Scribd Logo
Upload

Welcome to Scribd!

  • Stase THT-KL - CWR Tymphomastoid Protocols

    Uploaded by

    dhika2496
    8 views17 pages
    This document describes the steps for performing a mastoidectomy surgery. Key steps include: 1) Making an incision in the hairline to access the mastoid cortex. 2) Collecting bone pate by stopping when air cells are exposed. 3) Removing bone slices from the outer cortex and mastoid tip, and collecting bone chips. 4) Elevating and removing the posterior canal wall and performing cuts to expose the epitympanum and zygomatic root. 5) Placing a silastic spacer in the middle ear and cutting the tensor tympani tendon. 6) Using temporalis fascia grafts and replacing the removed canal

    Original Description:

    Materi

    Original Title

    Stase THT-KL_CWR Tymphomastoid Protocols

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document describes the steps for performing a mastoidectomy surgery. Key steps include: 1) Making an incision in the hairline to access the mastoid cortex. 2) Collecting bone pate by stopping when air cells are exposed. 3) Removing bone slices from the outer cortex and mastoid tip, and collecting bone chips. 4) Elevating and removing the posterior canal wall and performing cuts to expose the epitympanum and zygomatic root. 5) Placing a silastic spacer in the middle ear and cutting the tensor tympani tendon. 6) Using temporalis fascia grafts and replacing the removed canal

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    8 views17 pages

    Stase THT-KL - CWR Tymphomastoid Protocols

    Uploaded by

    dhika2496
    This document describes the steps for performing a mastoidectomy surgery. Key steps include: 1) Making an incision in the hairline to access the mastoid cortex. 2) Collecting bone pate by stopping when air cells are exposed. 3) Removing bone slices from the outer cortex and mastoid tip, and collecting bone chips. 4) Elevating and removing the posterior canal wall and performing cuts to expose the epitympanum and zygomatic root. 5) Placing a silastic spacer in the middle ear and cutting the tensor tympani tendon. 6) Using temporalis fascia grafts and replacing the removed canal

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 17

    Figure

    5-1
    Exposure

    Incision in hairline provides wide


    access to mastoid cortex

    Figure
    5-2

    Large Anterior
    Based Palva Flap
    Collect Bone
    Pate
    Figure 5-3

    Stop Collecting Pate


    When Expose Air Cells
    Bone Slices from Outer Cortex and Mastoid Tip

    Bone Chips
    from Cortex
    Figure 5-6
    Elevate posterior canal
    wall skin and anulus
    anterior-
    No cuts in canal skin
    Reciprocating Saw on Otologic Drill
    Figure 5-7a

    Stryker, Medtronics, BienAir : Special thin blade


    Figure 5-7b Canal Wall Removal

    slant & bevel cut from


    Right Angle Cuts extended facial recess
    to inferior floor of canal

    Bevel to prevent
    Displacement –
    Posterior to Anterior
    and Medial to Lateral
    “Compound Mitre”
    Figure 5-7c

    Inferior
    Cut

    Superior
    Perpendicular slant & bevel cut
    Cut
    from extended facial
    recess to inferior
    floor of canal

    Posterior Canal Cuts


    Cut
    Figure 5-7d

    Posterior Canal
    Removal
    “Open Cavity View”
    Figure 5-7e
    Canal cut

    Canal cut

    Exposure of Zygomatic
    Root and Epitympanum
    Figure 5-7f

    Cut Tensor
    Tympani Tendon

    X
    Silastic Middle Ear Spacer (0.40)
    Figure 5-9

    Spacer for
    Middle ear

    For Oval
    Window Temporalis
    Fascia
    Figure 5-11

    Mastoid
    Tip Bone
    Blocking
    Attic

    Mastoid tip Bone


    Blocking Attic
    Anterior to
    Zygomatic Root
    Temporalis Fascia for Underlay Tympanoplasty
    Elevate Canal
    Wall Skin to Tuck
    Fascia Graft
    Replace Canal Wall
    Figure 5-12
    Mastoid Tip
    bone from
    Scutum to Facial
    Ridge

    Bone Pate
    Bone Chips
    Facial Recess

    Bone Pate
    filling Mastoid
    Pack External
    Figure 5-13 Canal

    Figure 5-14 Penrose Drain


    Superficial to Palva
    24-48hrs
    CT Scans of Obliterated Mastoid

    You might also like