Hi,

Thank you for your query.

1. If you can share the CT Scan images, it will help in understanding the changes due to the operation and the severity of the mastoiditis.

2. Do you have any pre-operative examination notes and the operative notes? If so, please upload them too.

3. Usually the ear and mastoid should heal in 4-6 weeks, though XXXXXXX healing may take longer. Gelfoam normally placed in the middle ear and packed in the outer ear canal may take many weeks to dissolve and hence hearing improvement is seen slowly.

4. Please share your pre and post operative audiograms.

5. I would recommend an initial medical line of therapy including antibiotics, anti-inflammatory, anti-allergic decongestants and mucolytics.

6. The pain in your right ear is a sign of some underlying infection or inflammation and must not be ignored.

I hope that I have answered your queries. If you have any further questions, I will be available to answer them.

Regards.

---

Hi,

Thank you for writing back.

Kindly share as many images of the CT Scan (not only the report) and add your ear examination reports, any endoscopic ear drum images, operative notes, discharge card, audiograms, x-rays (if any) and blood investigation reports.

Awaiting your reply,

Regards.

---

Hi,

Thank you for your query.

1. If you can get the CT Scan images on a CD / DVD or a USB memory stick from the Scan Center, you will be able to share the images.

2. The pre-operative examination notes describe a wet central perforation. Usually the ear should be dry for at least 3 weeks before an ear operation is attempted.

3. The discharge summary does not include operative notes.

4. The post operative PTA (Pure Tone Audiogram) still shows a mild conductive hearing loss. Without a pre-operative PTA, it is difficult to give an opinion. May be the gelfoam in the middle ear has still not dissolved. This may explain the 'B' type Tympanogram, but not on the Left side. The findings of the Left ear are not mentioned.

4. The CT Scan report mentions both right mastoid sclerosis and right mastoiditis. The CT images are important here. There is no mention of the left side here, too.

5. You may take a trial of medication for a couple of weeks. If there is no improvement, get a repeat ear examination done.

I hope that I have answered your queries. If you have any further questions, I will be available to answer them.

Regards.

---

Hi,

Thank you for writing back.

Wishing you a speedy recovery,

Regards.

---