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ENT · Ear and audiology: Donaldson's line
Sample itemIn endolymphatic sac surgery, which surgical landmark helps the surgeon locate the sac?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Donaldson's line, an extension of the lateral semicircular canal axis
Donaldson's line passes through the lateral semicircular canal and bisects the posterior semicircular canal. The endolymphatic sac lies on the posterior fossa dura just below this line, medial to the sigmoid sinus. It helps avoid injury to the labyrinth.
Option by option
A. Donaldson's line, an extension of the lateral semicircular canal axis (correct)
Correct. The sac lies below and behind the line.
B. Trautmann's triangle
Trautmann's triangle is the posterior fossa dura area between sigmoid sinus and labyrinth.
C. Citelli's angle
Citelli's angle is the sinodural angle.
D. Macewen's triangle
Macewen's triangle marks the antrum.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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