of facial nerve injury during the procedure.
• Recurrence of Infection or Cholesteatoma: In some cases, there may be a recurrence of infection or cholesteatoma, requiring further intervention.

Preoperative Care

Preoperative care for canal wall up mastoidectomy involves a comprehensive evaluation by a specialist to assess the individual’s medical history, anatomical considerations, and overall suitability for the procedure. This may include audiometric testing, imaging studies, and medical clearance.

Postoperative Care

Following canal wall up mastoidectomy, individuals should adhere to postoperative instructions provided by their healthcare team. This may include guidelines for wound care, pain management, activity restrictions, and follow-up appointments to monitor healing and address any concerns.

Canal wall up mastoidectomy is a surgical procedure aimed at treating chronic ear infections, cholesteatoma, or other middle ear pathologies while preserving the posterior bony external auditory canal.