ENT · Otologic Surgery and Implants (Tympanoplasty, Mastoidectomy, Cochlear/BAHA Implants)

During cortical mastoidectomy for acute mastoiditis, the surgeon identifies the solid angle (trautmann's triangle). The boundaries of the posterior fossa dural plate (Trautmann's triangle) in mastoidectomy are all EXCEPT:

  • A Sigmoid sinus laterally
  • B Superior petrosal sinus superiorly
  • C Posterior semicircular canal posteriorly
  • D Jugular bulb inferiorly
Correct answer: C. Posterior semicircular canal posteriorly

Explanation

Trautmann's triangle is bounded by the sigmoid sinus posterolaterally, the superior petrosal sinus superiorly, and the posterior semicircular canal anteriorly — not posteriorly. The posterior semicircular canal forms the anterior boundary, not the posterior. The jugular bulb lies inferiorly. This triangle is important because it overlies the posterior fossa dura.

Reference: Dhingra Diseases of Ear, Nose and Throat, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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