Bechara Y. Ghorayeb, MD.  1140 Business Center Drive, Suite 560.  Houston, Texas 77043   Phone: (713) 464 2614
Post-Op Instructions for
Stapedectomy
Diet
In the immediate post-operative period, you may experience some vertigo, nausea or vomiting.  It is therefore preferable to stick to a liquid diet or a light bland meal.  A regular diet may be resumed the day after surgery.  It is not unusual to experience some earache on mastication and possibly, some difficulty in fully opening the mouth. 

Wound Care
The operated ear is usually packed and full of blood. It will feel clogged and you may hear crackling sounds.   You may have a stitch or two on the earlobe or the tragus (the  little cartilage knob in front of the ear canal) . You will have a cotton ball in the ear, change it when it gets soaked and replace it with a clean cotton ball. It is not necessary to use a band aid or adhesive tape to hold the cotton ball.   Just use a little antibiotic ointment to make the cotton ball stick.

In very rare instances, if an incision is made behind the ear, you may have a dressing wrapped around the head or sutured behind the ear, please keep that dressing dry and avoid water at any cost.  In general, such a dressing is removed a couple of days after the surgery.
1. Do not allow any water to enter the operated ear.  Protect the ear during showering or washing the hair with a  large cotton ball coated with Vaseline. It is a good idea to have someone help you with washing the scalp to avoid water.  When finished washing, remove the coated cotton, wipe the ear with a soft paper tissue and place  a clean, dry  cotton ball.  A little antibiotic ointment may help the cotton ball stick and stay in place.
A shower cap provides extra protection.
2. Thick, dark  or bloody  ear drainage is expected during the first week after surgery. You may clean the crusting from the outer part of the ear with peroxide and Q-tips. Replace the cotton ball in the ear with a clean, dry piece when the current one is soiled. Occasionally, you may see brown or dark red pieces of packing (Gelfoam) extruding from the ear canal.  Do not attempt to replace them or to remove the remaining pieces that are still in the ear canal.
3. Do not blow your nose for at least two weeks from the day of surgery. Blowing can build excessive pressure in the operated ear and displace the eardrum.
4. If you have to sneeze, please do it with your mouth wide open to avoid pressure build up in your ear.
5. When sleeping, try to sleep on the unoperated ear.

Medications
Antibiotics are usually prescribed, please take them as directed until they are all gone. You may take pain medication as needed.  Pain medications cause drowsiness, somnolence, nausea and constipation.  Please refrain from driving, operating machinery or making important decisions when taking painkillers.

Follow-up
If you have a wrap-around dressing or a dressing sutured behind the ear, please make an appointment in 2 to 3 days to have it removed.  Call (713) 464 2614 for an appointment.

Contact our office and report any:
Excessive ringing in the ear, severe attacks of dizziness or vertigo or intractable vomiting
Temperature above 102 degrees
Facial paralysis ( Inability to close the eye and crooked smile like in Bell's Palsy)
We do not refill painkillers over the phone.
We are unable to refill your medications on weekends or after hours.
For prescription refills, please call during office hours:
       Monday-Thursday: 9:00 am - 4:30 pm
       Friday: 9:00 am - 3:30 pm 

                                                                                                                  _______________
                                                                                                                          B.Y. Ghorayeb, MD
Please visit Dr. Ghorayeb's website at:
http://www.ghorayeb.com