CWD Steps on video:
CWD[canal wall down mastoidectomy is performed
mainly for aggressive, complicated cholesteatoma]
Swap the mouse over the black screens to start the Video.
-NB: This page may take few minutes to download,
depending on your internet connection-
Planing the Flap
[first essential step for the last one, performing a wide patent
mastoid meatus]
![]()
Designing a
retro- auricular Palva-Like flap
![]()
Raising
Tympano-meatal flap, preparing for CWD
![]()
Widening the EAC, to visualize Middle
Ear Structures
![]()
Identifying ME
Structures, Ossicles seen [Long process of Incus, Stapes capitulum]
![]()
Drilling of
Mastoid, a low Tegmen is evident in the picture
![]()
Atticotomy,
identifying the retraction pocket
![]()
Cholesteatoma?
Sac
![]()
More Drilling of
the sclerotic mastoid
![]()
Removing embedded
ossicle
![]()
Overview of the
mastoid
![]()
Drilling the
mastoid tip cells
![]()
Lining the
mastoid with fascia and remnant of canal skin. Reconstructing the
mastoid Stoma is an essential step planned in video N1
The
Reconstruction of the Mastoid Meatus is not shown .
![]()