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colour, or it begins to smell unpleasant, you will need to see an ENT doctor. You will need to keep your ear dry until you have seen the doctor. When showering or washing your hair, you should: • put a piece of cotton wool with Vaseline on it in your ear; or • place a plastic cup over your ear. You may need some help. We recommend you have two weeks off work or school. A sick note will be provided on request. Do's and Don'ts: • Don't get your ear wet. • Do check with the ENT doctor if you are planning any air travel. • Don't mix with people who have coughs and colds. • Do sneeze through your mouth, if you can. Sneezing through the nose can cause excess pressure in your ear. • Don't blow your nose for at least two weeks. • Don't touch the dressing inside your ear. • Don't stick anything inside your ear. Comments, compliments or complaints We welcome any suggestions you have about the quality of our care and our services. Contact us: Freephone: 0800 1613997 Phone: 01625 661449 Textphone: 01625 663723 Customer Care, Reception, Macclesfield District General Hospital, Victoria Road, SK10 3BL Email: [email protected] For large print, audio, Braille version or translation contact Patient & Public Involvement on 0800 195 494. NHS Direct (part of NHS Choices) is a 24 hr phone advice service providing confidential health advice and information. Phone: 0845 4647 (Textphone 0845 606 46 47) www.nhs.uk East Cheshire NHS Trust is committed to ensuring that patients and staff will always be treated with dignity and respect. There will be no age, disability, gender, race, sexual orientation or religious discrimination. Mastoidectomy 10287 HIAG 08/2018 Mastoidectomy Patient Information Ward 2 Macclesfield District General Hospital Phone 01625 661002 www.eastcheshire.nhs.uk Ref: 10287 Review: 08/2013 Introduction The mastoid is part of the bone that surrounds the ear. It is filled with many air cells, which can be likened to the appearance of an Aero chocolate bar. If you have repeated ear infections, or a condition in which skin from the outer ear becomes trapped in this area, you may need to have an operation to remove the diseased part of the mastoid. This is to try to get rid of infections and prevent further, more serious complications. Hearing A hearing test will be completed before your surgery. Surgery may not improve your hearing, as the disease can affect the bones which help you to hear. These bones may have to be removed. The operation • A general anaesthetic is usually required. This means you will be asleep during the operation. • You will need to have an empty stomach before surgery. This helps prevent any vomiting while under the anaesthetic. • If your surgery is to be in the morning, no food or drinks containing milk after the midnight before the operation. Water only is allowed until 7 am. • If your surgery is to be in the afternoon, no food or drinks containing milk after 8 am. Water only is allowed until 12 noon. • You will need to stay in hospital overnight following your operation, for observation. • A small incision will be made around the top or back of your ear, so that your ear can be fully explored. The diseased part will be removed. If the eardrum is perforated this may be repaired with a graft. The opening to the ear is made wider, to allow a good view of the operation site after your surgery. Complications There are rare complications with this surgery. Your ENT doctor should have explained these. Please ask if you don't understand anything. After the surgery You may need a drip, until you feel able to drink. Because surgery takes place near the part of the ear that controls your balance, you may sometimes experience mild dizziness and nausea. This should settle quite quickly. Pain You may experience some pain, or a feeling of pressure in the ear. Please tell the nurse, so that painkillers can be given. Dressings • You will have a pack covered in an antiseptic solution in your ear. This will stay in your ear for one to three weeks. • You will have a turban-like bandage around your head. This will stop any bleeding that may occur. The nurse will remove this the day after your operation. • If all is well, you will be allowed to go home the day after your operation. • You will be given an appointment to see the doctor in Outpatients in one week. You will then have your stitches removed and your ear checked. Going home It is a legal requirement that you do not drive for 48 hours following a general anaesthetic, therefore you will need transport home. At home You may have a yellow discharge from your ear. This is due to the packing. However, if it changes