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Revision tympano mastoidectomy with grafting of iatrogenic lesion of the facial nerve

Clinical case (right side)

Highlights:

  1. Information with preop. Radiology (5 min)
  2. Retroauricular skin incision (1 min)
  3. Revision mastoidectomy (4 min)
  4. Revision Canalplasty (5 min)
  5. Ossiculoplasty: inspection of the ossicular chain (2 min)
  6. Antrotomy (1 min)
  7. Epitympanotomy (1 min)
  8. Ossiculoplasty: lateralization of the malleus (3 min)
  9. Myringoplasty: water test (1 min)
  10. Mastoidectomy (5 min): 10a retrograde exposure of FN and identification of nerve injury (4 min), 10b exposure of tympanic segment of FN (1 min)
  11. Drilling of new Fallopian canal for grafting (1 min)
  12. Elevation of distal stump of the FN (1 min)
  13. Reconstruction of bony posterior canal with bone flap from the temporal squama (3 min)
  14. Harvesting and preparation of nerve graft (greater auricular nerve) (3 min)
  15. Introduction and coaptation of reverse nerve graft (4 min)
  16. Myringoplasty with temporalis fascia (3 min)
  17. Wound closure and postoperative results (1 min)
Video No
4
3D
Duration
48min
Surgeon
Prof. Ugo Fisch
Video Editing
Dr. Arnold H. Müller