068. Canal Wall UP & Canal Wall DOWN Mastoidectomy

[@bijoybhadra7242]

excellent teaching madam. no need to read book any more. thank you so much.

[@DrSujathasENTClasses]

Good lucks

[@رقيهعبدالرحمن-ز2ت]

❤t​@@DrSujathasENTClasses

[@shriyashree9807]

Ma’am I am an intern and canal wall up as well as canal wall down procedures were always confusing. Your video is truly amazing! Thank you

[@MrShubhenduambastha]

I am a DNB pgt. Thankyou ma'am. The videos are beautiful and elaborate. It's helping me alot and getting me oriented towards the subject

[@DrSujathasENTClasses]

good, keep studying, good lucks

[@37aishwaryagouda67]

Thankyou so much mam Always doing questions wrong on this topic as couldn't understand but you explained it so beautifully Crystal clear mam Thankyou mam 🙏

[@mosinbabu1396]

Thank you ma'am for the nice teaching. Appreciating the effort you are taking to teach us. Expecting more classes from you.

[@DrSujathasENTClasses]

🙏✌

[@yoshi999z7]

That’s the best video I have ever seen on this subject

[@aparnanair824]

Thankyou so much maam, even after reading and watching videos the concept was not understood. You made it really easy and crystal clear❤

[@jitendragupta9918]

Thankuu maam so simple and effective teaching

[@siddharthbania4583]

Amazing Mam🤩🤩🤩 Greatful to find this video.....

[@marvapp6214]

Thank you so much mam.. very nice teaching ❤❤

[@056nikilkumarc2]

A Big fan of your classes!!! Thank you so much ma'am ❤

[@DrSujathasENTClasses]

😎🙏🌹

[@Jaloodh]

Thank you so much madam.... You've made Otorhinolaryngology easy as 2+3=5 .....

[@wendyiphieokora4]

All the way from Nigeria... thank you so so so much

[@DrSujathasENTClasses]

my special thanks😎🌹

[@kvs492]

U r excellent teacher,god bless you mam😊

[@manishranjan9036]

Wow....excellent mam...best video on this topic...thankyou 🙏 mam.

[@firenation1725]

thanks so much .....very nice teaching by drawing..

[@alsiram6789]

Thank you so much mam ...you are great mam

[@johnnytest3899]

Thank you maam ❤❤

[@khizarsyed7241]

Thank you Madam. Explanation was clear and simple. 👍

[@thebiologystudent6076]

Skip to 13:09 if you know the Anatomy well.

[@DrInamulhaqENT]

True mam... Ear surgeries used to feel very difficult.. Thanks for explaining in detail..

[@veenav5444]

Hi madam hope you remember me. Thanku for the excellent class .it's so refreshing

[@DrSujathasENTClasses]

nice to hear😀

[@deepthisuresh3003]

This is Amazing! 😍

[@Meerakannan7138]

Thank you so much ma'am

[@ankur5287]

Nicely explained

[@meenakshigarg1622]

Thank you mam for making it soo easy ❤

[@amruthag.m796]

Very good classes mam.surgeries explained in a very easy way for post graduates also.. real teacher for pgs😇kindly make videos on vestibular function assesment..

[@DrSujathasENTClasses]

See this kzbin.info/www/bejne/rnzEdZSbhNGEb6M, .This covers some important aspects

[@redmartin10]

Is mastoidectomy effective in restoring a profound hearing loss in the case of chronic mastoiditis.

[@DrSujathasENTClasses]

Profound hearing loss will not happen in case of only chronic mastoiditis. And mastoidectomy alone is not the treatment of profound HL

[@redmartin10]

@@DrSujathasENTClasses Doctor, what is the possible medical treatment to this profound HL?

[@drquayum7367]

nice lecture mam

[@shreyakrishna3466]

Mam pls post a video for anatomy of attic

[@DrSujathasENTClasses]

kzbin.info/www/bejne/lZOweH6rfr5neck, please watch

[@apn6412]

Maam, In a status post canal wall down mastoidectomy case, How do we assess whether the ridge was lowered adequately or not

[@DrSujathasENTClasses]

Ridge should be in the same level as the floor of external canal wall

[@apn6412]

@@DrSujathasENTClasses okay maam ,thank you so much .

[@DrInamulhaqENT]

Wow very nicely explained mam... Wished I had seen these videos previously my concept s would have been cleared

[@DrSujathasENTClasses]

😀😎💐

[@ishwaryajishwaryaj3160]

Awesome teaching mam , no need to read text want more classes

[@Rammahavirramjai]

Thank you so much ma’am 👏👏👏

[@yogeshkhaire3513]

Mam i had left ear MRM im having balence issue now and then can help me

[@DrSujathasENTClasses]

dizziness, deafness and discharge can happen as cavity problems.

[@Mahadeva4696]

Thank you so much mam..

[@epilepticaknowleski4111]

Awesome teaching 🙌🙌 ma' am. Love n respect from C.G

[@kasunprabhasha6349]

Can hearing be restored after surgery?

[@DrSujathasENTClasses]

Yes

[@kasunprabhasha6349]

​@@DrSujathasENTClassesWhat is the likelihood of permanent hearing loss? Why do they occur?

[@AryanChaudhryOfficial]

nice mam

[@Ihsaan1c]

An excellent explanation, thank you.

[@umaimauneeb]

Mam i had gastritis, ibs UTI s now my ear started leaking yellow smelly fluid, could it be related my stomach infection, my report say chronic otitis media and externa

[@DrSujathasENTClasses]

Both are different entities,so also treatment

[@umaimauneeb]

@@DrSujathasENTClasses mam I m from hyderabad here I have shown to ENT doctor ,my ct scan say mild soft tissue noted in meso and hypo tapnum of left ear cavity and soft tissue density along bony external auditory canal. Doctor says if antibiotics don't cure it we have to do a small surgery, mam everytime I m lying down fluid blocks my ear and I feel very uncomfortable. When I m awake I keep pulling my ear to reduce fulness, plz advise me if surgery will improve my blockage and fullness.

[@nandakishore1540]

💙Crystal clear madam thank you madam💙

[@21ashwathsanal98]

Ma'am your lectures are excellent and there's no doubt about that. Can you explain how the vertical part of FN is related to Posterior wall of EAC. EAC will definitely end its course when it reaches the tympanic membrane right?

[@DrSujathasENTClasses]

vertical part of facial nerve is related to deep part of posterior canal wall

[@ddas7974]

Thanks awesome concept, but what is the difference between mrm and radical mastoidectomy

[@DrSujathasENTClasses]

please see this for clarification : kzbin.info/www/bejne/eGm7kJVjoLqnjdE

[@jobinjoy1509]

Thankyou Ma'am

[@ABUSUFIAN-mc7un]

Good morning ma'am 🙏🏻.. thank you for such wonderful discussion.. Ma'am I have a query - Ma'am Canal wall up and intact canal wall mastidectomy both are same or different???

[@DrSujathasENTClasses]

both are same

[@ABUSUFIAN-mc7un]

@@DrSujathasENTClasses Thank you ma'am 🙏🏻

[@TipsTricksnConceptsbyVishnu]

Thank you Mam🙏

[@DrahmadKhan-nl7nc]

Best

[@uv_m234]

What do u mean by lower ridge ?how do we done this?

[@DrSujathasENTClasses]

see from 6.47. Bridge and ridge are part of posterior canal wall. Bridge overlies aditus ad antrum. Ridge overlies vertical part of facial canal. Ridge is lowered by drilling bone using mastoid drill

[@uv_m234]

@@DrSujathasENTClasses okay mam I am going to revise it again ,,if get any confusion then i will ask ,thank you mam 💕🙂🙂🙏🙏🙏

[@uv_m234]

1. So mam ridge is , overlying bony part ,lateral aspect of vertical part of facial nerve ,,,,,,I thought it's anterior aspect bony covering of facial nerve. (correct me if iam wrong) 2. Ridge extent is just. From middle ear posterior wall just lateral aspect of facial nerve ,,,or it is purely,, posterior external auditory canal ,,?????????,,,,, please solve my doubt mam

[@uv_m234]

@@DrSujathasENTClasses i know mam ,,u have a very tight schedule to follow,but can u reply on my doubt,,it will be very helpful for me

[@DrSujathasENTClasses]

@Uvesh correct

[@a1b2c3d4738]

please could you explain scutum mam

[@DrSujathasENTClasses]

scutum is a sharp bone of superior wall of bony external auditory canal which joints with lateral wall of middle ear. (Above tymapnic membrane in a way) It forms lateral boundary of attic.

[@tamilselvimanickavelu7376]

Thank you mam

[@sugarcan1110]

I had mastoidectomy and they took occicles I guess it's canal wall down because of cholesteatoma Please could you tell me ... Am I completely deaf now? The choclear is working good no problem with it . I had perfect hearing before surgery and they said I'll probably be deaf .. I don't want an metal implant if they suggest it ...from your experience can they put artificial bone in my ear to connect tympanic menbrene to the choclear ??? I'm so scared that I will not be able to hear if the occicles gone ...and it's affecting my mind ..so I was thinking if they can put artificial bone in there to help hearing ?? I had surgery today Thank you for your time

[@DrSujathasENTClasses]

Hope everything went smooth. How are you in postop

[@sugarcan1110]

@@DrSujathasENTClasses thank you for asking I'm OK some pain I took bandage off and it seems they decided to go through the front of my ear instead of back of ear ..wen I woke up all he said was the occicles were eroded and took them that's all I know I have not had biopsy back but I guess they managed to get the cholesteatoma out .. I'm so sad that they took occicles.. I hope that it was not canal wall down with endoscope ..he must have clean the opacification of mastoid aircells .. They never said anything to me after surgery just so not happy ...they may have reconstructed the middle ear with implant I don't know ... I have been trying to research wat they can use I would be happy with Cadaver occicles artificial bone or stem cells therapy .. All I know is they took occicles nothing else so disappointed

[@sugarcan1110]

My hearing test was normal before operation....I guess I'm deaf now with no occicles??

[@gurpreetbubby4752]

​@@sugarcan1110 aapko kya problem thi

[@cmoneman3025]

I have been reading and watching videos and listened to class and still found this topic confusing...thank you for your straightforward approach ma'am. Drawing the diagrams as you went made it so clear.. really effective and concise teaching, you're a great educator. Ma'am, a question, after all of these surgeries, for example cortical mastoidectomy, after we drill down the bone, is the bone replaced in any way? Does it just heal with fibrous tissue/scarring? I saw in a book that mastoid air cells are coverted to a single large cavity and that confused me...does the outer shell of bone grow back? After this procedure, can you palpate mastoid process on the patient?

[@DrSujathasENTClasses]

Bone that drilled , never grows completely. there will be a cavity ,called postoperated cavity. we are not drilling mastoid process. drilling happens around mastoid antrum ,surface marking of which is Maceven's triangle.Please see my class on xrays,by which you will get an idea of cavity

[@cmoneman3025]

@@DrSujathasENTClasses thank you very much!

[@dr.vaishalipatel1585]

And evaluation of case of vertigo

[@DrSujathasENTClasses]

Vertigo and physiology of equilibrium were already released. A total of 70 videos till now, covered anatomy and physiology of ear and anatomy of nose ,PNS and larynx. Please do watch.

[@Motiv8TV007]

इस opration के बाद दवाइयां कब तक खानी पड़ती है,

[@gowriprakash598]

Thanku mam

[@uv_m234]

Explain bridge again

[@dr.saurabhkumar9607]

❤

[@dr.vaishalipatel1585]

Can you PLEASE teach evaluation of deaf child and physiology of equilibrium ,

[@DrSujathasENTClasses]

deaf child ok. For the other , please see the videos in this channel

[@sarwarhossain8106]

Mam,voice quality should be improved,the sound echoes in your video

[@DrSujathasENTClasses]

dear Sarwar, As we all know, our daily workload ; clinical duties and covid related administrative duties, is on an increase. Along with this,, I am not getting assistance in editing of videos because of restrictions.. So please bear with me for the time being. I will try to make it more audible with time. But do see and study👍🍫

[@sarwarhossain8106]

@@DrSujathasENTClasses yeah i know mam,its hard to cope up with all the duties a doctor renders,btw thanks.

[@MedoMedo-xq2dn]

1000🎉

[@tamilselvimanickavelu7376]

Thank you mam