Mastoidectomy

ʻO kahi mastoidectomy kahi ʻoki e wehe i nā pūnaewele i loko o ka hollow, nā wahi i piha i ka ea i ka iwi poʻo ma hope o ka pepeiao ma loko o ka iwi mastoid. Kapa ʻia kēia mau hunaola i nā ʻea ea mastoid.

ʻO kēia ʻoki kino he ala maʻamau ia e mālama ai i kahi maʻi i nā hunaola ea mastoid. I ka hapanui o nā hihia, ua hoʻokumu ʻia kēia ʻano e ka maʻi pepeiao i hohola ʻia i ka iwi i ka iwi poʻo.

E loaʻa iā ʻoe ka anesthesia laulā, no laila e hiamoe ʻoe a manu ʻole ka ʻeha. E ʻoki ke kaukōpō ma hope o ka pepeiao. E hoʻohana ʻia kahi drill iwi e kiʻi ai i ka hakahaka o ka pepeiao waena ma hope o ka iwi mastoid ma ka iwi poʻo. E hoʻoneʻe ʻia nā ʻāpana maʻi o ka iwi mastoid a i ʻole ka pepeiao pepeiao a humuhumu ʻia ka ʻoki a uhi ʻia me kahi kaula. Hiki i ke kaukipoki ke waiho i kahi kahe ma hope o ka pepeiao e pale ai i ka wai mai ka hōʻiliʻili ʻana a puni ka ʻokiʻoki. Lawe ka hana i 2 a 3 mau hola.

Mastoidectomy hiki ke hoʻohana ʻia e mālama ai:

• Cholesteatoma
• Nā pilikia o kahi maʻi pepeiao (otitis media)
• ʻO nā maʻi o ka iwi mastoid ʻaʻole maikaʻi me nā lāʻau ʻalopiko
• E hoʻokau i kahi implant cochlear

Pākuʻi ʻia paha nā pilikia:

• Hoʻololi i ka ʻono
• Puʻupuʻu
• Lohe hoʻolohe
• ʻO ka maʻi e hoʻomau a hoʻi mau paha
• Noises i loko o ka pepeiao (tinnitus)
• Nāwaliwali o ka maka
• Kulu kahe o Cerebrospinal

Pono paha ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau e paʻakikī i kou koko ke kāpili i 2 mau pule ma mua o kou ʻoki ʻana, e like me ka aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), a me kekahi mau mea hoʻopili lāʻau. E noi paha kāu mea mālama ola iā ʻoe ʻaʻole e ʻai a inu paha ma hope o ke aumoe i ka pō ma mua o ke kaʻina hana.

E loaʻa ʻoe i nā humuhumu ma hope o kou pepeiao a aia paha kahi kahe wai liʻiliʻi. Hiki paha iā ʻoe ke ʻaʻahu nui ma luna o ka pepeiao i hoʻohana ʻia. Lawe ʻia ka lole i ka lā ma hope o ke kaha ʻana. Pono ʻoe e noho i ka haukapila i ka pō. E hāʻawi kāu mea hāʻawi iā ʻoe i nā lāʻau ʻeha a me nā lāʻau ʻaloʻalo e pale aku ai i ka maʻi.

Hōʻaleʻa maikaʻi ʻo Mastoidectomy i ka maʻi i ka iwi mastoid i ka hapa nui o nā kānaka.

Mastoidectomy maʻalahi; Mastoidectomy pā paia-ʻalalā; Mastoidectomy pā paia-ʻalalā; Mastoidectomy radical; Hoʻololi i ka mastoidectomy radical; Hoʻopau iā Mastoid; Retrograde mastoidectomy; Mastoiditis - mastoidectomy; Cholesteatoma - mastoidectomy; ʻO Otitis media - mastoidectomy

• Mastoidectomy - moʻo

Chole RA, Sharon JD. ʻO ka media otitis maʻamau, mastoiditis, a me petrositis. I: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 140.

ʻO MacDonald CB, Wood JW. ʻOki kino Mastoid. I: Myers EN, Snyderman CH, eds. ʻOihana Otolaryngology - Ke poʻo o ke poʻo a me ka ʻāʻī. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier Saunders; 2018: chap 134.

Stevens SM, Lambert PR. Mastoidectomy: nā hana ʻoki. I: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 143.