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Fullness in ear, absent mastoid air cells - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 2685 Questions
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
Doctor :   please proceed with your health query.
User :   hi how are you, dr. AAAAAAA i have a quick question
User :   i recently had a ct scan and my ent told me that my mastoid bone did not develope properly and I have no air cells on the right mastoid bone
Doctor :   ok
User :   He mentioned a surgery where by holes are drilled into the mastoid to create air cells
User :   have you ever heard of this and what is the name of the surgery?
Doctor :   the absent air cells in teh mastoid are generally due to a 'constricted mastoid process'
User :   just for your info, i had a t tube placed in my ear 7 days ago, the pain is getting unbearable even after using the cipro drops
Doctor :   the surgery can be done, provided the mastoid process is not very constricted
Doctor :   if the T-tube surgery pain is stil there
Doctor :   then you need to get it re-examined to make sure that there is no infection (superadded infection)
Doctor :   and get then treated
User :   so i should google "Constricted mastoid process" to learn more about this
Doctor :   coming back to the mastoid query, the surgery done to create air holes is something like a 'mastoidectomy'
Doctor :   that is done to relieve chronic otitis media
Doctor :   whats symptoms did you have for which the surgery for the air holes/spaces was advised?
Doctor :   and yes, you can read more on the "Constricted mastoid process"
Doctor :   it will also help you to understand the surgical procedure suggested for correction.
User :   fullness in ear, pain, dizziness, swelling in right side of face by the ear area, I have also been diagnosed with tmj, he mentioned the next step if the tube does not work is to lift the eardrum and try and scrape any scar tissue off the eustachian tube, what is this called medically?
Doctor :   ok.
User :   also, i am a non smoker, just so you know
Doctor :   the procedure suggested will be similar to tympanoplasty, where he will remove the scar tissues and allow for symptom relief by letting teh pressure get equalised
Doctor :   and get the fullness and the pressure feeling go away
User :   yes, that is the word i was looking for, is this a very invasive surgery? I will go over all this with him, but it helps to get some other knowledge
Doctor :   it is a bit invasive, but not dangerous. it is commonly done to relieve the pressure effects
Doctor :   and the fullness feeling
Doctor :   once it is successfully done, the dizziness also comes down.
User :   okay, thankyou, it was a well spent 10 dollars, i really appreciate your help, have a nice evening
Doctor :   is there anything else I can help you with?
Doctor :   have you followed what I have said?
User :   all set, thanks
Doctor :   thanks for consulting me. bye for now. do get back to me if you have further queries.
User :   i will, thanks
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