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What is Cortical Mastoidectomy?

Cortical Mastoidectomy is a surgical intervention specifically designed to remove the infected air cells from the mastoid bone situated behind the ear. This procedure is critically important for addressing severe ear conditions such as cholesteatoma, chronic otitis media, and mastoiditis, where the infection extends into the skull.

The necessity of this surgery arises when less invasive treatments prove ineffective. It plays a vital role in eliminating the infection, preventing the onset of further complications, and enhancing the patient’s overall quality of life.

The surgical process begins with the administration of general anaesthesia, followed by making an incision behind the ear to reach and excise the infected cells. Post-operation, the focus shifts to recovery, which involves suturing and dressing the wound and allowing ample time for healing. This careful approach ensures that the area heals properly, minimising the risk of recurring issues.

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Cortical Mastoidectomy Cost in India

The cortical mastoidectomy cost in India varies significantly based on a variety of factors, including the type of hospital, the city in which the surgery is performed, and the surgeon’s expertise. Generally, the cost ranges between 55000 to 75000. This range encompasses everything from pre-surgery consultations to post-operative care, making it crucial for patients to understand the cortical mastoidectomy cost breakup. 

This breakup typically includes surgeon fees, hospital charges, anaesthesia costs, and any additional diagnostic tests needed before the procedure. 


For the most accurate and personalised cost estimate, it is essential to consult directly with healthcare providers, as prices can fluctuate based on individual circumstances and the specific needs of the surgery.

Types of Cortical Mastoidectomy

  • Simple Mastoidectomy: This form targets the removal of mastoid air cells while preserving the integrity of the middle ear structures. It is typically employed when the infection is contained and less extensive surgery is required.
  • Radical Mastoidectomy: In more severe cases, this type of surgery may be necessary. It involves the removal of both the mastoid air cells and most of the middle ear structures, which might be affected by the infection or disease. This is often reserved for the most complicated cases where extensive removal is necessary to manage the disease.
  • Modified Radical Mastoidectomy: Serving as a compromise between the simple and radical approaches, this procedure involves removing the mastoid air cells and some, but not all, of the middle ear structures. It aims to eradicate the disease while trying to preserve as much of the middle ear’s functionality as possible

Factors Influencing Cortical Mastoidectomy Cost in India

The cortical mastoidectomy cost is influenced by a myriad of factors, each contributing uniquely to the total expense of the procedure. Understanding these factors can help patients prepare financially and set realistic expectations about the costs involved. Here are ten critical factors that play a role in determining the cost:

  • Type of Mastoidectomy Performed: The specific type of cortical mastoidectomy—simple, radical, or modified radical—significantly impacts the cost. More complex surgeries like a radical mastoidectomy typically cost more due to the increased time, precision, and resources required.
  • Surgeon’s Expertise and Qualifications: Highly experienced and well-regarded surgeons often charge more for their services. Their expertise can also influence the success rate of the surgery, potentially justifying the higher costs.
  • Hospital Reputation and Accreditation: The choice of hospital is a significant factor. Premier hospitals in major cities with state-of-the-art facilities and high standards of care generally have higher pricing structures.
  • Location of the Hospital: The geographical location of the hospital affects the cost, with hospitals in metropolitan areas like Mumbai and Delhi generally charging more than those in smaller cities, due to higher operational costs and demand.
  • Duration of Hospital Stay: Extended hospital stays can increase the overall cost. This might be necessary depending on the patient’s health post-surgery and the complexity of the procedure.
  • Anaesthesia Fees: The cost of anaesthesia depends on the duration of the surgery and the type of anaesthetic used. Longer operations require more anaesthesia, which can increase costs.
  • Medical Tests: Prior to the surgery, several diagnostic tests are required, such as CT scans, MRIs, and blood tests. The costs of these tests vary but can add significantly to the total expense.
  • Post-Surgical Care: After the surgery, costs can accrue from follow-up visits, medications, and any additional treatments needed to manage complications or infections.
  • Insurance Coverage: The extent to which insurance covers the cortical mastoidectomy can vary widely. Patients need to carefully review their policies to understand what is included and whether pre-authorization is needed.
  • Additional Procedures: Sometimes, additional procedures are necessary during the surgery to address unforeseen complications or related conditions. These can increase the overall cost.

Each of these factors contributes to the cortical mastoidectomy cost breakup and should be carefully considered when planning for surgery.

Additional Costs Associated with Cortical Mastoidectomy

When considering the cortical mastoidectomy, it’s important to account for not only the surgery itself but also the various additional costs associated with the procedure. These costs can significantly affect the overall financial planning for the surgery. Here are ten additional costs to consider, each accompanied by a cost estimate based on current rates in India:

  1. Pre-Surgical Consultations: Prior to surgery, multiple consultations with ENT specialists are required to evaluate the patient’s condition and plan the procedure. Each consultation can cost between ₹500 to ₹1,500.
  2. Diagnostic Tests: Essential tests include CT scans, MRIs, audiometry, and blood tests. The costs can range as follows:
    • Blood tests: ₹300 – ₹500
    • Audiometry: ₹500 – ₹1,000
    • Tympanometry: ₹500 – ₹1,000
    • Imaging tests (CT, MRI): ₹1,500 – ₹5,000
  3. Surgical Equipment and Supplies: Specialised tools and supplies used during the surgery can add to the cost. This might include specific drills and suction devices, which can add approximately ₹10,000 – ₹15,000 to the total.
  4. Anaesthesia Fees: Depending on the complexity and duration of the surgery, anaesthesia costs can range from ₹5,000 to ₹10,000.
  5. Operating Room Charges: The cost for the use of the operating room varies by hospital but typically ranges from ₹20,000 to ₹30,000.
  6. Hospital Stay: The cost for a hospital stay post-surgery can vary widely, with private rooms costing more than general wards. Overnight stays can range from ₹2,000 to ₹10,000 per night, depending on the facility.
  7. Post-operative Care: This includes medications, pain management, and wound care supplies. The average cost for post-operative medications and supplies can range from ₹2,000 to ₹5,000.
  8. Follow-up Visits: Post-surgery follow-ups are crucial for successful recovery. Each follow-up visit might cost between ₹500 to ₹1,500.
  9. Physical Therapy: If needed, physical therapy sessions to aid recovery could cost around ₹800 to ₹1,500 per session.
  10. Unexpected Complications: Any complications that arise could lead to additional treatments or extended hospital stays, significantly increasing costs. It’s essential to have a contingency budget that might add an additional 10-20% of the total estimated surgery cost.

Each of these factors adds to the cortical mastoidectomy cost breakup and can influence the success rate of the procedure by ensuring comprehensive pre and post-operative care. When planning for cortical mastoidectomy, it’s crucial to consider these additional expenses to have a complete picture of the financial implications of the surgery.

Is Cortical Mastoidectomy Covered Under Insurance?

Cortical mastoidectomy is a medical necessity and hence typically covered under insurance. When considering whether the cortical mastoidectomy cost in India is covered by insurance, it’s crucial to understand the specifics of your health insurance policy. 

  • Policy Terms: Always review your insurance policy to understand coverage specifics, including exclusions or limits on surgical procedures.
  • Pre-authorisation: Obtain pre-authorisation from your insurer by submitting necessary documentation like a doctor’s recommendation and diagnostic test results, proving the surgery’s medical necessity.
  • Documentation: Keep detailed records and communications with healthcare providers as evidence, enhancing the likelihood of coverage approval by your insurance company.

These steps are crucial for ensuring that you can claim insurance for the cortical mastoidectomy effectively.

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FAQs Related to Cortical Mastoidectomy?

Are there risks associated with cortical mastoidectomy?

Common risks include infection, potential hearing loss, and dizziness. More serious but rare complications could involve damage to facial nerves. These risks should be discussed in detail with your surgeon.

What are some alternatives to cortical mastoidectomy?

Alternatives might include less invasive procedures like tympanostomy or medication management for milder cases. Surgery is generally recommended for more severe or persistent conditions.

How do I care for my ear after the surgery?

Keep the ear dry and protect it from water during bathing. Do not insert anything into the ear unless directed by your doctor. Follow all post-operative care instructions provided by your healthcare provider, including how to clean the ear and when to apply or change dressings.

Will I need follow-up surgeries after a cortical mastoidectomy?

Depending on the extent of the infection or damage, additional surgeries may be required, especially in cases involving cholesteatoma. Regular follow-ups are essential to monitor healing and detect any recurrence early.

Can children undergo cortical mastoidectomy?

Yes, children can undergo cortical mastoidectomy if they suffer from conditions that necessitate this surgery, such as chronic ear infections or cholesteatoma. The approach and care might differ slightly due to the unique anatomical and developmental considerations in children.

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