A mastoidectomy is performed to remove infected mastoid air cells resulting from ear infections, such as mastoiditis or chronic otitis, or by inflammatory disease of the middle ear (cholesteatoma). The mastoid air cells are open spaces containing air that are located throughout the mastoid bone, the prominent bone located behind the ear that projects from the temporal bone of the skull.
Sometimes the infection spreads onto the temporal bone. If this occurs, parts of the bone may need to be removed. This results in hearing loss.
There are several types of mastoidectomy.
Simple mastoidectomy: the surgeon opens the mastoid bone, removes the infected air cells, and drains the middle ear
Radical mastoidectomy: the surgeon may remove the eardrum and middle ear structures. Sometimes a skin graft is placed in the middle ear
Modified radical mastoidectomy: this is a less severe form of radical mastoidectomy.
Not all middle ear bones are removed and the eardrum is rebuilt.
Some hearing loss is to be expected with radical and modified radical mastoidectomy.
Dr. Meenesh Juvekar (INDIA)
M.S (ENT), D.N.B, D.O.R.L, M.N.A.M.S
An ENT surgeon of international repute, Dr Meenesh Juvekar completed his MS (Master of Surgery) in ENT from the renowned LMT Medical College, Mumbai in January 1999. He has to his credit, numerous academic achievements some of which include the first place in DNB Examinations of National Board, New Delhi held in May 1999 – he was awarded the Kameshwaran Gold medal for standing first in India. He also secured the third place in MS (ENT) Examination of Bombay University in January 1999.
Currently Dr Meenesh Juvekar is Consultant ENT Surgeon at Bombay Hospital, Mumbai and at Juvekar Nursing Home, Mumbai. He is also Consultant at Fortis Hospital, Mulund. Additionally, Dr Juvekar became the President – Association Of Otolaryngologists – Mumbai at a very young age. He also organised a conference in Hong Kong in the Golden Jubilee Year. He is ex-Associate Professor and Unit Head of Department of ENT at K.J. Somaiya Medical College & Hospital, Mumbai.
Dr Juvekar did his fellowship with Prof. Hildmann, Elisabeth Hospital, Bochum, Germany in Middle Ear surgery, and with Prof. Gubish, Marine Hospital, Stuttgart, Germany, in Rhinoplasty in the year 2000. He attended and assisted various surgeries during that period and also performed cadaveric temporal bone dissection under the guidance of Prof Hildmann, Bochum.
Dr Juvekar is especially popular amongst his students right from the days of his lectureship for his ability to make the subject so simple and easy-to-learn. Not to mention that all this expertise comes from his hard work and the experience that he has gained during his tenure as an ENT surgeon so far. He has conducted numerous teaching programs and clinical courses not only for undergraduate and postgraduate students but also for residents and nursing staff.
He has been invited many times on All India Radio (AIR) to educate the society on noise pollution, deafness and common problems in ear-nose-throat (ENT).
Dr Meenesh has even authored a book titled ‘Short Notes In ENT’ which was released by Padmabhushan Dr. L. H. Hiranandani in 2006. The book is useful for both undergraduate and postgraduates. It covers all the common conditions seen in ENT practice and is also up-to-date with common ENT procedures including the latest in ENT such as LASERS. In all, the book contains 104 topics spanning the entire subject.
