Chronic ear infections can lead to serious complications, especially when left untreated. One such condition is mastoiditis, which may require a surgical procedure known as mastoidectomy. In Islamabad, patients have access to some of the most advanced ENT (Ear, Nose, and Throat) surgical care in Pakistan, with experienced specialists, state-of-the-art facilities, and affordable treatment plans.
This article explores the mastoidectomy procedure, its cost in Islamabad, top ENT surgeons and clinics, recovery process, and what to expect before and after surgery.
What Is Mastoidectomy?
Mastoidectomy is a surgical procedure used to remove infected air cells from the mastoid bone, located just behind the ear. These infections often result from untreated or chronic otitis media (middle ear infections), and in severe cases, can lead to abscesses, hearing loss, or even brain infections.
The procedure is often performed to:
Treat chronic ear infections that don’t respond to medication
Remove a cholesteatoma (a destructive skin growth in the middle ear)
Prevent complications such as meningitis or hearing loss
Improve hearing in conjunction with tympanoplasty or other middle ear procedures
Types of Mastoidectomy Procedures
Depending on the severity of the infection and the extent of bone involvement, surgeons in Islamabad perform several types of mastoidectomy:
| Type of Mastoidectomy | Description |
|---|---|
| Simple (Cortical) Mastoidectomy | Removes infected mastoid air cells without disturbing the ear canal. |
| Radical Mastoidectomy | Removes the mastoid bone, ear canal, and tympanic membrane; used for extensive infections. |
| Modified Radical Mastoidectomy | Removes diseased tissue but preserves parts of the ear canal to retain some hearing. |
| Canal Wall-Up / Down | Determines if the ear canal wall is preserved or removed. This affects healing time and future care. |
ENT specialists in Islamabad evaluate each case using imaging (CT scans) and audiometry to recommend the most suitable approach.
Mastoidectomy Cost in Islamabad (2025 Estimates)
One of the most common concerns for patients is cost. Fortunately, Islamabad offers a wide range of pricing options depending on the hospital, surgeon, and procedure type.
| Facility / Provider | Estimated Cost (PKR) |
|---|---|
| Private Clinics (Basic Mastoidectomy) | 100,000 – 180,000 |
| Advanced Hospitals (Modified/Radical) | 180,000 – 250,000 |
| Charity/Trust Hospitals (Indus / PIMS) | 50,000 – 100,000 |
| With Cochlear Implant Add-On | 2M – 3.5M (if applicable) |
Mastoidectomy: What to Expect Before, During, and After Surgery
Pre-Surgical Evaluation:
ENT consultation + physical exam
Audiometry (hearing tests)
CT scan of the temporal bone
Medical history review, especially infections and antibiotic response
The Procedure:
Performed under general anesthesia
Takes approximately 2–3 hours depending on complexity
Small incision made behind the ear to access the mastoid bone
Diseased air cells or cholesteatoma removed
Ear is closed with sutures and dressing
Recovery Timeline:
Hospital stay: 1–2 nights
Back to normal activities: 1–2 weeks
Complete healing: 6–8 weeks
Follow-up: Regular checkups for 3 months post-op
Hearing may improve or stabilize depending on inner ear involvement
Risks & Complications of Mastoidectomy
Though safe when performed by skilled surgeons, like any surgery, mastoidectomy carries risks:
Facial nerve injury
Hearing loss or tinnitus
Dizziness or vertigo
Infection or delayed wound healing
Recurrence of cholesteatoma
CSF (cerebrospinal fluid) leak (rare)
Choosing a qualified ENT specialist and adhering to post-operative care can significantly reduce these risks.
Tips for Patients Considering Mastoidectomy in Islamabad
Choose a Surgeon, Not Just a Hospital
– Your outcome depends heavily on the experience of the ENT surgeon.Get a Second Opinion
– Especially if the surgeon recommends radical mastoidectomy or extensive reconstruction.Ask About Canal Wall Preservation
– Canal wall-down procedures may require more follow-up and ear cleaning.Plan for Aftercare
– Some surgeries require long-term monitoring and hearing evaluation.Check for Insurance or Sponsorships
– Some hospitals accept corporate health insurance or provide charity-based treatments.
Conclusion: Is Mastoidectomy in Islamabad Right for You?
If you’re dealing with persistent ear infections, hearing issues, or have been diagnosed with cholesteatoma or mastoiditis, consulting an ENT surgeon in Islamabad is the right next step. With internationally trained specialists, top-tier surgical equipment, and pricing to suit every budget, Islamabad offers advanced ENT surgical care, including safe and effective mastoidectomy procedures.