Step 3. Identify the sigmoid sinus
3.1 With a cutting burr inscribe three lines in the mastoid region that demonstrate the likely position of the sigmoid sinus, floor of middle fossa and facial nerve. The first is the temporal line. The second is a tangent to the external ear canal from the mastoid tip to the first line. The third is parallel to where one expects to find the sigmoid sinus.
![Mark drilling area](images/Mark drilling area 1_0.jpg)
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