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Schwartze's Cortical
Mastoidectomy
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Middle ear cleft (Right)
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Facial bridge

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Sinus
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46 Posterior canal wall

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Diaastric ridae
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Boundaries of cavity

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• Superior : Dural or Tegmen plate

44 · Anterior : Posterior wall of external auditory canal


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· Medially: Lateral semicircular canal

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Indications of cortical mastoidectomy ...


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1. Coalescent mastoiditis & Masked mastoiditis


48 2. CSOM T.T.D. active refractory to ;u1t1b1ot1cs
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Secretory otitis media refractory to _,'l ntibiotics
Approach to:
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49 i'i Endolymphatic sac surgery
r, Facial nerve decompression
i'4 Vestibulo-cochlear nerve section
50
r, Translabyrinthine approach for C.P. angle
"Cochlear implant surgery
i'4 Combined approach tympanoplasty

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• , - TympanoplNty & M,intoideaorny ~~1 t!j - 0 X

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~ Infiltration with Lignocaine


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Normal temporal bone (right)


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Corical mastoidectomy begun
Exposure of mastoid antrum

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Widening of aditus

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Final Cavity (left)


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