Figure 5

Reflect soft tissue from the tympanic bulla

Soft tissue of the tympanic bulla
Figure 5. Soft tissue has been reflected and pried away from the lateral face of the tympanic bulla with a Freer elevator. A rongeurs is used to create a notch in the ventrolateral floor of the osseous EAM. This maneuver helps free edges of epithelium lining the osseous EAM so the lining can be removed completely in one piece.