Its filled with air cells made of bone and looks like a honey comb. In patients with very small cholesteatomas, or if a general anaesthetic would be veryrisky, we occasionally discuss the option of not operating and managing the ear by cleaning it out regularly in the clinic. I thought I'd also share my experiences if it helps anyone else in the future. From the point of view of hearing, the two approaches have broadly similar results, although intact canal wall surgery may offer more options in terms of reconstruction if the ossicles (bones of hearing) have been extensively damaged by the cholesteatoma. For emergent questions, call our office and our answering service will page the doctor on call. Nausea and Vomiting:It is common to have 2-3 episodes of nausea and vomiting. Hearing and balance are closely related, and there is a small chance of the surgery causing dizziness (vertigo) or balance problems. Even after minor surgery, you may feel drowsy or tired for a number of hours. The tympanic membrane is usually reconstructed. The main aim of mastoidectomy is to create a dry, safe ear. Similar to a canal wall up mastoidectomy in that the lateral wall of the mastoid is removed and Koerner's septum is removed creating a communication with the middle ear cavity 1. Where is the mastoid located in the skull? Mastoid Obliteration. Cholesteatoma can come back (recur) in two different ways. Discomfort and Pain:Use the pain medication prescribed by your doctor as directed if needed. An initial follow-up appointment should take place one week after surgery for suture removal, after which most normal activity can resume. If there is any thing that can be done to try to improve the hearing at the time of surgery then we will do our best to do this, but it is not always possible, depending on what damage has already occured. This page should be read in conjunction with the page about cholesteatoma. Avoid getting water in your ear until youre advised. Phone: (770) 345-6600 The pack is important because it holds the ear drum back in place and stops the ear canal from narrowing down as a result of scarring. Packing will be removed periodically as the ear heals. Symptoms of mastoiditis. i had some pretty scary looking stuff coming out of my ears for about a month afterwards ur hearing shd definately be better after about a month of healing, there is nothing wrong with being paranoid about it. This cookie is set by GDPR Cookie Consent plugin. You may be given a prescription for ear drops to use as directed, sometimes for up to 2 weeks. If you have to sneeze during the recovery period, do so with your mouth open. The stitches will dissolve on their own. THE DRESSING CAN BE REINFORCED. It can be normal to have a low-grade fever for up to a week after surgery. {"url":"/signup-modal-props.json?lang=us"}, Gaillard F, Weerakkody Y, Deng F, et al. Mastoidectomy recovery is usually relatively straightforward. The ear is also much more likely to clean itself of wax. Plastic earplugs can go inside the ear canal. Holding in a sneeze will cause pressure to build up in your ear. It is normal for a sense of fullness or hearing loss to be present for up to a month or two after surgery. This will help us to judge the extent of the disease, look for any unexpected features and help us when we discuss which is likely to be the best surgical approach for you. The hearing in the other ear will, of course, be unaffected. During the healing phase, which may lastseveral weeks,you may experience intermittent discharge from the ear. You will generally be given a course of antibiotic ear drops to use for one week after the pack has been removed. It is often heavily involved in the cholesteatoma, and it may be necessary to cut or remove a part of this nerve. Mastoidectomy is usually performed to treat a condition called cholesteatoma. Not sure this is the section for this, but I couldn't find anything better. The information here is intended to be used in conjunction with the discussion we will have with you in the clinic. When performing a tympanomastoidectomy, our specialists at the Ear, Nose, Throat & Allergy Specialist will decide which option is the best for each case. This is just a little vlog documenting my experience getting a mastoidectomy and the recovery process of that. Tympanoplasty and Mastoidectomy recovery typically involves 1-2 weeks off of work or school. A tympanomastoidectomy is a combination surgery that is done to fix middle ear problems both in the eardrum (aka tympanic membrane) and the hard bump right behind your ear (called the mastoid bone) that is filled with air cells and resembles a honeycomb. Does anyone have any insight? 1 What is the recovery time for a mastoidectomy? This is because of the damage to the small taste nerve that traverses your ear-drum. At the time the article was created Frank Gaillard had no recorded disclosures. IF THIS OCCURS, HAVE THE PATIENT SIT UP, CONTROL ANY HIGH BLOOD PRESSURE OR PAIN, AND CALL THE OFFICE IF THIS DOES NOT HELP SLOW THE BLEEDING. Canton, GA 30114 I had my left ear done at the beginning of February. Recovery: Recovery from anesthesia is usually about 2 hours. Essentially the choice is either to widen out the wholeear canal, removing the wall of the ear canal and creating what is known as a mastoid cavity (modified radical mastoidectomy), or leave the ear canal intact and work around it (intact canal wall surgery, also known as combined approach tympanoplasty). In order to have a mastoidectomy, it is best to consult an ENT doctor. The main disadvantage is that if the cholesteatoma does recur it may not be possible to see it when we examine your ear in the out-patients, and it could then continue to grow unchecked until it causes problems. View Blue Ridge Directions & Hours, 97 Deep South Rd The bandage will be removed before you go home. I DID FIND THIS - HOPE IT HELPS A LITTLE. Nausea & vomiting is a rare and unpleasant complication that may occur after surgery, but not in all people.. We, however, make every effort to prevent or at least reduce its intensity. CT of the temporal bone: findings after mastoidectomy, ossicular reconstruction, and cochlear implantation. Additionally, Koerner's septum is removed which grants access to the middle ear cavity and allows the ossicles to be seen1. Sense of Balance:Your sense of balance, ambulation or mobility may be affected for a few days, occasionally for a week or more. Hearing is likely to get affected after surgery, especially if the hearing bones were affected but failed to be reconstructed during surgery. Drink every time I say "I don't know" or "I think"Hey guys! On the day of the surgery, youll receive general anesthesia, so you wont feel any pain during the operation. The cholesteatoma is removed, the ear drum is usually repaired, and if possible the hearing mechanism is reconstructed. Ive had 3 of these ops back in the 90s. This page should be read in conjunction with the page about cholesteatoma. Because the surgeon will use general anesthesia to perform the procedure, youll also need to arrange for a ride to and from the medical facility. This is a similar operation to the first one, with a similar recovery period. Your ear will probably feel blocked or stuffy. You may have a round sponge (otowick) in your ear canal, which will usually be removed at your first postoperative visit. Its common to feel unsteady and dizzy for the first few days following surgery. Our team will contact you during our regular business hours. It may be done after mastoidectomy to make it easier to check and clean the ear. Hearing:Absorbable packing may be present and decreased hearing may persist for one or two months. The scar is closed with dissolving stitches buried under the skin and a dressing, or "pack" is placed in the ear canal. The main difference is that the posterosuperior wall of the external acoustic meatus is also removed 1. Some of the more common complications include: infection which may extend to the membranous labyrinth (labyrinthitis), ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Canal wall down and canal wall up mastoidectomy represent two surgical approaches to middle ear cleft pathology. ONE CAN BLEND SOME FRUITS WITH ICE FOR A COOL SMOOTHIE DRINK. Do not blow your nose vigorously for one month after surgery. 1. Mastoiditis is a serious infection of the mastoid, the hard, prominent bone just behind and under the ear. Begin typing your search term above and press enter to search. Avoid contact sports until authorized by your physician. The mastoid air cells are open spaces containing air that are located throughout the mastoid bone, the prominent bone located behind the . View Canton Directions & Hours, 80A Interstate S. Dr Both types of radical mastoidectomies result in less than normal hearing. We then cover the hole in your eardrum with a sheet of tissue called fascia. A simple mastoidectomy consists of opening the mastoid cortex and identifying the aditus ad antrum. This is a different type of procedure from the one described below. There are several types of mastoidectomy surgeries. . How do I choose between my boyfriend and my best friend? There is a chance that we will not achieve this, and that the ear will continue to cause problems with discharge and infection. (2015) Radiology. Secondly if the reconstructed ear drum collapses again a new cholesteatoma can form. Mastoidectomy. What is the recovery time for a mastoidectomy? If your operation is in the afternoon it is likely you will need to stay overnight. Mastoidectomy is a fairly frequent procedure performed for a variety of temporal bone pathologies including mastoiditis and cholesteatoma. Nonetheless, this nerve is at risk to some extent in all forms of middle ear or mastoid surgeries, causing weakness of your facial muscles. after mastoid surgery. Hopefully other people that are in a similar situation can find this helpful! The incision is likely to be sore, and you might experience a feeling of stuffiness inside your ear. We will guide you through this decision-making process. Can a modified radical mastoidectomy cause hearing loss? This is all normal. On the negative side, my hearing has not improved at all, and I still have numbness on that side of my head. View Jasper Directions & Hours, Riverstone Medical Campus The faster you come off your prescription pain medication the quicker your recovery will be. The pack in the ear will be removed at your out-patients appointment between2 and 3 weeks after the operation. Mastoidectomy is a surgical procedure that is done to remove air cells of the mastoid bone. The procedure can also be used to remove an abnormal growth of the ear known as a cholesteatoma. If you are concerned about your recovery, you can contact the ENT surgical team through the hospital switchboard on 9496 5000 or present to . Due to the mastoid bone's connection to the middle ear, ear infectionscan sometimes spread to its air-filled spaces. In most cases, the condition was caused by an ear infection that spread to the bone in the skull. Suction irrigation is used intermittently to keep the view clear and allow us to work on the targeted site. sensorineural hearing loss, which is a type of inner ear hearing loss. IT IS NOT IN ANY WAY A SUBSTITUTE FOR A SPECIALIST CONSULTATION. A mastoidectomy intends to create a safe and dry ear by preventing further complications of mastoiditis or hearing damage. The cut (incision) the doctor made behind your ear may be sore. I've been struggling with hearing issues in my left ear for.forever pretty much. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. There was moderate drainage for the first month and a half after, but it soon cleared up. Proudly Serving Canton and the Surrounding North Georgia Areas for over 20 years! By clicking Accept All, you consent to the use of ALL the cookies. Tympanoplasty and mastoidectomy are procedures designed to remove infection from a chronically diseased ear and repair and rebuild the eardrum and little bones of hearing. A doctor may also perform a mastoidectomy to place a cochlear implant. 6300 West Parker Road 7515 Greenville Avenue . Reference article, Radiopaedia.org (Accessed on 05 Mar 2023) https://doi.org/10.53347/rID-28882. 0zO=V DyEpbqp*00?8mKoy[ >M? Next ear will be done in 2-3 months (just how my schedule worked out). PLEASE NOTE - THIS INFORMATION IS INTENDED FOR GUIDANCE ONLY. Staples are typically removed in one week, usually with minimal discomfort. To many burst ear drums and infections. Internal Auditory Canal and Cerebellopontine Angle, Microtia Repair: The Firmin 2 Stage Technique, Sinus Tympani & Facial Recess in Cholesteatoma, Semicircular Canal Fistula in Cholesteatoma, HypoglossalFacial Anastomosis for FacialReanimation, Hypoglossal-Trigeminal-Facial Anastomoses, Gracilis Microvascular Facial Reanimation, Static and Dynamic Slings for Facial Reanimation, Temporal Bone Fractures, Encephaloceles, and Cerebrospinal Fluid Leaks, Pulsatile Tinnitus of Carotid and Jugular Bulb Origin, Appendix: Educational Handouts for Patients. xn$Gr) O^vEBl ek!~dUV{E@+q%sKVnU^mo! Make sure to do thorough research while choosing a doctor for your mastoidectomy. If it comes out sooner, that is usually not a problem. Unable to process the form. It is rare and can be life threatening without treatment. Medical Website Design & Marketing by Vermilion Marketing Solutions. no financial relationships to ineligible companies to disclose. 2. You may experience some numbness of the top part of the external ear (pinna), which may take a few weeks or months to settle. In some cases, they may give you prescription pain medication and antibiotics to prevent infection. Your surgeon will make a small cut right behind your ear and use specialized medical instruments to open your mastoid bone. You will probably have a bandage around your head when you wake up. We normally tell patients to expect their hearing to be roughly the same after the operation (once the ear has healed) as it was before. Full recovery from a mastoidectomy takes about 6 to 12 weeks. Sterile bandage is finally placed over the operated site. For a better experience, please enable JavaScript in your browser before proceeding. However, its important to be aware of the risks of the procedure. b S `A0RcXrA`Gky-$lZIA>k Vu|c>Y7.S*Lx[(hC-eTt]Jk-{8~#uVWSFxo f^HPi{|dUmq^JkcT%0ZadxebxH#m}Wi->meY. Clean the suture area only if instructed by your doctor. Similar to a simple mastoidectomy in that the lateral wall of the mastoid is removed and the posterosuperior wall of the external acoustic meatus is preserved 1. Similarly if the wound or external ear start to look red you should seek medical advice. We have listed some common factors you should consider . A radical mastoidectomy is a canal wall down mastoidectomy in which the tympanic membrane and ossicles are not reconstructed, thus exteriorizing the middle ear and the mastoid. To request an appointment or connect with our team, please complete the form below. This surgery isnt as common as it used to be. You will almost certainly need a CT scan of the bones around the ear prior to surgery. You may want to use gum or hard candy to moisten the mouth and encourage swallowing. You may be instructed to remove a wrap-around dressing 24-48 hours after surgery if this was utilized, i.e. Not everyone's ear is suitable for intact canal wall surgery, and the CT scan will give us some of the information we need to assess this. A mastoidectomy may also prevent further complications of mastoiditis, such as: You may need to have a mastoidectomy if you have other diseases that spread to your mastoid bone, such as a cholesteatoma, which is an abnormal collection of skin cells deep inside your ear. Amy F. Juliano, Daniel T. Ginat, Gul Moonis. Packing will be removed periodically as the ear heals. They may need to call 911 when you cannot. % Meatoplasty makes the opening into the ear canal (meatus) larger. This approach does not allow visualization of the ossicular chain. Before you go home, your doctor will advise you on how to use over-the-counter (OTC) pain relieversto manage the side effects. << /Length 5 0 R /Filter /FlateDecode >> What is the recovery time for a mastoidectomy? Analytical cookies are used to understand how visitors interact with the website. I went home the same day and was able to go out the next day. All mastoidectomies are carried out via a scar behind the ear. not to swim or fly in an airplane until healing occurs (which can take anywhere from 4 to 6 weeks after surgery). The posterosuperior wall of the external acoustic meatus is preserved 1. This post is old but I'll go ahead and share my experiences with having two mastoidectomy's. You may also experience some ear pain, headache, and some skin numbness. This is to reduce the risk of bleeding or extensive bruising. Some are more extensive than others. Who Are the Candidates for Tympanomastoidectomy? We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. The potential complications include: Before a mastoidectomy, youll need to follow any pre-op instructions your doctor gives you. Because the sutures are dissolving and buried under the skin you will not need to have any sutures removed. http://www.healthatoz.com/healthatoz/Atoz/ency/mastoidectomy.jsp. The surgery can also be used to remove abnormal growth of the ear, known as cholesteatoma. orB`GM{0W Dr. Jackler and Ms. Gralapp retain copyright for all of their original illustrations which appear in this online atlas. MASTOIDECTOMIES OR SURGERIES WITH A 2 INCH OR LONGER INCISIONS BEHIND THE EAR USUALLY HAVE A WRAP-AROUND DRESSING, LEFT ON FOR 1 OR MORE DAYS. DSC#{PVgZMqjU'K! FIJp`Z JvD2" =aAG=^[6^mMGbIurN+7|eG9&)Gsra"tC[sgm8"e.Z1wM7+CxvdxaZh{ /qTa0 [3 A2 =`f#xpLriZ^~LJWXJ&|KQ@8N.1+7.St/,Ql\dT)X>XBJ^9nXDR3-5|l,-8p1Le%aUF.2Kg DA=lBuP*y3 *u\{S6W`(90&=bv*om8l$'w\@o_jXcgzd/i~Gt/I^&g0q'7 t-7I6(Yz-D)q#TWk{9`_v:K7{L;bJ>t,q>UnIOu~V*5USdA7Iq5DP =*@<=~P. How is the Recovery after Tympanomastoidectomy? In the rare cases when this does happen it will usually settle down with time. This operation involves an incision behind the ear and drilling through a part of the skull . 7 Can a modified radical mastoidectomy cause hearing loss? You will need to continue to keep water out of your ear for at least 6 weeks following the surgery. The surgeon will make a cut behind the ear. We have a doctor on call 7 days a week. A mastoidectomy is a type of surgery that removes an infection from the bone behind the ear, called the mastoid bone. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". You also have the option to opt-out of these cookies. Press ESC to cancel. It is apparent from our study that patients with canal wall down mastoidectomy pose a significant workload to . Mastoidectomy is a fairly frequent procedure performed for a variety of temporal bone pathologies including mastoiditis and cholesteatoma. However, when your pain begins to lessen, try to reduce your pain medication use. DO NOT TAKE THE DRESSING OFF YOURSELF IF THERE IS ACTIVE BLEEDING UNTIL INSTRUCTED TO DO SO. POST-OP Instructions: Mastoidectomy Author: Jerry Belanger Subject: Hartford Hospital Hearing & Balance Center Created Date: 20121101211141Z . Also, if you use earplugs, choose the ones of the silicone variety. Most taste disturbances resolve on their own. ,"U$cmVT9>j8;U /v~@{LytG(R_5R-'bjZYi)o5Pnbm}g'L&Wdc"-6i6Ipg -R_Fr'i?So9Ug[#qa(KC bGI9Fn(o~aLiE'Y%U46{]]1%[GuvcBK(NbJeQ[kh-5pG97VF!)7 The mastoid is the part of your skull located behind your ear. If a PE tube has been placed, this restriction may not be necessary. Cholesteatoma. Tylenol is encouraged for mild to moderate pain, and has fewer risks than narcotic medication. The mastoid is a honeycomb-shaped sponge-like bone structure located as a part of the skull behind the ear. Taste disturbances, such as a metallic taste, are common after middle ear surgeries. Purpose. This should subside over the next few weeks. View Blairsville Directions & Hours, repair of the eardrum called tympanoplasty, removal of the infected mastoid air cells called mastoidectomy. Clin Exp Otorhinolaryngol 2017; 10: 296-302; A2. What Are the Indications for a Mastoidectomy? But opting out of some of these cookies may affect your browsing experience. Twenty out of 32 uncomplicated mastoiditis were treated conservatively and the remaining 12 underwent myringotomy+/-VT, associated with a mastoidectomy in 9 cases. Post-operative Instructions for Mastoidectomy Rest: Plan to rest the evening after your operation. Other Questions:For non-emergent questions, please call our office,(503) 581-1567, between 9:00 am and 3:00 pm Monday through Friday. Bleeding / Drainage:A thin bloody discharge can be expected from the ear canal for several days. Demir E, Gulustan F, Atsal G, Dalgic A, Catli T, Yilmaz O, Aktas S, Olgun L. Your doctor will let you know when its okay to remove the bandage. Plano, TX 75093 Dallas, TX 75231 Sounds may echo, or you may not hear well because of blood, fluid, or bandages in your ear. https://www.youtube.com/watch?v=J81nKFugVZgDrink every time I say \"I don't know\" or \"I think\"Hey guys! Once exposed, the mastoid bone is then drilled to gain access to the interior of your middle ear while taking care not to injure the facial nerve. .`sg0`fy'g"RkH(kbkaNs~V|~B/Yqz?3bMUMp$fG;.p(L^z`gf`KZ]l S,x^Oz3}x&+?uYS)(OMhr,03y.fON=cf$8qt:;{`6P8MX>9K30t JJ6 M .XKKhv]kxYkYsM8n This bone contains honeycomb-like structures that are filled with air spaces called mastoid cells. Packing will be removed periodically as the ear heals. Last week I had a modified radical mastoidectomy where they removed all the eroded bones (apart from the stapes) and made me a new ear drum close to the stapes so if anything I should be able to hear better when everything has healed. refrain from all strenuous activity, especially lifting anything heavy, for at least two to four weeks afterward, and as advised. Mastoidectomy is a typically an elective surgical procedure; that is, scheduled at the patients convenience. If you are experiencing a medical emergency, please call 911. A piece of cotton should be used to absorb the drainage and can be changed as necessary. A tympanomastoidectomy is a combination surgery that is done to fix middle ear problems both in the eardrum (aka tympanic membrane) and the hard bump right behind your ear (called the mastoid bone) that is filled with air cells and resembles a honeycomb. If this does happen it will, again, usually settle with time. National Health Service: Cholesteatoma., Nationwide Childrens Hospital: Ear Surgery: Care after Tympanoplasty and/or Mastoidectomy.. [1] Canal wall up mastoidectomy preserves the posterior bony external auditory canal, which separates the ear canal from the mastoid cavity. Most people can return to work or school in about 1 to 2 weeks. It does not store any personal data. In most instances, a mastoidectomy completely eliminates the infection in your mastoid bone. After the necessary preparations, you will be placed under general anesthesia (i.e., you will be unconscious during the entire procedure). What is the difference between radical and modified mastoidectomy? %PDF-1.3 These cookies track visitors across websites and collect information to provide customized ads. These cookies ensure basic functionalities and security features of the website, anonymously. An MRM is a procedure that involves removal of the entire breast including the skin, breast tissue, areola, and nipple along with most of the axillary (armpit) lymph nodes. To request permission for publication or commercial use please contact Christine Gralapp (eyeart@chrisgralapp.com,https://www.chrisgralapp.com). You should plan to take 2 weeks off work following the operation. DISCHARGE INSTRUCTIONS: Have someone call your local emergency number (911 in the US) if: You have a seizure or lose consciousness. The lateral wall of the mastoid is removed. dizziness or vertigo, which may persist for several days. Description. Activities:No straining, heavy lifting or strenuous activities, particularly after stapedectomy, until the doctor gives permission to resume usual activities. IlS%X'zTm`27"^Z9ix{?p`,^ubpN/)Na-{t^ZX6 l#[P(B2jf1-@8]UQ`Mybcqb a The mastoid bone is then exposed and opened with a surgical drill. All Rights Reserved. Mastoid bone is a hard, bony bump that you feel at the back of the ear. ,tiXs6,Q4. To request permission for publication or commercial use . Thanks. The goal is to keep your ear dry while avoiding any pressure on the dressing at the same time. The cholesteatoma has grown to fill the mastoid, and is . Conclusion: Radical mastoidectomy has a least negligible effect on hearing status and one should not limit this technique due to the concern of aggravated hearing in patients with extensive cholesteatoma at the cost of dry and safe ears, which should be of prime importance. The type of mastoidectomy your doctor recommends will depend on several factors, including: More extensive procedures, like radical or modified radical mastoidectomies, require more follow-up appointments for mastoid cleanings. What kind of procedure is a mastoidectomy? The ear and mastoid bone are extremely close to the inside of the skull and thebrain. WebMD does not provide medical advice, diagnosis or treatment. I also have a strange bubbling sensation when I press on the side of my head. I have been going to Willamette ENT on and off for most of my life. However, most of the. The incision is not closed until your eardrum is also repaired as follows: Inside the ear, we get rid of any surplus or scar tissue with the help of laser. When the drainage stops, the ear should be exposed to the air as much as possible. However there is a risk that the hearing may get worse, and sometimes we may have to deliberatelyremove some of the bones of hearing (ossicles)in order to remove the cholesteatoma, causing a reduction in hearing. I needed painkillers for about a week. Meningitis an infection of the lining of the brain and spinal cord, Brain abscess a pus-filled pocket of infected material in your brain, The possible risks to your overall hearing or balance, Your likelihood to follow up consistently with the doctor, Facial nerve injury leading to facial weakness or paralysis, Leaking of fluid from around the brain and spinal cord, A fever (100.5 degrees Fahrenheit or higher), Heavy bleeding or discharge from the incision site. At the time the article was last revised Yuranga Weerakkody had I was diagnosed with having a cholesteatoma three years ago, first i had a left atticotamy a few months after diagnosis, and then this year at my annual check up I found out it had come back. It involves removing part of the bony wall of the mastoid to aid in drainage and surgical excision. Fluids and Diet:Drink fluids throughout the day. X@'KH*a,|[xds.\yb+s1w%Q!0QJTy0v6g-t ,GJ0&ma *#-XGLUd Q::F$6pD4M`$%_5!c,f-/f9P7hkIXb} SD>fItbtG4IwyV*#U_v* We will, of course, be happy to discuss this with you. After making cuts in the ear canal skin, it is elevated, along with any healthy remnant your eardrum. These cookies will be stored in your browser only with your consent. APPLE SAUCE, BANANAS and BERRIES. Very few studies have examined the effects of these procedures both on the patients' well being and on the resources needed to maintain that state.

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