Post-Auricular Approach &
Harvesting of Temporalis Fascial Graft

#1:  The ear canal and post-auricular area are injected with 1% Xylocaine with Epinephrine for anesthesia and hemostatsis (to reduce bleeding).
#2:  A post-auricular incision is made, down to mastoid periosteum inferiorly and through the skin superiorly.
#3:  The temporalis muscle and fascia are exposed.
#4:  The mastoid periosteum is incised along the lower border of the temporalis muscle.
#5:  The periosteum over the anterior mastoid tip is elevated
#6:  The temoralis fascial graft is harvested.
#7:  The middle ear is entered.
#8:  After the operation is performed, the external auditory canal is packed with gauze and the post-auricular incision is closed.