If you’ve recently undergone mastoidectomy or tympanoplasty you’re likely on the path to improved hearing and a healthier ear. However, the recovery period is crucial for ensuring the success of the surgery. This post will guide you through the essential aspects of postoperative care to help you heal comfortably and effectively.

What to Expect Immediately After Surgery:

It’s normal to feel a little groggy after the anesthesia wears off. You might experience some:

• Ear pain: This is usually mild to moderate and can be managed with prescribed pain medication. Take it as directed.
• Dizziness or imbalance: This should subside within a day or two. Move slowly and carefully to avoid falls.
• Fluid drainage from the ear: This is common and may be blood-tinged initially. Your surgeon will likely place a cotton ball loosely in the outer ear to absorb this. Change it gently as needed.
• A feeling of fullness or pressure in the ear: This is due to packing placed in the ear canal during surgery. It will be removed by your surgeon at a follow-up appointment.
• Temporary hearing changes: Your hearing might not be immediately improved due to the packing. Don’t be alarmed; this is temporary.

Essential Home Care Instructions:

Following these instructions diligently is vital for proper healing and preventing complications:

1. Keep Your Ear Dry: This is the most important rule! Water entering the ear canal can lead to infection and disrupt the healing process.

• During showers or baths: Avoid getting your ear wet. Use a cotton ball coated with petroleum jelly (like Vaseline) to gently plug the outer ear canal. You can also purchase commercially available earplugs designed for this purpose.
• Avoid swimming: Refrain from swimming in pools, lakes, or the ocean until your surgeon gives you the all-clear.
• Avoid hair washing: Avoid washing your hair until your surgeon clears you for a hair wash.

2. Avoid Increasing Ear Pressure: Anything that increases pressure in your ear can potentially damage the newly repaired eardrum.

• Do not blow your nose forcefully: If you need to sneeze, do so with your mouth open.
• Avoid strenuous activities and heavy lifting: This can increase pressure in your head. Your surgeon will advise you on when you can gradually resume normal activities.
• Avoid air travel: Changes in cabin pressure can be problematic. Discuss with your surgeon when it’s safe to fly again.
• Try to avoid constipation: Straining during bowel movements can increase pressure. Maintain a diet rich in fiber and stay hydrated.

3. Medication Management:

• Take all prescribed medications as directed: This may include pain relievers and antibiotics to prevent infection.
• Do not stop taking antibiotics early, even if you feel better.
• If you experience any adverse reactions to your medication, contact your surgeon’s office immediately.

4. Ear Care:

• Do not insert anything into your ear canal, including cotton swabs, unless specifically instructed by your surgeon.
• Change the outer cotton ball dressing as instructed to keep it clean and dry.
• Attend all scheduled follow-up appointments. These appointments are crucial for your surgeon to monitor your healing progress and remove any packing or sutures.

5. Rest and Recovery:

• Get plenty of rest to allow your body to heal.
• Avoid loud noises that could cause discomfort or damage to your healing eardrum.

When to Contact Your Doctor:

It’s important to be aware of potential complications and contact your surgeon’s office promptly if you experience any of the following:

• Increased or severe ear pain that is not relieved by medication.
• Heavy bleeding or persistent drainage from the ear.
• Fever of 100.4°F (38°C) or higher.
• Increased dizziness or vertigo.
• Sudden or significant hearing loss.
• Facial weakness or drooping.

The Healing Process:

The healing process after tympanoplasty varies from person to person. You can expect some improvement in your hearing after the ear canal packing is removed. However, it may take several weeks or even a few months for the eardrum to fully heal and for your hearing to stabilize. Be patient and follow your surgeon’s instructions diligently.

Follow-Up is Key:

Your scheduled follow-up appointments are essential for monitoring your progress and addressing any concerns you may have. Don’t hesitate to ask your surgeon or their team any questions you have about your recovery.

Contact us if you have further questions.