Perform a thorough cortical mastoidectomy to expose the mastoid air cells and gain initial access to the facial nerve. This step involves identifying the mastoid segment of the facial nerve and …

Identifying the facial nerve is fundamental to performing good mastoid surgery. In intact canal wall mastoidectomy (or when a cochlear implant is placed), the space between the facial nerve and …

Aug 14, 2024 · Facial nerve injury: The facial nerve runs through the middle ear, and there is a small risk of injury, which could lead to facial weakness. Dizziness or Imbalance: Some …

The facial nerve lies more superficially in the mastoid portion, especially in pediatric patients. Identify it under a thin bony layer by drilling parallel to its course. Use diamond burrs near the …

The extent and type of disease indicates the type of mastoidectomy required. Indications: A. Simple (Cortical) Mastoidectomy: It involves removal of the disease from the mastoid antrum …

Nov 1, 2023 · To evaluate and compare the long-term results of patients who underwent facial nerve decompression surgery with either transmastoid-supralabyrinthine (TMSL) or combined …

Jun 5, 2016 · A bur with a cutting or fluted surface is selected for removing cortical bone, whereas a fine diamond grain surface is required when removing the last layer of bone over the facial …

Dec 15, 2023 · Facial nerve injury is one of the most feared complications of any otologic procedure, especially mastoidectomy. The risk for facial nerve injury during otologic surgeries …

Sep 24, 2019 · For a minimally invasive approach to access the facial nerve, we designed an extended epitympanotomy via a transmastoid approach that has proven useful in cases of …

May 4, 2018 · There are five primary indications for mastoidectomy and facial nerve decompression in the setting of parotid malignancy: (1) revision parotidectomy, (2) large bulky …