Inside-out mastoidectomy
by KP Morwani P, KP Narayan Jayashankar, KP Amol Patil

Jaypee’s Video Atlas of Operative Otorhinolaryngology AND Head & Neck Surgery

by Vicky S Khattar, Bachi T Hathiram
About Video

This video demonstrates the technique preferred by the authors to manage cholesteatoma. Their preference for an ‘inside-out’ mastoidectomy allows them to follow the disease and limit the size of their mastoid cavities to the extent of the cholestetoma. This technique avoids unnecessarily large cavities for limited disease, yet simultaneously leaves the scope to reach every nook and cranny of the mastoid bone whenever required. Nowadays more and more patients of cholesteatoma present with limited disease restricted to the attic, with minimal extension, and, hence, the authors feel that it is rational to reach the disease from inside and follow it along its extent. The aim of this surgery is not only to make the ear safe and dry, but also to try and improve hearing levels in the first surgery itself. Also the authors advocate performing a wide meatoplasty by drilling the floor of the external auditory canal, and excising floor cartilage, to avoid performing a disfiguring meatoconchoplasty.

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