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Revision Canal Wall Down Mastoidectomy with Mastoid Obliteration

C. Scott Brown, MD1; Prithwijit Roychowdhury2; Calhoun D. Cunningham III, MD1
1Duke University Medical Center
2University of Massachusetts Medical School

1. Introduction

  1. Transcanal Anatomy

2. Vascular Strip and Fascia Harvest

  1. Transcanal Injection
  2. Canal Incisions
  3. Postauricular Incision
  4. Harvest & Thin Fascia Graft
  5. Periosteal Elevation

3. Bone Pate

4. Mastoid Exposure

5. Tympanomeatal Flap

6. Mastoid Resurfacing

7. Tympanic Membrane Reconstruction

  1. Cartilage Harvest
  2. Prosthesis
  3. Middle Ear Packing
  4. Fascia Grafts Design

8. Mastoid Obliteration

9. Fascia Graft and Prosthesis Placement

10. Closure