Bloody drainage from the ear is also normal for . However, its important to be aware of the risks of the procedure. ,tiXs6,Q4. Next ear will be done in 2-3 months (just how my schedule worked out). The rim around the perforated eardrum is tidied with an instrument. You should plan to take 2 weeks off work following the operation. It may come back periodically (recur) in some individuals. << /Length 5 0 R /Filter /FlateDecode >> In the rare cases when this does happen it will usually settle down with time. The purpose of surgery can include: Repair eardrum Establish a clean dry ear Remove infection or skin cyst (cholesteatoma) However, most of the. Ive had 3 of these ops back in the 90s. We also use third-party cookies that help us analyze and understand how you use this website. Mastoidectomy is usually performed to treat a condition called cholesteatoma. Hearing is likely to get affected after surgery, especially if the hearing bones were affected but failed to be reconstructed during surgery. You may be instructed to remove a wrap-around dressing 24-48 hours after surgery if this was utilized, i.e. If a PE tube has been placed, this restriction may not be necessary. FIJp`Z JvD2" =aAG=^[6^mMGbIurN+7|eG9&)Gsra"tC[sgm8"e.Z1wM7+CxvdxaZh{ /qTa0 [3 A2 =`f#xpLriZ^~LJWXJ&|KQ@8N.1+7.St/,Ql\dT)X>XBJ^9nXDR3-5|l,-8p1Le%aUF.2Kg DA=lBuP*y3 *u\{S6W`(90&=bv*om8l$'w\@o_jXcgzd/i~Gt/I^&g0q'7 t-7I6(Yz-D)q#TWk{9`_v:K7{L;bJ>t,q>UnIOu~V*5USdA7Iq5DP =*@<=~P. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". This is a small electronic device that helps people hear. 8 What is the difference between radical and modified mastoidectomy? This approach does not allow visualization of the ossicular chain. This cookie is set by GDPR Cookie Consent plugin. Occasionally, an emergency mastoidectomy is done for patients with acute mastoiditis, a severe ear infection that can lead to serious or even life-threatening complications. Bleeding / Drainage:A thin bloody discharge can be expected from the ear canal for several days. Conclusion: Radical mastoidectomy has a least negligible effect on hearing status and one should not limit this technique due to the concern of aggravated hearing in patients with extensive cholesteatoma at the cost of dry and safe ears, which should be of prime importance. A mastoidectomy intends to create a safe and dry ear by preventing further complications of mastoiditis or hearing damage. We have a doctor on call 7 days a week. Meatoplasty makes the opening into the ear canal (meatus) larger. This almost always settles, but may take a few weeks or months to do so. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. Once youre home, youll need to keep the incision area dry and avoid getting water in the recovering ear. Some are more extensive than others. All rights reserved. The canal skin is then replaced, and the canal packed with gauze piece.. We then stitch up the incision. Mastoidectomy Handout prepared by Dr N Agar - Austin Hospital ENT Registrar 2008 1 What is a mastoidectomy? {c>fE{]WMvi)C)21 lll7 ,6lTb[e7s{vu]}wsGvxV Y0":4rbm:$P-9L{k{6jq:[fWMU|6 \ v1zS-eEv~U52!$/ABl5Zf]01o[`n~xs1O+KZy7^Wp..P3A$eC.&n[zSFVYGs_LVYov KSRiyY'S/h |7|K]J,&c(Q_\}Bh] qOxBAO:R/d `>^*o93EjWB/^A0P*m)4bYyU/)17&W @\X: J!6&=^l+8$ R1)LHO 6Ho*Hh^kr[cTTl6&dL(*0:87e@78JzZm]uZ\=C>>_0 )>PC/,O| G FOP}*o!!T(-TJ"y@z9jQZ^W|B~XRnv(6^b5-QL! Tympanoplasty and Mastoidectomy recovery typically involves 1-2 weeks off of work or school. This is a less intense form of radical mastoidectomy that entails drilling out and removing the diseased mastoid air cells. Patients with cholesteatoma often have anassociatedhearing loss. A1. WebMD does not provide medical advice, diagnosis or treatment. It is rare and can be life threatening without treatment. It is normal for a sense of fullness or hearing loss to be present for up to a month or two after surgery. Water should be kept out of the ear canal for one month or until the doctor gives permission. Unfortunately, some hearing loss is common with canal wall down or radical mastoidectomy. The bandage will be removed before you go home. We normally arrange for you to be fitted with a custom made ear plug for this. Avoid getting water in your ear until youre advised. The ear is also much more likely to clean itself of wax. How long is recovery after mastoidectomy? The eustachian tube is often obliterated with soft tissue to reduce the risk of a chronic otorrhea. Chronic or recurrent middle ear infections, Cholesteatoma (a noncancerous skin growth in the middle ear behind the eardrum, or in the mastoid bonecan weaken and erode the eardrum, causing it to rupture), To place a cochlear implant in patients with severe hearing loss, As part of another ear surgery to gain access to the middle ear, such as surgery on the three tiny ossicles (bones) of the middle ear. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Smoking Pot Every Day Linked to Heart Risks, Artificial Sweetener Linked to Heart Risks, FDA Authorizes First At-Home Test for COVID and Flu, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox. During the surgery the facial nerve is monitored to prevent injury. Hence, its normal to experience some bloody fluid draining from your ear for 1 to 2 days after the gauze is taken out. This is a similar operation to the first one, with a similar recovery period. I had my surgery in April. You also have the option to opt-out of these cookies. Because the surgeon will use general anesthesia to perform the procedure, youll also need to arrange for a ride to and from the medical facility. After the procedure, youll have stitches behind your ear. When you take a shower or bath, use a cotton ball lightly moistened in petroleum jelly to keep water out. This surgery isnt as common as it used to be. xn$Gr) O^vEBl ek!~dUV{E@+q%sKVnU^mo! It is sometimes necessary to use further courses of antibiotics while the ear is healing. There is also a chance of complete loss of hearing in the ear, although this chance is extremely small. View Frank Gaillard's current disclosures, View Yuranga Weerakkody's current disclosures, see full revision history and disclosures. This is to reduce the risk of bleeding or extensive bruising. Activities:No straining, heavy lifting or strenuous activities, particularly after stapedectomy, until the doctor gives permission to resume usual activities. The operation is carried out under a general anaesthetic (you are completely asleep). Inside the skull is a thick, fibrous layer called the dura, which protects the brain and seals in the fluid that bathes the brain (cerebro-spinal fluid). This approach is often technically more challenging, as the amount of space in which the surgeon has to work is generally less. Who Are the Candidates for Tympanomastoidectomy? An initial follow-up appointment should take place one week after surgery for suture removal, after which most normal activity can resume. This operation involves an incision behind the ear and drilling through a part of the skull . Tympanoplasty and mastoidectomy are procedures designed to remove infection from a chronically diseased ear and repair and rebuild the eardrum and little bones of hearing. The mastoid bone looks like a honeycomb, and the spaces are filled with air.. The effects of thiscould range from a mild weakness of one side of the face that improves on its own in a few weeks to, in the worst case, a complete permanent paralysis of one side of the face. This may include not taking certain medications for a short time and not eating or drinking after midnight before the day of the surgery. This procedure is reserved for complicated mastoid disease. It can be normal to have a low-grade fever for up to a week after surgery. That is why we prescribe painkillers, give you antibiotics ear drops and pills to prevent or treat any infection, and ask you to schedule a follow-up appointment for a wound check and to remove any bandages and stitches. A mastoidectomy is a procedure performed to remove the mastoid air cells, [1] air bubbles in the skull, near the inner ears. In order to have a mastoidectomy, it is best to consult an ENT doctor. If this does happen it will, again, usually settle with time. To request permission for publication or commercial use please contact Christine Gralapp (eyeart@chrisgralapp.com,https://www.chrisgralapp.com). Nausea/vomiting occur in about Nausea/vomiting occur in about 10% of patients the day of surgery. AJR Am J Roentgenol. Leaving the ear canal intact means that it is much more likely that your ear would be waterproof - in other words you would not normally need to wear an ear plug for swimming, showering or bathing. The cookie is used to store the user consent for the cookies in the category "Analytics". What is the difference between radical and modified mastoidectomy? These cookies ensure basic functionalities and security features of the website, anonymously. Mastoidectomy indications are any signs, symptoms, or conditions that may lead a doctor to recommend the procedure. Potential Complications of Tympanomastoidectomy. 2005 - 2023 WebMD LLC. It is apparent from our study that patients with canal wall down mastoidectomy pose a significant workload to . There are a number of other factors we also have to take into account. 1. While the pack is in place, the hearing in that ear will be reduced. 1994;163 (6): 1467-71. This is in addition to the planned re-look surgery associated with intact canal wall procedures (please see above). What Are the Potential Risks of a Mastoidectomy? A small amount of skin redness, irritation, discomfort and itching can be expected during the healing process. % Tylenol is encouraged for mild to moderate pain, and has fewer risks than narcotic medication. Thereis currently no way of treating cholesteatoma other than with surgery. If you have to sneeze during the recovery period, do so with your mouth open. Tympanoplasty and Mastoidectomy recovery typically involves 1-2 weeks off of work or school. after mastoid surgery. DSC#{PVgZMqjU'K! Phone: (770) 345-6600 The cholesteatoma has grown to fill the mastoid, and is . What are the side effects of a Mastoidectomy? stream At the time the article was last revised Yuranga Weerakkody had Update!! Fax: (770) 345-6611 6300 West Parker Road 7515 Greenville Avenue . The cookie is used to store the user consent for the cookies in the category "Other. Both types of radical mastoidectomies result in less than normal hearing. Bayrak AF, Olgun Y, Ozbakan A, Aktas S, Kulan AC, Kamaci G, Demir E, Yilmaz O, Olgun L. The Effect of Insulin Like Growth Factor-1 on Recovery of Facial Nerve Crush Injury. It is very delicate, intricate surgery and usually takes between 2 1/2 and 3 hours. Newer mastectomy techniques help preserve breast skin and give the breasts a more natural appearance following the procedure. HOPE THE SURGERY GOES WELL FOR YOU. The ear and mastoid bone are extremely close to the inside of the skull and thebrain. .`sg0`fy'g"RkH(kbkaNs~V|~B/Yqz?3bMUMp$fG;.p(L^z`gf`KZ]l S,x^Oz3}x&+?uYS)(OMhr,03y.fON=cf$8qt:;{`6P8MX>9K30t JJ6 M .XKKhv]kxYkYsM8n This may last for several weeks and improve on its own. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. However, when your pain begins to lessen, try to reduce your pain medication use. Your doctor will let you know if a mastoidectomy seems like a good idea, depending on your medical history and other factors. National Health Service: Cholesteatoma., Nationwide Childrens Hospital: Ear Surgery: Care after Tympanoplasty and/or Mastoidectomy.. While we take all precautions to prevent it, should an infection occur, long-term antibiotics become mandatory. APPLE SAUCE, BANANAS and BERRIES. We encourage use of our illustrations for educational purposes, but copyright permission should be sought before publication or commercial use. The surgery is generally safe and uncomplicated. Traumatic, Postoperative, and Noninflammatory Nonneoplastic Conditions. We have listed some common factors you should consider . Do not lie on the side of surgery until this is authorized by your physician. Sounds may echo, or you may not hear well because of blood, fluid, or bandages in your ear. By clicking Accept All, you consent to the use of ALL the cookies. Also, if you use earplugs, choose the ones of the silicone variety. There is a small chance of causing some noises in the ears (tinnitus) or making pre-existing tinnitus worse. A number of procedures have been described, commonly divided into. What will happen after a mastoidectomy: Your surgeon will check your facial movements and the feeling in your face. Where is the mastoid located in the skull? You may also place earplugs in the very outside of your ear, but be sure NOT to place anything inside your ear canal. A mastectomy is a surgery intended to remove all breast tissue from a breast to treat or prevent breast cancer. IT IS NOT IN ANY WAY A SUBSTITUTE FOR A SPECIALIST CONSULTATION. Phone: (770) 345-6600 Because of this, you would need to commit to having a second operation between 9 and 12 months after the first one to check that the cholesteatoma has not come back. %PDF-1.3 An initial follow-up appointment should take place one week after surgery for suture removal, after which most normal activity can resume. Some of the more common complications include: infection which may extend to the membranous labyrinth (labyrinthitis), ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. [1] Canal wall up mastoidectomy preserves the posterior bony external auditory canal, which separates the ear canal from the mastoid cavity. The infection or growth is then removed. To many burst ear drums and infections. What is the recovery time for a mastoidectomy? At the time the article was created Frank Gaillard had no recorded disclosures. Cholesteatoma. Copyright 2018. THIS TYPE OF EAR SURGERY MAY BLEED MORE AND SATURATE THE DRESSING. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. It may be done if tiny air cells in the bone become infected or damaged. How do I choose between my boyfriend and my best friend? 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). On the day of the surgery, youll receive general anesthesia, so you wont feel any pain during the operation. Similar to a simple mastoidectomy in that the lateral wall of the mastoid is removed and the posterosuperior wall of the external acoustic meatus is preserved 1. Hi All, I'm new to this post and website. If the pack falls out within the first 10 days after the operation it is important that you get in contact, either via the ward or the appropriate secretary, as it may need replacing. Hearing:Absorbable packing may be present and decreased hearing may persist for one or two months. Tinnitus, which is the ringing or buzzing in your ears, may also become more noticeable after tympanomastoid surgery. Packing will be removed periodically as the ear heals. Packing will be removed periodically as the ear heals. The lateral wall of the mastoid is removed. We will, of course, be happy to discuss this with you. The goal is to keep your ear dry while avoiding any pressure on the dressing at the same time. ENT said continue the Abt drops and come back in August. What is the recovery time for a mastoidectomy? Overall, a mastoidectomy takes about 2 to 3 hours. THE DRESSING CAN BE REINFORCED. The mastoid air cells are open spaces containing air that are located throughout the mastoid bone, the prominent bone located behind the . The incision is likely to be sore, and you might experience a feeling of stuffiness inside your ear. Cholesteatoma can come back (recur) in two different ways. Phone: (770) 345-6600 This page should be read in conjunction with the page about cholesteatoma. Clin Exp Otorhinolaryngol 2017; 10: 296-302; A2. What kind of procedure is a mastoidectomy? Mastoidectomy resolved the disease in 13 patients (9 with complications). Otherwise, the operated ear should be kept dry. The type of mastoidectomy your doctor recommends will depend on several factors, including: More extensive procedures, like radical or modified radical mastoidectomies, require more follow-up appointments for mastoid cleanings. When the drainage stops, the ear should be exposed to the air as much as possible. not to swim or fly in an airplane until healing occurs (which can take anywhere from 4 to 6 weeks after surgery). View Jasper Directions & Hours, Riverstone Medical Campus Plano, TX 75093 Dallas, TX 75231 Mastoidectomy is a fairly frequent procedure performed for a variety of temporal bone pathologies including mastoiditis and cholesteatoma. ONE CAN BLEND SOME FRUITS WITH ICE FOR A COOL SMOOTHIE DRINK. For emergent questions, call our office and our answering service will page the doctor on call. Call The Ear Institute Center for the Ear, Hearing, & Balance at 760-565-3900 for more information or to schedule an appointment. We normally tell patients to expect their hearing to be roughly the same after the operation (once the ear has healed) as it was before. It involves removing part of the bony wall of the mastoid to aid in drainage and surgical excision. Mastoiditis is a serious infection of the mastoid, the hard, prominent bone just behind and under the ear. Packing will be removed periodically as the ear heals. They may need to call 911 when you cannot. In some cases, they may give you prescription pain medication and antibiotics to prevent infection. There is a small chance that further surgery will be necessary. If it becomes thick yellow or green, please call our office. Do not blow your nose vigorously for one month after surgery. I DID FIND THIS - HOPE IT HELPS A LITTLE. However if there is a lot of discharge or if it starts to smell offensive you may have an infection and should either consult your GP or get back in contact directly. Last full check up on 2009 was clear . The nerve that moves the muscles on that side of your face also passes through the mastoid bone, very close to where we are operating. If you have a sedentary job or can work from home you may be able to return to work sooner if you wish, but if you have a physically demanding job you may need a little longer. IlS%X'zTm`27"^Z9ix{?p`,^ubpN/)Na-{t^ZX6 l#[P(B2jf1-@8]UQ`Mybcqb a The surgeon will make a cut behind the ear. Generally speaking, if you have recurring ear infections or you're experiencing complications due to chronic ear infections, a mastoidectomy may be your best treatment option. You may be given a prescription for ear drops to use as directed, sometimes for up to 2 weeks. The cookie is used to store the user consent for the cookies in the category "Performance". During this time, it will keep absorbing some blood-stained fluid until its removed. This photograph shows a typical cholesteatoma that has eaten into the bone, wrapped around the incus (hearing bone), and collected layers of dead skin. This may vary with the cause of the condition, the severity of the problem, and whether or not theres an infection. A simple mastoidectomy consists of opening the mastoid cortex and identifying the aditus ad antrum. facial nerve paralysis or weakness, which is a rare complication caused by facial nerve injury. A mastoidectomy is performed with the patient fully asleep (under general anesthesia). These cookies will be stored in your browser only with your consent. You may experience some numbness of the top part of the external ear (pinna), which may take a few weeks or months to settle. Mastoid Obliteration. If, however, the cholesteatoma has recurred, we may then be left with the choice of either converting the ear to a mastoid cavity (see above) or possibly committing to one further operation in another 9-12 months. I needed painkillers for about a week. During the healing phase, which may lastseveral weeks,you may experience intermittent discharge from the ear. Report any persistent temperature above 101.5 degrees 1 hour after Tylenol or pain medication is given. Hearing and balance are closely related, and there is a small chance of the surgery causing dizziness (vertigo) or balance problems. PLEASE TRY TO MINIMIZE NARCOTICS. The potential complications include: Before a mastoidectomy, youll need to follow any pre-op instructions your doctor gives you. Infection may rarely develop after surgery. Mastoiditis can be cured if treated with antibiotics right away. To request an appointment or connect with our team, please complete the form below. Fluids and Diet:Drink fluids throughout the day. %PDF-1.3 This page should be read in conjunction with the page about cholesteatoma. Dizziness with or without nausea and vomiting are common immediately after ear surgery. The mastoid is a honeycomb-shaped sponge-like bone structure located as a part of the skull behind the ear. An initial follow-up appointment should take place one week after surgery for suture removal, after which most normal activity can resume. The cholesteatoma is removed, the ear drum is usually repaired, and if possible the hearing mechanism is reconstructed. As with almost any surgery there is a small risk of infection, bleeding, extensive bruising or a scar that is prominent or heals poorly. On the negative side, my hearing has not improved at all, and I still have numbness on that side of my head. Its filled with air cells made of bone and looks like a honey comb. You will be given some pain relief to take home. The pack is important because it holds the ear drum back in place and stops the ear canal from narrowing down as a result of scarring. This is a different type of procedure from the one described below. A mastoidectomy is a surgery to remove part of the mastoid bone just behind your ear. Types of mastoidectomy A number of procedures have been described, commonly divided into "simple" *L-EfC\77AI/4') KqO'6o4 <5?rfl24'9[=*LT|fUnW#l54Ml?\bNPF1mo8O*6",XE*8&_x5v!CPOcUB =]lS&=47)V!i3]'5=*%3~QtlqSLM#[nbr/0G&(GkX=0,x%,}6e^hQG8?x\LxA;%/k^[= vcf{u]jB5*f^]}c{5Me3}\P=W`!bl:q`J''pU.7&xR}Vp.#Y-uV{TZsFa8E:4t6^%J wcP()0L9#|}miUAW[G\sMSv)xyTc x{tIy>Nw,F3^U8?E@$ROa:70XZvBE F|Y.cz3dvA[1cIjPa@0P1_:e*-NhJwq)q}daRjQPu)=AmQ]8m:fsjyX#/'Ox}J]oM 2HS3wbY\kE^ b Mastoidectomy is a typically an elective surgical procedure; that is, scheduled at the patients convenience. However, there is an increasing tendency amongst otologists to practice intact canal mastoidectomy. I'm also hoping to get some advice as to what others have done to relieve some of the symptoms associated with Chronic otitis externa or media. Because the sutures are dissolving and buried under the skin you will not need to have any sutures removed. This cookie is set by GDPR Cookie Consent plugin. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. It does not store any personal data. Press ESC to cancel. http://www.healthatoz.com/healthatoz/Atoz/ency/mastoidectomy.jsp. There is some flexibility in this. Open cavity mastoidectomy has, for a long time been the principal surgical treatment of middle ear cholesteatoma in the United Kingdom. We will guide you through this decision-making process. If this were to happen it would generally be noticed during the operation and the damage repaired. Similarly if the wound or external ear start to look red you should seek medical advice. The main aim of the operation is to remove the cholesteatoma and create a dry, safe ear. . You may also experience some ear pain, headache, and some skin numbness. An ENT doctor is an expert in the diagnosis and treatment of disorders related to the ear, nose, and throat, as well as the head and neck. Thanks. Koa(E[ The cells are open spaces containing air that are located throughout the mastoid bone. As with any surgery, there are some risks involved with a mastoidectomy. Your doctor will let you know when its okay to remove the bandage. Similar to a canal wall up mastoidectomy in that the lateral wall of the mastoid is removed and Koerner's septum is removed creating a communication with the middle ear cavity 1. Sterile bandage is finally placed over the operated site. This surgery used to be a common way to treat an infection in mastoid air cells. You may also have fatigue, muscle aches and a sore throat for 1-2 days. Dr. Jackler and Ms. Gralapp retain copyright for all of their original illustrations which appear in this online atlas. Begin typing your search term above and press enter to search. Mastoidectomy and meatoplasty are types of ear surgery. Suction irrigation is used intermittently to keep the view clear and allow us to work on the targeted site. In most cases, the condition was caused by an ear infection that spread to the bone in the skull. Suite G24 Suite 410 . But opting out of some of these cookies may affect your browsing experience. Youll likely have to stay at the medical facility overnight, but the majority of mastoidectomy post-op care happens at home. Most people can return to work or school in about 1 to 2 weeks. A complete or canal wall up mastoidectomy necessitates removal of all of the mastoid air cells along the tegmen, sigmoid sinus, presigmoid dural plate, and posterior wall of the external auditory canal. Was supposed to have another appointment the following month, but completely forgot my appt and have yet to reschedule. There are variations of mastoidectomy procedures, including: simple mastoidectomy, in which your surgeon opens your mastoid bone, removes the infected air cells, and drains your middle ear radical mastoidectomy, in which your surgeon may remove your mastoid air cells, your eardrum, most of your middle ear structures, and your ear canal. Canton, GA 30114 Mastoidectomy removes part of the mastoid bone (the large bone behind the earlobe). If it persists through the night, call the office in the morning, especially if the nausea is associated with a sensation of spinning or vertigo. Fax: (770) 345-6611 Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. An MRM is a procedure that involves removal of the entire breast including the skin, breast tissue, areola, and nipple along with most of the axillary (armpit) lymph nodes. If you have incisions closed with staples, you may wash and keep the incision clean, apply antibiotic ointment twice daily or as directed. 0zO=V DyEpbqp*00?8mKoy[ >M? Staples are typically removed in one week, usually with minimal discomfort. You may also have a small rubber drain that helps avoid fluid build-up. Temperature:Generally the body temperature does not raise much above 100 degrees following ear surgery. It is often heavily involved in the cholesteatoma, and it may be necessary to cut or remove a part of this nerve. The stitches will dissolve on their own. When you wake up, you can expect to have bandages over your ear and stitches behind your ear. 2. The cookies is used to store the user consent for the cookies in the category "Necessary". The scar is closed with dissolving stitches buried under the skin and a dressing, or "pack" is placed in the ear canal. You may wash your hair the next day provided water is kept out of the ear. CT of the temporal bone: findings after mastoidectomy, ossicular reconstruction, and cochlear implantation. Hopefully other people that are in a similar situation can find this helpful! Proudly Serving Canton and the Surrounding North Georgia Areas for over 20 years! With the surgery we aim to make the hearing loss no worse. Sense of Balance:Your sense of balance, ambulation or mobility may be affected for a few days, occasionally for a week or more. I thought I'd also share my experiences if it helps anyone else in the future. x[}W#Jp'(JJbRVvH93qc2AO_O7lTM$yR6n+i?R>?}W}L%>xR'EJ6e WyYIu}~/QiZDe%w;)|]AB_Jm)mJ.hS%J./!_$N+[Y|bSv,QnS`DNWzJ\=0;aQyYVfH |JiPS;h]cF#xZwvL'