068. Canal Wall UP & Canal Wall DOWN Mastoidectomy  

Good lucks

❤t​@@DrSujathasENTClasses

good, keep studying, good lucks

🙏✌

😎🙏🌹

See this ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-xKaDaeOlQ9A.html, .This covers some important aspects

my special thanks😎🌹

nice to hear😀

ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-_bMGKuIY4Cg.html, please watch

😀😎💐

both are same

@@DrSujathasENTClasses Thank you ma'am 🙏🏻

Vertigo and physiology of equilibrium were already released. A total of 70 videos till now, covered anatomy and physiology of ear and anatomy of nose ,PNS and larynx. Please do watch.

vertical part of facial nerve is related to deep part of posterior canal wall

Profound hearing loss will not happen in case of only chronic mastoiditis. And mastoidectomy alone is not the treatment of profound HL

@@DrSujathasENTClasses Doctor, what is the possible medical treatment to this profound HL?

dizziness, deafness and discharge can happen as cavity problems.

Yes

​@@DrSujathasENTClassesWhat is the likelihood of permanent hearing loss? Why do they occur?

Ridge should be in the same level as the floor of external canal wall

@@DrSujathasENTClasses okay maam ,thank you so much .

please see this for clarification : ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-B8X_b-kUtWo.html

Bone that drilled , never grows completely. there will be a cavity ,called postoperated cavity. we are not drilling mastoid process. drilling happens around mastoid antrum ,surface marking of which is Maceven's triangle.Please see my class on xrays,by which you will get an idea of cavity

@@DrSujathasENTClasses thank you very much!

Both are different entities,so also treatment

@@DrSujathasENTClasses mam I m from hyderabad here I have shown to ENT doctor ,my ct scan say mild soft tissue noted in meso and hypo tapnum of left ear cavity and soft tissue density along bony external auditory canal. Doctor says if antibiotics don't cure it we have to do a small surgery, mam everytime I m lying down fluid blocks my ear and I feel very uncomfortable. When I m awake I keep pulling my ear to reduce fulness, plz advise me if surgery will improve my blockage and fullness.

scutum is a sharp bone of superior wall of bony external auditory canal which joints with lateral wall of middle ear. (Above tymapnic membrane in a way) It forms lateral boundary of attic.

see from 6.47. Bridge and ridge are part of posterior canal wall. Bridge overlies aditus ad antrum. Ridge overlies vertical part of facial canal. Ridge is lowered by drilling bone using mastoid drill

@@DrSujathasENTClasses okay mam I am going to revise it again ,,if get any confusion then i will ask ,thank you mam 💕🙂🙂🙏🙏🙏

1. So mam ridge is , overlying bony part ,lateral aspect of vertical part of facial nerve ,,,,,,I thought it's anterior aspect bony covering of facial nerve. (correct me if iam wrong) 2. Ridge extent is just. From middle ear posterior wall just lateral aspect of facial nerve ,,,or it is purely,, posterior external auditory canal ,,?????????,,,,, please solve my doubt mam

@@DrSujathasENTClasses i know mam ,,u have a very tight schedule to follow,but can u reply on my doubt,,it will be very helpful for me

@Uvesh correct

Hope everything went smooth. How are you in postop

@@DrSujathasENTClasses thank you for asking I'm OK some pain I took bandage off and it seems they decided to go through the front of my ear instead of back of ear ..wen I woke up all he said was the occicles were eroded and took them that's all I know I have not had biopsy back but I guess they managed to get the cholesteatoma out .. I'm so sad that they took occicles.. I hope that it was not canal wall down with endoscope ..he must have clean the opacification of mastoid aircells .. They never said anything to me after surgery just so not happy ...they may have reconstructed the middle ear with implant I don't know ... I have been trying to research wat they can use I would be happy with Cadaver occicles artificial bone or stem cells therapy .. All I know is they took occicles nothing else so disappointed

My hearing test was normal before operation....I guess I'm deaf now with no occicles??

​@@sugarcan1110 aapko kya problem thi

deaf child ok. For the other , please see the videos in this channel

dear Sarwar, As we all know, our daily workload ; clinical duties and covid related administrative duties, is on an increase. Along with this,, I am not getting assistance in editing of videos because of restrictions.. So please bear with me for the time being. I will try to make it more audible with time. But do see and study👍🍫

@@DrSujathasENTClasses yeah i know mam,its hard to cope up with all the duties a doctor renders,btw thanks.