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.

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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 .