Mastoid Surgery Diagnosis and Tests

The first pillar of diagnosis and tests for mastoid surgery is a meticulous clinical assessment. During the initial consultation, the otolaryngologist gathers a detailed medical history, focusing on ear infections, hearing loss, previous surgeries, and any systemic conditions that could affect healing.

Key Elements of the Clinical Interview

• Duration and frequency of ear discharge or pain.
• History of hearing impairment and its progression.
• Exposure to loud noise or occupational hazards.
• Presence of vertigo, balance disturbances, or facial nerve symptoms.
• Allergies, anticoagulant use, and chronic illnesses (e.g., diabetes).

Physical examination includes otoscopy, pneumatic otoscopy, and tympanometry to assess middle‑ear pressure and mobility. The physician also checks for signs of mastoid tenderness, swelling, or post‑auricular erythema, which may indicate underlying infection or inflammation.

Documentation of these findings creates a baseline for monitoring disease progression and for comparing post‑operative results. At Liv Hospital, the clinical team records all observations in an electronic health record that can be securely shared with international patients and their home physicians.