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MGR medical university MS ENT basic sciences march 2009 question paper with solution

MGR medical university MS ENT basic sciences march 2009 question paper with solution

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This e book contains MS ENT basic sciences question paper of Tamilnadu Dr MGR Medical University march 2009 with solution
This e book contains MS ENT basic sciences question paper of Tamilnadu Dr MGR Medical University march 2009 with solution

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Published by: Dr. T. Balasubramanian on Nov 06, 2010
Copyright:Attribution Non-commercial

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07/10/2013

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www.drtbalu.co.in 
The Tamilnadu Dr MGR Medical University MS (ENT)Basic sciencesQuestion paper March 2009 with solutions
ByDr. T Balasubramanian
 
 
www.drtbalu.co.in 
MS (ENT) Applied Basic SciencesMarch 2009I.
 
Anatomy: Answer any fourFacial recess
 –
Is defined as an aerated extension posterior superiorportion of the middle ear cavity medial to the tympanic annulus andlateral to the fallopian canal.Boundaries:Medial
 –
Facial nerveLateral
 –
Tympanic annulusSuperior
 –
Incus buttress (near the short process of incus)Running through the wall between these two structures with varyingdegrees of obliquity is the chorda tympani nerve. Chorda tympaninerve always run medial to the tympanic membrane.Drilling in this area between the facial nerve and annulus in the angleformed by the chorda tympani nerve leads into the middle ear cavity.This surgical approach to the middle ear cavity is known as facialrecess approach.Uses of facial recess approach:1.
 
Used to reach hypotympanum of middle ear2.
 
Used to place cochlear implant electrode into the cochlea via theround window.3.
 
Horizontal portion of facial nerve can be accessed via thisapproach. Hence this approach can be used to performdecompression of horizontal division of facial nerve.
 
www.drtbalu.co.in 
Occasionally cholesteatoma of middle ear cavity can invade themastoid antrum without involving the aditus. It has beenhypothesized that drilling this area can provide additional avenue formastoid aeration.Land marks used to identify this region:1.
 
External genu of facial nerve medially

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