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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Ear Infection

hello i had a canaloplasty, mastoiductomy and tympanoplasty last week. however, it was revealed during the surgery that granuloma tissues that were spotted in the mastoid proccess were extending to the inner ear as well, and those were not removed due to fear of more complications of the inner ear mechanism. is it safe to keep the granulomas attached to the inner ear ? are inner ear surgeries to remove granuloma considered safe? what are the potential complications and risks if left like this? To give u a history, i had ear infections right from childhood and due to itching very often, i had the habit of using ear buds atleast once a day for sure. the itching is always to a point only, which created a retraction pocket in the ear drum. as discharges got frequent that did not subside even after repeated antibiotics usage, i met a surgeon who took a ct to confirm that the honeycomb cells in the middle ear are fully covered with pus/infection/tissue and that a surgery was required to be carried out to remove the granuloma tissues of the middle ear. however, the ct did not reveal that the granuloma was going into the inner ear also, which was visible only through the microscope and during the surgery. i get buzzing sound of the ear even after the surgery (today is the 8th day of the surgery).
Thu, 25 Jan 2018
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ENT Specialist 's  Response
Nothing to worry. Keeping some granulation tissue attached to inner ear during surgery is a right practice. Unnecessary handling of inner ear may leads to devastating complications. Involvement of inner ear leads tinnitus. Small granulation may not cause any problem in future forming cholesterol granules. You need periodic follow up for mastoid cavity care and inspection of rare recurrence. Hope get well soon.
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Suggest Treatment For Ear Infection

Nothing to worry. Keeping some granulation tissue attached to inner ear during surgery is a right practice. Unnecessary handling of inner ear may leads to devastating complications. Involvement of inner ear leads tinnitus. Small granulation may not cause any problem in future forming cholesterol granules. You need periodic follow up for mastoid cavity care and inspection of rare recurrence. Hope get well soon.