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A Guide to Temporal Bone Dissection
The second edition of this guide with expanded sections will be available soon.
The second edition of A Guide to Temporal Bone Dissection authored by Marcus Atlas and Rob Eisenberg
will be published in 2004. This guide has been widely acclaimed and contains new chapters on cochlear surgery and
the middle fossa approach to the internal auditory meatus.
The images below are taken from this book. The illustrations demonstrate the techniques used for modified
radical mastoidectomy and taught in these courses. This guide is used by the course participants as well as
hands-on supervised dissection, lectures, videos and exposure to the latest surgical technology.
Modified radical mastoidectomy is commonly used in the management of cholesteatoma. The principal
indications for modified radical mastoidectomy are the presence of poor pneumatisation of the temporal bone
and extensive cholesteatoma disease. Modified radical mastoidectomy techniques may be used with malignant
tumours of the external auditory canal and benign tumours of the middle ear.
The important surgical concepts involved in modified radical mastoidectomy are related to complete removal
of air cell tracts and the creation of a well constructed cavity. The advantage of this modified radical
mastoidectomy technique is the extensive exposure of the tympanomastoid space in the presence of a poorly
pneumatised mastoid.
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