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00:00Dr. Zia, who asked or who had some self-experience.
00:03Let him ask, he has his own experience.
00:08I feel myself as still a beginner and the learning curve is all the time.
00:15Every time I operate, I feel I had to spend more time.
00:19Initially, when we talk about spending time on mastoid, you should have a good breakfast
00:24and you should not have nothing to do after mastoid.
00:28So you are clearly comfortable mentally and physically, then you start.
00:33My experience was with most of the time microscope, so I am comfortable with using both of the hands.
00:40Technically, I think Naveen sir has explained everything.
00:43Thank you very much.
00:44Thank you.
00:44Sir, I have a question for everyone.
00:46Sir, in mastoid surgery, whatever you have done, try to do it first time.
00:53Osteocloplast airing reconstruction.
00:56You will also have experience to revise that and do that in a cavity is a lot more difficult.
01:02That is why your aim is complete clearance of the disease.
01:07When I started doing mastoid here, the general practice was to do radical mastoidectomy.
01:11I am talking about 25 years.
01:13And I have seen people removing every tympanic membrane, ossicles and remove everything and put a pack and then you go home.
01:19I think you should not do that.
01:21Every bit of tympanic membrane that you can save, you should save.
01:25Every ossicle that you can save, you should save.
01:27And try to reconstruct, as you said, top, pop, cartilage, incurs, transposition.
01:34It takes time.
01:35You must try to do it for the first time.
01:37That's the best time to get your airing reconstruction back.
01:40Because when you try and do it as a second stage, these are all cavities,
01:44they become adherent, which is very difficult to do those things in the second stage.